For how long should a patient be given sick leave after a stroke?

Grounds for extradition

Stroke in medical terminology refers to a group of clinical syndromes that develop as a result of a decrease or cessation of blood supply to the brain.

If an acute cerebrovascular accident (hereinafter - ACVA) caused a persistent neurological disorder, then it is classified as a stroke, and a working person who has suffered it needs a certificate of incapacity for work .

The need for a sick leave certificate in this case is obvious and the legal basis for its issuance is the simultaneous presence of the following factors:

• diagnosed by a doctor at a licensed medical institution, which resulted in a persistent neurological disorder (stroke);
• a person who has suffered a stroke is a party to labor relations as an employee in accordance with the Labor Code of the Russian Federation;
• the sick person is insured in the compulsory health insurance system.

Important! Stroke is one of the main causes of disability in the population: 70-80% of stroke survivors become disabled, and about 30% of them require constant care from others.

Is a bulletin necessary according to doctors?

Doctors are absolutely convinced of the need for sick leave for a stroke , and the patient should not just stay at home and take pills, but undergo a course of treatment in a hospital.
If qualified medical care is not provided in a timely manner and in the proper amount, there is a direct threat to human life.

The fact is that during the first 6 hours from the onset of a stroke there is a high risk of death of brain cells, up to 80% of their number. Treatment and recovery after a stroke is long and the first months cannot be done without constant medical supervision.

How many days do they stay on paid b/l?

The approximate deadlines for issuing a certificate of incapacity for various types of stroke are enshrined in the Recommendations of the Ministry of Health of Russia No. 2510/9362-34 dated August 20, 2000 and are:

The indicated periods of sick leave are approximate : the attending physician in each specific case takes an individual approach to determining the duration of the patient’s incapacity for work, guided by the time restrictions of Part 4 of Art. 59 of the Federal Law “On the Fundamentals of Protecting the Health of Citizens in the Russian Federation” (hereinafter referred to as the Federal Law of November 21, 2011 No. 323-FZ), according to which, in the event of an obvious unfavorable prognosis of the disease, no later than 4 months from the date of opening the bulletin, the patient is sent for passing the ITU, and if he refuses the prescribed assessment of disability, the certificate of incapacity for work must be closed.

Sick leave after a mini-stroke

Legal topics are very complex, but in this article we will try to answer the question “Sick leave after a mini-stroke.” Of course, if you still have questions, you can consult with lawyers online for free directly on the website.

1. Exclusion of complications in the form of possible bleeding.
2. Stable blood pressure and heart rate levels over the course of an hour of observation.
3. Restoration of consciousness at an acceptable level, the ability to establish contact with the patient.
4. The ability to breathe independently without the support of devices.
5. Ability to call for help if necessary.

The document is issued by the attending physician, who, being a specialist, determines the timing of its execution and renewal as the patient recovers. The minimum incapacity for work lasts several days, the maximum – up to approximately 6 months.

Microstroke how long the patient is on sick leave

97 lawyers are now on the site 2560 consultations in 24 hours If you find it difficult to formulate a question, call the toll-free multi-line phone, a lawyer will help you. And is he entitled to free pills, since the patient developed diabetes and epilepsy due to a stroke?

• B/l is issued at the 30th week of pregnancy for a period of 140 days. This period includes 70 days of rest before the birth of the baby and 70 days after.
• If a multiple pregnancy is diagnosed, the sheet is provided at week 28. The sick leave period is 194 days. 84 days are issued before the birth of the child, 110 days after.
• If the birth is recognized as complicated, the period of birth is increased by 16 days.
• Premature birth of a child (at 28-30 weeks) requires sick leave of 156 days.
• A miscarriage before 27 weeks or the birth of a stillborn child (or a baby who died within 6 days after birth) requires sick leave for up to 10 days.

The b/l period includes the duration of a person’s stay in the sanatorium, as well as the time spent on the trip. If an employee decides to go to a resort during annual or additional leave, the sheet is not issued.

Adopting a child

If after 30 days the person has not recovered, a medical commission is appointed. Based on its results, the duration of sick leave may increase to 12 months. During this entire period, once every 30 days, the person must be re-examined.

