How to arrange a disability to a child with an oncological disease? Answer to this question you will find in the article.
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Child disability with oncological disease
In accordance with the existing legal and regulatory documents of the Russian Federation to the category of disabled children «Children under 16 years old, having significant livelihood limitations, resulting in social disadaptation due to violations of the development and growth of the child, the ability to self-service, movement, orientation, control over their behavior, learning, communicating, work in the future. At the same time, the nature and forecast of the course of the main disease, the consequences of which were the cause of the disability of the child, the nature and severity of the livelihood restrictions inherent in the child's age, the state of compensatory mechanisms aimed at restoring disturbed functions, the possibility of social adaptation and satisfaction of the need for various types of physician -Social care» (from «Instructions for filling the direction for a child up to 16 years of health care institutions for medical and social expertise» from 25.02.98g.).
In medical testimony, in which a child under the age of 16 is recognized as a disabled person defined by the Order of the Ministry of Health of the RSFSR N 117 of July 4, 1991. In section II «Functional changes and pathological conditions», Giving the right to determine disability for a period of 5 years, among others, listed:
- Acute leukemia, lymphogranulomatosis.
- Malignant neoplasms after surgical and other types of treatment of any localization regardless of the stage of the tumor process.
- Incurable malignant neoplasms. Benign neoplasms that are not subject to surgical treatment, when violating the function of the organ
- Chronic leukemia, lymphogranulomatosis, histiocytosis.
Thus, a child under 16, who received (or not received) treatment about the above-mentioned diseases, has the right to establish a disabilities for a period of 5 years (or up to 10 years). Specialists of the department in an extract from the stationary patient map (OOZ / y form) must indicate, in addition to the main all related diagnoses and complications, as well as other signs of the child's disability.
Extract with recommendations is sent to the medical and prophylactic institution (clinic) at the place of residence of the patient.
Doctors Specialists of the Medical Advisory Commission (WCC) Polyclinics take into account recommendations, extracts and fill «Direction for a child up to 16 years of health establishment for medical and social expertise» (Form N O8 / U-97) in accordance with «International nomenclature of violations, restrictions of life and social insufficiency». Sign «Direction» Chairman of the WCC and the chief doctor of the Polyclinic.
Further, this form within a three-day period is submitted to the Bureau of Medical and Social Expertise at the place of residence of the child, what the parents or guardians are notified about.
Temporable coupon (root) «Directions» Filled by employees of the Bureau of Medical Social Examination. It indicates the number of years to which the disability and date is established, to which the disability is valid.
According to the results of writing, a certificate is issued a certificate approved by the Ministry of Labor and Social Development of the Russian Federation.
If necessary, the Bureau of the Medical and Social Expert Commission (IECE) or Polyclinic can send a child to an additional examination in a clinic, hospital or clinic of the Research Institute, where the specified survey should be carried out in time not exceeding 30 calendar days.
We draw the attention of parents and doctors to the fact that the fundamental principle in establishing disability children with malignant diseases is an integrated approach, T.E. Accounting for the pathological process with a possible forecast and its consequences and consequences of treatment affecting vital activity.
