Name of the Procedure:

Wheelchair Management (e.g., Assessment, Fitting, Training)

Summary

Wheelchair management involves evaluating a person's needs, custom fitting a wheelchair, and providing training on its use to enhance mobility and improve the quality of life. Each session typically lasts 15 minutes.

Purpose

Wheelchair management aims to provide individuals with a wheelchair that meets their specific needs for mobility, comfort, and independence. The goal is to ensure the device enhances the user's daily living activities and overall well-being.

Indications

• Mobility impairments due to neurological, muscular, or skeletal conditions.
• Conditions such as spinal cord injuries, multiple sclerosis, cerebral palsy, or muscular dystrophy.
• Patients who experience difficulty walking or standing for extended periods.

Preparation

• No specific fasting or medication adjustments are required.
• Prior assessment of the patient's physical condition, lifestyle, and specific mobility needs.
• Gathering relevant medical history and any previous mobility aid usage.

Procedure Description

1. Assessment:
   • The healthcare provider evaluates the patient's physical and functional needs.
   • Measurements of the body for appropriate wheelchair sizing.
2. Fitting:
   • Selection of a wheelchair based on the assessment.
   • Custom adjustments to ensure comfort and proper support.
3. Training:
   • Instruction on safe use, navigation, and maintenance of the wheelchair.
   • Practice sessions to ensure the patient confidently operates the wheelchair.

Tools and Equipment:

• Various wheelchair models and customization tools.
• Measurement tools for accurate fitting.

Duration

Each session typically lasts 15 minutes, but multiple sessions may be required depending on the individual's needs.

Setting

• The procedure is usually performed in an outpatient clinic, rehabilitation center, or sometimes in a patient's home for convenience.

Personnel

• Occupational therapist
• Physical therapist
• Rehabilitation specialist

Risks and Complications

• Minor discomfort during fitting.
• Incorrect sizing can lead to pressure sores or discomfort.
• Potential for muscle strain during initial usage.

Benefits

• Improved mobility and independence.
• Enhanced quality of life.
• Better participation in daily activities and social interactions. Benefits are usually realized shortly after the proper fitting and training.

Recovery

• No significant recovery time is necessary.
• Instructions on wheelchair maintenance and regular check-ups.
• Ongoing training sessions may be scheduled to ensure optimal use.

Alternatives

• Other mobility aids such as walkers, canes, or scooters.
• Surgery or physical therapy for certain conditions.
• Pros and cons depend on the individual's specific needs and medical condition.

Patient Experience

• Minimal discomfort during fitting sessions.
• Increased confidence and independence with proper training.
• Training sessions include guidance on pain management and comfort measures.

Overall, wheelchair management is a tailored approach to enhance mobility and independence for individuals with mobility impairments.