Name of the Procedure:

Multipositional Patient Support System with Integrated Lift
HCPCS Code: E0636

Summary

A multipositional patient support system is a device designed to assist patients in repositioning themselves and transferring from one surface to another, such as from a bed to a chair. The system features an integrated lift and patient-accessible controls, allowing for easier use and more independence for the patient.

Purpose

Medical Conditions or Problems it Addresses:

• Mobility impairments
• Muscle weakness
• Post-surgical recovery
• Long-term immobility conditions (e.g., paraplegia, quadriplegia)

Goals or Expected Outcomes:

• Improved patient mobility and independence
• Reduced risk of pressure sores and skin breakdown
• Enhanced patient comfort and safety
• Eased transfer processes for both patients and caregivers

Indications

• Patients with severe mobility restrictions
• Individuals requiring frequent repositioning to prevent pressure ulcers
• Post-operative patients needing assistance in transferring
• Those with chronic conditions that impair mobility, such as Multiple Sclerosis or Muscular Dystrophy

Preparation

• Patients do not generally need to fast.
• Medication adjustments are typically not required unless specified by a healthcare provider.
• Initial assessment by a physical or occupational therapist to determine appropriateness and custom settings.

Procedure Description

1. Setup:
   • The support system is positioned next to the patient’s bed or chair.
   • Patient and caregiver receive instructions on using the controls and lift.
2. Transfer:
   • The patient accesses the controls to adjust their position (lying, sitting, standing).
   • The integrated lift assists in moving the patient from one surface to another.
3. Repositioning:
   • The patient uses the controls to make small positional adjustments as needed for comfort.

Tools and Equipment:

• Multipositional patient support system with integrated lift
• Patient-accessible control panel

Anesthesia/Sedation:

• None required

Duration

• Approximately 30 minutes for initial setup and training.
• Daily use duration varies based on patient need.

Setting

• Typically used in hospital rooms, outpatient clinics, nursing homes, or home care settings.

Personnel

• Physical therapist or occupational therapist for initial setup and training.
• Nursing staff for ongoing support if used in a clinical setting.

Risks and Complications

Common Risks:

• Minor skin irritation where straps or lifts make contact

Rare Risks:

• Device malfunction leading to improper transfers
• Patient falls if the device is not used correctly

Possible Complications and Management:

• Any device malfunction should be reported immediately.
• Regular maintenance and inspection of the device ensure functionality and safety.

Benefits

• Enhanced patient mobility and independence
• Reduced caregiver strain
• Lower risk of developing pressure sores
• Quicker and safer transfer processes

Recovery

• Post-procedure care involves the patient familiarizing themselves with the controls.
• No specific recovery time is associated with this device; usual daily activities can typically resume immediately.
• Follow-up appointments with healthcare providers to monitor usage and address any issues.

Alternatives

Other Treatment Options:

• Manual lifting by caregivers
• Traditional patient hoists or lifts

Pros and Cons:

• Manual Lifting: No equipment cost, but higher risk of caregiver injury.
• Traditional Hoists: Cheaper, but typically require caregiver assistance and do not offer independence.

Patient Experience

• During use, patients may initially feel uncertain but typically find the system empowering as they gain independence in mobility.
• Pain is not typically associated with the correct use of the device.
• Training by healthcare professionals can enhance comfort and trust in using the device.