Name of the Procedure:

Walker, rigid, wheeled, adjustable or fixed height
Common name(s): Wheeled walker, Rollator
Technical/medical term: E0141

Summary

A wheeled walker is a type of durable medical equipment designed to assist individuals with limited mobility. It has a rigid frame and wheels that allow users to move more easily, providing support and stability.

Purpose

Medical conditions or problems addressed:

• Limited mobility due to age, injury, surgery, or chronic conditions such as arthritis or neurological disorders.

Goals/expected outcomes:

• Enhance mobility.
• Improve balance and stability.
• Reduce the risk of falls.
• Promote independence.

Indications

Specific symptoms or conditions:

• Difficulty walking or maintaining balance.
• Patients who have undergone surgery.
• Conditions such as arthritis, Parkinson's disease, or multiple sclerosis.

Patient criteria or factors:

• Individuals with stable upper body strength.
• Patients advised by healthcare providers to use a walker for improved mobility.

Preparation

Pre-procedure instructions for the patient:

• Consult with a healthcare provider to determine the correct type of walker.
• If needed, practice using the walker in a supervised setting.

Diagnostic tests or assessments:

• Physical assessment by a healthcare provider to ensure suitability of the walker.
• Measurements for proper walker height adjustment.

Procedure Description

1. Choose the walker: Select an appropriate walker type (adjustable or fixed height).
2. Height adjustment: Adjust the height of the walker so that it is comfortable for the user; the walker handles should be at wrist height when the user is standing upright.
3. Safety check: Ensure all parts are securely fastened and that the wheels and brakes are functioning properly.
4. Instructions: Educate the user on how to safely use the walker, including how to stand up, walk, turn, and sit down.

Tools/equipment used:

• Walker equipment (E0141).

Anesthesia/sedation details:

• Not applicable.

Duration

How long the procedure typically takes:

• Approximately 15-30 minutes for initial setup and instruction.

Setting

Where the procedure is performed:

• Can be done in a hospital, outpatient clinic, rehabilitation center, or even at home under the guidance of a healthcare provider.

Personnel

Healthcare professionals involved:

• Physical therapist, occupational therapist, or other trained healthcare providers.

Risks and Complications

Common and rare risks:

• Minor skin irritation from the walker handles.
• Risk of falls if not used correctly.

Possible complications and their management:

• Improper walker height adjustment (managed by readjusting).
• Wheel malfunction (managed by regular maintenance and checks).

Benefits

Expected benefits:

• Increased mobility and independence.
• Improved balance and safety.

How soon they might be realized:

• Immediate, upon correct usage.

Recovery

Post-procedure care and instructions:

• Regular use as advised by a healthcare provider.
• Check for wear and tear periodically.

Expected recovery time and restrictions:

• Varies based on the patient’s condition; however, no specific recovery time is needed since it is a mobility aid.

Follow-up appointments:

• Regular follow-ups to reassess mobility needs and equipment condition.

Alternatives

Other treatment options:

• Standard walkers (without wheels), canes, crutches, or motorized mobility aids.

Pros and cons of alternatives:

• Standard walker: More stability but requires lifting; suitable for those with severe balance issues.
• Cane: Less support, suitable for minimal mobility issues.
• Crutches: Require upper body strength and coordination.
• Motorized aids: Offer more independence but are costlier and require charging.

Patient Experience

What the patient might feel or experience:

• Increased confidence in mobility.
• Initial learning curve in handling the walker.

Pain management and comfort measures:

• Use padded handles and ensure the walker is properly adjusted.
• Regular practice to become accustomed to the motion and balance.