• statement;
• a referral from a doctor for examination with the signature of the chief physician and the seal of the medical institution;
• results of examinations and tests that are not in the medical history;
• an outpatient card from the clinic where he is being treated;
• ID card (passport);
• if a person is employed - a copy of the work record book, salary certificate;
• sick leave (if any) and a certificate of occupational diseases and injuries.

How long is sick leave given after a hemorrhagic stroke?

1. Myocardial infarction, blood loss, deep sleep (usually due to constriction of blood vessels in the neck and brain), heart rhythm disturbances, blood loss. 2. Pathology of the valvular apparatus of the heart of various origins (especially in exacerbation of rheumatic carditis, acute infective endocarditis, etc.

MICRO-INSULT Severity criteria

Timely diagnosis and competent first aid before hospitalization are of great importance. Cases of repeated strokes are very typical for patients and occur with the greatest frequency within a year from the moment of the first.

The length of time a patient will be assigned to the department will depend primarily on the following factors: If an ischemic event occurs, in which an arm or leg is partially paralyzed, but the person cares for himself and his speech is not impaired, then two weeks of hospital stay is enough.

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Microstroke sick leave how much

Sick leave is issued for cervical, thoracic, and lumbar osteochondrosis. Dear readers! Our articles talk about typical ways to resolve legal issues, but each case is unique. If you want to find out how to solve your particular problem, please use the online consultant form on the right or call the numbers provided on the website.

The document in question guarantees not only the preservation of a job, but the receipt of cash payments. Therefore, the paper should be handed over to the employer, who in turn sends it to the accounting department to assign benefits.

Why do you need a disability document?

The duration of sick leave after a stroke varies depending on the severity of the pathology, the general condition of the patient, and the speed of recovery of the body. The approximate duration of a certificate of incapacity for work is as follows:

At first, if the patient is still unable to move independently, massage and rubbing of the limbs helps.

When it is possible to move the hand, foot, and fingers, patients begin to perform various exercises that develop sensitivity and activate muscles. You can, for example, roll balls with soft spikes or just walnuts on the table with your palm.

The main burden in working with the patient falls on him, as well as on those who are nearby - relatives or, when in a rehabilitation center, a nurse.

How to extend sick leave if you are not sick

Sometimes the employer suspects that sick leave has become the basis for paid leave for the employee. However, these are unnecessary suspicions, since at the moment it is very difficult to obtain a certificate of incapacity for work without sufficient grounds. In most cases, private clinics do not issue certificates.

Stroke is a complex disease directly related to disruption of cerebral blood flow that occurs as a result of blockage of blood vessels due to blood clots or growths, all of which leads to disruption of normal brain function and, consequently, to limited ability to work and life. As a rule, strokes happen to people of pre-retirement and retirement age, however, modern statistics show that this disease tends to “get younger”; every year more and more young people are susceptible to this disease.

• extensive infarction (brain and hemispheric), persistent paralysis and/or paresis, disturbances in spatial orientation, speech and the ability to swallow;
• hemodynamic conditions accompanying cardiovascular diseases with the stage of decompensation;
• limited possibility of collateral blood flow when vascular beds are damaged.

Who is eligible for disability after a stroke?

The main factors affecting the prognosis are the patient’s age, the location of the lesion, the reasons that provoked thrombosis, the form of the pathology and the initial severity of the disorders.

The outcome of the situation will be affected by the timeliness of medical care in the hospital, the adequacy of prescriptions, the presence of chronic diseases, mental disorders, the addition of neurological complications, delayed rehabilitation and recurrent stroke.

In the case of subarachnoid hemorrhage, as well as a minor stroke of mild severity without extensive impairment of basic functions, the treatment period is on average 3 months, while inpatient treatment takes about 21 days, the rest of the treatment is carried out on an outpatient basis. A moderate stroke requires longer treatment - about 3-4 months, while the patient is kept in the neurological department of the hospital for about 30 days.

: Pension for caring for a disabled child

The standard duration of sick leave is 3-10 days. If the patient has undergone an appropriate examination, uses all the doctor’s recommendations regarding treatment, but the symptoms of the disease do not disappear, the period is extended to a month.

Sick leave for stroke terms

The duration of the course of therapy depends on the patient’s condition and the success of his recovery. There are no exact dates, but the standard duration of stay in intensive care is three days, if there are no consequences and the person is conscious and has not fallen into a coma.

