Name of the Procedure:

Manual Adult Size Wheelchair, Includes Tilt in Space (HCPCS Code: E1161)

Summary

This procedure involves providing a manually operated adult-size wheelchair that includes a tilt-in-space feature. This type of wheelchair allows for tilting the seat backward while maintaining the relative posture of the body, offering enhanced comfort and pressure relief for the user.

Purpose

The purpose of a manual adult size wheelchair with a tilt-in-space feature is to aid individuals who have mobility impairments. The primary goal is to improve mobility, prevent pressure sores, and enhance the user's overall quality of life by providing better comfort and posture.

Indications

• Conditions such as cerebral palsy, muscular dystrophy, spinal cord injuries, or severe arthritis.
• Patients who require periodic position changes to manage pressure and prevent skin breakdown.
• Individuals who have difficulty repositioning themselves independently.

Preparation

• No specific preparation such as fasting or medication adjustments is needed.
• A comprehensive physical and functional assessment by a healthcare provider or occupational therapist to determine the suitability of the wheelchair.
• Measurements of the patient's body to ensure proper fit.

Procedure Description

1. Assessment: A healthcare professional assesses the patient's physical needs, mobility limitations, and seating requirements.
2. Prescription: The healthcare provider writes a prescription for the E1161 wheelchair.
3. Ordering: The wheelchair is ordered from a medical supply company.
4. Customization: The wheelchair is customized to fit the patient's specific measurements and needs.
5. Delivery and Fitting: Upon delivery, a fitting session is conducted to ensure the wheelchair fits properly and adjustments are made as necessary.
6. Training: The patient and caregivers are trained on how to use the tilt-in-space feature and perform regular maintenance.

Duration

The fitting and training session may take a few hours. Ordering and delivery may take several weeks depending on customization needs.

Setting

The procedure takes place in an outpatient clinic, rehabilitation center, or at the patient's home during the delivery and fitting appointment.

Personnel

• Occupational Therapist or Physical Therapist
• Rehabilitation Specialist
• Supplier/Technician from the medical supply company

Risks and Complications

• Common Risks: Discomfort from improper fit, difficulty maneuvering the wheelchair until fully accustomed to it.
• Rare Complications: Pressure sores if not used correctly, mechanical issues requiring repairs.

Benefits

• Immediate Comfort: Tilt-in-space feature provides immediate relief from pressure.
• Improved Mobility: Enhances the user's ability to move around and reposition themselves.
• Health Benefits: Reduces the risk of pressure sores and improves overall posture and circulation.

Recovery

• Post-Procedure Care: Routine check-ups to ensure the wheelchair continues to meet the patient’s needs.
• Expected Recovery Time: N/A, as it is not a surgical procedure.
• Restrictions/Follow-Up: Follow-up appointments may be scheduled periodically for adjustments and maintenance.

Alternatives

• Standard Manual Wheelchairs: May be less expensive but do not offer tilt-in-space functionality.
• Motorized Wheelchairs: Provide easier mobility but are significantly more costly and require battery maintenance.
• Pros and Cons: Tilt-in-space wheelchairs are cost-effective and provide crucial position changes, whereas motorized options offer easier mobility but at a higher cost.

Patient Experience

• During Procedure: The patient may feel anxious about adapting to new equipment but will have support from healthcare providers.
• After Procedure: Initial discomfort or awkwardness may be felt until the patient becomes accustomed to the wheelchair. Pain management is typically not necessary, but physical comfort and proper maintenance measures will ensure a positive experience.