Name of the Procedure:

Fully-reclining wheelchair, fixed full length arms, swing away detachable elevating leg rests (HCPCS Code: E1050)

Summary

A fully-reclining wheelchair equipped with fixed full-length armrests and swing-away detachable elevating leg rests is designed for individuals with significant mobility impairments. This type of wheelchair provides extensive support, comfort, and positioning options, allowing users to recline fully and adjust leg elevation.

Purpose

This specialized wheelchair addresses mobility issues arising from severe physical disabilities or medical conditions. Its primary goals are to enhance patient comfort, prevent pressure sores, and improve circulation.

Indications

• Significant mobility impairment due to spinal cord injury, muscular dystrophy, multiple sclerosis, or severe arthritis.
• Patients who need to remain in a seated position for extended periods.
• Those requiring frequent position changes to prevent pressure ulcers.

Preparation

There are no specific pre-procedure instructions for the use of this wheelchair. However, a thorough assessment by a healthcare provider, such as a physical therapist or occupational therapist, is necessary to determine the suitability and customization needs of the wheelchair.

Procedure Description

1. Assessment: A healthcare provider conducts a detailed evaluation of the patient's mobility needs and physical condition.
2. Customization: The wheelchair is customized with proper seat dimensions, armrest type, and leg rest positioning based on the patient’s needs.
3. Delivery and Training: The wheelchair is delivered and the patient is trained on its usage, including how to operate reclining features and adjust leg rests.

Duration

The assessment and customization phase may take several days to weeks depending on individual needs and availability. Training on usage typically takes 1-2 hours.

Setting

The evaluation and customization can be performed in a clinic, rehabilitation center, or at the patient’s home. Training can also be conducted in these settings.

Personnel

• Physical Therapist
• Occupational Therapist
• Medical Equipment Supplier

Risks and Complications

• Common Risks: Discomfort due to improper fit, difficulty maneuvering in tight spaces.
• Rare Risks: Skin breakdown or pressure sores if not used correctly. Potential for lower limb swelling if leg rests are not adjusted appropriately.

Benefits

• Enhanced comfort and support.
• Improved circulation and prevention of pressure ulcers.
• Increased independence and mobility.

Recovery

No immediate recovery time is needed. Continuous monitoring and adjustments might be necessary to ensure long-term comfort and functionality. Follow-up appointments may be scheduled for reassessment and wheelchair maintenance.

Alternatives

• Standard wheelchairs without reclining or leg elevation functions.
• Manual wheelchairs with tilt-in-space functions.
• Power wheelchairs with customizable seating systems.
• Pros and Cons: Standard wheelchairs are less expensive but do not offer the same level of comfort and support. Power wheelchairs offer greater ease of movement but are costlier and require maintenance.

Patient Experience

Patients may initially feel overwhelmed with the functionality and adjustments of the wheelchair. With proper training, they typically experience increased comfort and an improved quality of life. Initial pain or discomfort can be managed with guidance from healthcare providers on optimal use.