Name of the Procedure:

Common name(s): Wheelchair Tray Technical term: Wheelchair Accessory, Tray, Each (HCPCS Code: E0950)

Summary

A wheelchair tray is an accessory that can be attached to most types of wheelchairs. It provides a flat surface for the user to carry out various tasks such as eating, writing, or using electronic devices.

Purpose

The wheelchair tray is designed to improve the convenience and functionality of wheelchair users by providing a stable surface for activities. It addresses issues related to the user's need for a flat workspace, improving their ability to perform daily activities independently.

Indications

• Users with limited mobility in their lower and upper limbs
• Patients who need a stable surface for dining or performing activities of daily living
• Individuals with spinal cord injuries, muscular dystrophy, cerebral palsy, or other neuromuscular conditions

Preparation

• Ensure the wheelchair is compatible with the tray accessory.
• The patient should follow general hygiene practices before installation.
• No specific diagnostic tests or assessments are required beforehand.

Procedure Description

1. Attachment: The tray typically attaches to the wheelchair armrests or frames using clamps or brackets.
2. Adjustment: Adjust the tray to the correct height and angle for the user.
3. Securing: Ensure that all attachment points are secure to prevent the tray from shifting or falling.
4. Final Check: Verify the stability and that the tray is within easy reach but does not interfere with the user's mobility or access to wheelchair controls.

Tools & Equipment:

• Screwdriver or wrench (for attachment)
• Clamps or brackets (provided with the tray)

No anesthesia or sedation is required.

Duration

The installation of the wheelchair tray typically takes 10-20 minutes.

Setting

• Outpatient clinic
• Home care setting
• Rehabilitation center

Personnel

• Occupational therapist
• Caregiver or family member (once trained)
• Rehabilitation technician

Risks and Complications

• Minimal risks involved.
• Potential for improper attachment leading to instability.
• Rare risk of skin irritation from prolonged contact with tray edges.

Benefits

• Provides a stable and convenient surface for activities.
• Enhances independence and functionality.
• Immediate improvement in daily activity capability once installed.

Recovery

• No recovery time is needed.
• Acute monitoring of skin condition where the tray edges contact.
• Regular cleaning and maintenance of the tray.

Alternatives

• Portable lap desks
• Overbed tables Pros and Cons:
• Portable lap desks: Lightweight, but less stable.
• Overbed tables: More stable, but bulkier and less mobile.

Patient Experience

During the installation, the patient should feel minimal discomfort. After the procedure, they will experience greater ease in conducting their daily activities. Pain management is generally not required, but comfort measures like ergonomic design of the tray should be considered.