Fully-Reclining Wheelchair, Detachable Arms, Desk or Full Length, Swing Away Detachable Elevating Legrests (E1060)

Name of the Procedure

Common Names: Fully-Reclining Wheelchair
Technical/Medical Term: Fully-reclining wheelchair, detachable arms, desk or full length, swing away detachable elevating legrests (E1060)

Summary

A fully-reclining wheelchair allows a user to recline the backrest fully to a horizontal position. It features detachable armrests that can be either full length or desk length, and legrests designed to elevate and swing away, ensuring added comfort and convenience for the user.

Purpose

Medical Conditions Addressed: Provides mobility and support for individuals who cannot bear weight on their legs or have limited mobility due to conditions like paralysis, severe arthritis, or orthopedic conditions. Goals/Expected Outcomes: Enhance user mobility, ensure comfort by allowing various recline positions, alleviate pressure sores by distributing weight, and aid in daily activities through customizable features.

Indications

Specific Symptoms/Conditions: Severe chronic pain, paralysis, muscle weakness, circulatory problems, or pressure ulcers. Patient Criteria: Individuals unable to use standard wheelchairs due to medical conditions requiring frequent changes in body position or elevated leg support.

Preparation

• Pre-procedure Instructions: No specific preparation required for fitting a wheelchair.
• Assessments Required: Evaluation by a healthcare provider to determine the appropriate type and size of wheelchair based on the patient’s medical condition and mobility needs.

Procedure Description

1. Initial Evaluation: A healthcare professional evaluates the patient’s needs and measures them for the correct wheelchair size.
2. Customization: The wheelchair is customized, if necessary, with features like detachable arms and elevating legrests.
3. Instruction: The patient and caregivers are instructed on how to use and adjust the wheelchair properly.
   • Tools/Equipment Used: Fully-reclining wheelchair with detachable arms and swing-away elevating legrests.
   • Anesthesia/Sedation Details: Not applicable.

Duration

Fitting and customization of the wheelchair typically take about 1-2 hours.

Setting

Usually performed in a medical supply store, rehabilitation center, or home healthcare setting.

Personnel

• Healthcare Professionals Involved: Occupational therapist, physical therapist, or a trained wheelchair technician.

Risks and Complications

• Common Risks: Improper fit can lead to discomfort or pressure sores.
• Rare Risks: Mechanical failure of the wheelchair components.
• Possible Complications: Incorrect use of reclining or leg elevation functions could result in falls or injuries.

Benefits

• Expected Benefits: Improved mobility, enhanced comfort, prevention of pressure sores, easier transfers and daily activities.
• Realization Timing: Benefits can be realized immediately upon proper use of the wheelchair.

Recovery

• Post-Procedure Care: Regular maintenance of the wheelchair, including checking for mechanical issues and cleaning.
• Expected Recovery Time: No recovery time is necessary; the wheelchair provides ongoing support.
• Restrictions/Follow-Up: Users should follow up periodically with their healthcare provider to ensure proper wheelchair fit and function.

Alternatives

• Other Treatment Options: Standard wheelchairs, powered wheelchairs, scooters.
• Pros and Cons: Standard wheelchairs may lack reclining and leg elevation features; powered wheelchairs offer ease of movement but at a higher cost; scooters provide mobility but may not offer sufficient support for users needing frequent position changes.

Patient Experience

• During Procedure: The patient might feel relieved by the supportive and adjustable features.
• After Procedure: Patients typically experience improved mobility and comfort; some adjustment period may be needed to become fully comfortable with the wheelchair.
• Pain Management and Comfort Measures: Padding adjustments and regular maintenance ensure optimal comfort; any discomfort should be reported to a healthcare provider for adjustments.