Name of the Procedure:

Wheelchair, Pediatric Size, Tilt-in-Space, Folding, Adjustable, without Seating System
Common Name: Pediatric Tilt-in-Space Wheelchair
Technical Term: HCPCS Code E1234

Summary

A pediatric tilt-in-space wheelchair is a specially designed wheelchair for children with mobility challenges. It allows the child to change their position while seated to reduce pressure sores and improve comfort. This particular model can be folded for easy transportation and storage, and it does not come with a seating system, meaning separate customization is needed for the seating portion.

Purpose

This wheelchair addresses:

1. Maintaining proper posture and reducing the risk of pressure sores.
2. Enhancing the child’s comfort and mobility.

Expected Outcomes:

1. Improved quality of life for children with mobility issues.
2. Easier daily care and transportation for caregivers.

Indications

Symptoms or Conditions:

• Severe physical disabilities.
• Neuromuscular disorders.
• Children who are unable to reposition themselves independently.

Patient Criteria:

• Must be in need of frequent postural adjustments.
• Pediatric patients requiring assistive mobility devices.

Preparation

Pre-Procedure Instructions:

• Consultation with a healthcare provider for customization.
• Assessment of specific needs regarding mobility, posture, and support.

Required Assessments:

• Physical and occupational therapy evaluations.
• Measurement for wheelchair fitting.

Procedure Description

1. A healthcare professional measures the child to determine the appropriate wheelchair size.
2. The tilt-in-space feature is adjusted to allow for the recommended range of tilt.
3. Custom parts are added as per the child’s specific needs (e.g., headrests, footrests).
4. The caregiver is trained to use and adjust the wheelchair.
5. Regular follow-up to ensure proper fit and function.

Tools and Equipment:

• Measuring tape, adjustable tools, and fitting guidelines.

Anesthesia or Sedation:

• None required.

Duration

• The fitting and adjustment process typically takes 1-2 hours.

Setting

• The procedure is usually performed in a specialized clinic or rehabilitation center.

Personnel

• Physical or occupational therapist.
• Rehabilitation equipment specialist.

Risks and Complications

Common Risks:

• Discomfort if improperly fitted.
• Initial difficulty adjusting to the new system.

Rare Risks:

• Mechanical failures.

Management of Complications:

• Regular follow-ups and adjustments by healthcare professionals.

Benefits

• Enhanced mobility and posture.
• Reduced risk of pressure sores.
• Ease of use and improved quality of life for both the child and their caregivers.

Recovery

Post-Procedure Care:

• Continuous monitoring of fit and comfort.
• Regular cleaning and maintenance of the wheelchair.

Recovery Time:

• Immediate use post-fitting, with ongoing adjustments as needed.

Restrictions or Follow-up:

• Follow-up visits to ensure proper fit and address any issues.

Alternatives

Other Treatment Options:

• Standard pediatric wheelchairs.
• Power wheelchairs.

Pros and Cons Comparison:

• Standard wheelchairs may not offer tilt-in-space functionality, which can be crucial for pressure relief and posture management.
• Power wheelchairs provide additional mobility but may be less portable and more expensive.

Patient Experience

During the Procedure:

• Minimal discomfort during fitting.

After the Procedure:

• Adjustment period to new chair settings.
• Potential for improved comfort and ease of use.

Pain Management and Comfort Measures:

• Regular positioning and observational care to ensure ongoing comfort.