Name of the Procedure:

Trapeze Bars (Patient Helper), HCPCS Code: E0910

Summary

Trapeze bars, also known as patient helpers, are devices attached to the bed that feature a grab bar. They assist patients in repositioning themselves, transferring in and out of bed, and improving their mobility without requiring intensive help from caregivers.

Purpose

Trapeze bars are designed to enhance the independence of patients with limited mobility. They help individuals reposition themselves while in bed, facilitating changes in posture to prevent bedsores and aiding in transfers to a wheelchair or bedside commode.

Indications

• Patients with limited upper body strength who cannot sit up or move in bed independently.
• Individuals recovering from surgery or injury.
• Patients with conditions like spinal cord injuries, severe arthritis, or neuromuscular diseases.
• Elderly patients who require assistance to change positions in bed.

Preparation

• No specific preparation is required for the installation of trapeze bars.
• Ensure the bed frame is compatible with the trapeze bar system.
• The healthcare provider might assess the patient’s strength and range of motion to determine the necessity and type of trapeze bar.

Procedure Description

1. Assessment: A healthcare provider assesses the patient’s needs and determines the appropriate type of trapeze bar.
2. Installation: The trapeze bar is securely attached to the bed frame according to the manufacturer's instructions.
3. Adjustment: The height and position of the grab bar are adjusted for optimal patient use.
4. Instruction: The patient and caregivers are instructed on how to use the trapeze bar effectively and safely.

Tools and Equipment:

• Trapeze bar unit.
• Compatible bed frame.
• Adjustment tools as per manufacturer’s guidance.

Anesthesia or Sedation: Not required.

Duration

Installing the trapeze bar typically takes about 30-60 minutes.

Setting

The installation can be performed in a hospital, rehabilitation facility, or at the patient’s home.

Personnel

• Occupational therapist or physical therapist.
• Healthcare provider or rehabilitation specialist.
• Caregivers or family members for post-installation support.

Risks and Complications

• Risks: Minimal risks include improper installation leading to falls or instability of the device.
• Complications: In rare cases, improper use may cause muscle strain or injury.

Benefits

• Enhances patient independence and mobility.
• Reduces dependency on caregivers for basic movements.
• Helps prevent pressure sores by facilitating frequent repositioning.
• Benefits are often realized immediately after installation with proper usage.

Recovery

• No recovery period is needed specifically for the trapeze bar installation.
• Patients might need a brief adjustment period to get used to using the device effectively.

Alternatives

• Bed rails or side rails for assistance.
• Overhead lift systems.
• Versatile adjustable beds.
• Alternatives may offer differing degrees of independence and support levels, with some being more complex or requiring more significant installation.

Patient Experience

Patients typically feel more empowered and secure with increased independence for self-repositioning.

• During Installation: Patients might experience minimal disruption as the device is set up.
• Post-Installation: Regular use may require initial support but generally promotes comfort. Pain management or comfort measures are usually not needed.

Efficient use of trapeze bars can significantly improve the quality of life for patients with mobility challenges by providing a safe and reliable means to move in and out of bed.