For how long should a patient be given sick leave after a stroke?

Situation: A woman got a job with us as a salesperson, everything was drawn up correctly and the Trade Agreement (the probationary period is 3 months) and the agreement on financial liability and the Trade Book, etc.

After 1.5 months of work, a woman goes on sick leave (mini-stroke), first in an inpatient setting, then on an outpatient basis, then at a sanatorium, then again on an outpatient basis, etc. Sick leave has been going on for 3.5 months now. Sick leave cards are correctly issued, stamps, doctors’ commission, etc. We pay 100% of sick leave (insurance period is more than 10 years).

Usually, after a stroke (although depending on the severity), a commission is appointed and some kind of disability group is assigned. They don’t prescribe anything like that to her, as she says. According to the law, if I'm not mistaken, the maximum duration of a sick leave period is 10 months. Is this really true? Of course, it is clear that during a sick period we cannot fire a person from work, but are there any options, can we somehow part with this employee?

What affects the duration?

How long the period of disability after a stroke will last depends on many factors:

1. type of stroke;
2. severity of stroke;
3. speed of restoration of impaired functions;
4. general state of human health (primarily the cardiovascular system);
5. the patient's response to treatment;
6. the presence or absence of recurrent hemorrhage (in the case of hemorrhagic stroke) while on sick leave;
7. the presence or absence of repeated incoming cerebrovascular accidents;
8. the nature of the patient’s work activity.

It should be noted that in most cases, the patient’s condition after a stroke (except for all types of mild stroke and moderate subdural hemorrhage) indicates an unfavorable prognosis in terms of performance and the doctor, guided by Part 4 of Art. 59 of the Federal Law of November 21, 2011 No. 323-FZ, has the right to immediately refer the patient to receive disability.

How long do they stay in the hospital after a stroke in the intensive care unit and department?

Stroke patients with more serious disorders, whose body was unable to overcome the abnormalities caused by the stroke, remain in a stable and serious condition for 30 days. If even after thirty days in the clinic the patient’s condition does not improve, a medical and social examination is carried out, recording the condition of the stroke patient after the end of the expected recovery, the extent of the remaining disorders, and their threat to human life. The conclusion of the medical and social examination is a decision on the advisability of the patient’s continued stay in the clinic, drawing up a plan for the patient’s recovery.

This is interesting: How many days can deposited wages be kept in the cash register?

If a patient has a stroke, he becomes temporarily disabled. The official diagnosis is called “acute cerebrovascular accident.” The recovery period after illness varies from person to person. It depends both on the amount of damage received and on the rate of recovery of the patient.

Grounds for extension and possible deadlines

The basis for extending sick leave is the patient’s slow recovery of lost functions and insufficient response to treatment. The specifics of the work of an employee on sick leave are of no small importance.

Attention! The advisability of extending the certificate of incapacity for work within the 4 months established by law is decided by a medical commission, taking into account the specified circumstances.

For patients with ongoing restoration of functions and stable positive dynamics, the decision is predominantly made to continue treatment simultaneously with being on sick leave; otherwise, the most likely decision is to refer them to medical examination to establish the disability group.

Where and who issues a bill of lading?

All types of stroke are the result of severe brain damage , so the person who has suffered it undergoes treatment in a hospital setting, where he receives a certificate of incapacity for work.

Of course, opening a sick leave at a clinic is also possible, but in practice this is not so common.

In accordance with Order of the Ministry of Health and Social Development of Russia dated June 29, 2011 No. 624n, licensed medical institutions have the right to issue certificates of incapacity for work . In addition to general information about the patient, the sick leave must include a two-digit code – “01”, indicating the disease as a general cause of disability.

The procedure for paying for time spent on sick leave is regulated by Federal Law No. 255-FZ of December 29, 2006. Three days of incapacity for work are paid by the employer, and all subsequent days by the Social Insurance Fund.

The amount that an employee will receive directly depends on his total insurance period - the period of employment during which the employer transferred insurance contributions to extra-budgetary funds for him. The longer the total insurance period, the larger the payments.

Note! An employee with less than 1 year of experience will receive the least - 30% of average earnings. An employee for whom contributions to insurance funds have been received for 8 or more years has the right to receive a payment in the amount of 100% of the average salary.