Name of the Procedure:

Lightweight Wheelchair with Fixed Full-Length Arms and Swing-Away Detachable Footrest (HCPCS Code: E1250)

Summary

The Lightweight Wheelchair with Fixed Full-Length Arms and Swing-Away Detachable Footrest is a mobility aid designed to help individuals who have difficulty walking or are unable to walk. The wheelchair is constructed from lightweight materials, comes with fixed full-length armrests, and features a footrest that can swing away and be detached, providing convenience and ease of use for both the patient and caregiver.

Purpose

This wheelchair addresses mobility issues, allowing individuals to move about independently or with assistance. It is particularly beneficial for those who have weakened muscles, joint problems, or other medical conditions that impair walking. The goal is to enhance the patient's quality of life, providing easier access to different environments and daily activities.

Indications

• Paralysis or significant muscle weakness
• Severe joint pain or arthritis
• Recovery from surgery or injury affecting mobility
• Neurological disorders impacting movement (e.g., Multiple Sclerosis, ALS)
• Chronic fatigue or other conditions that cause severe fatigue

Preparation

• No specific pre-procedure instructions are generally required.
• Patients may need to undergo mobility assessments by a healthcare provider to determine the appropriate type of wheelchair.
• Ensure the patient is dressed comfortably and that there are no obstructions in the home or environment where the wheelchair will be used.

Procedure Description

1. Assessment: A healthcare provider will evaluate the patient's specific needs and recommend the E1250 wheelchair if suitable.
2. Fitting: Ensure the wheelchair is properly adjusted to the patient's height, arm length, and leg length.
3. Training: Patients and caregivers will receive training on how to use the wheelchair, including how to swing away and detach the footrests.
4. Daily Use: The wheelchair is used as needed to facilitate mobility. Fixed full-length arms provide support, while the swing-away footrests offer ease of transfer.

Duration

The fitting and training process typically takes about 1-2 hours. Daily use of the wheelchair depends on patient needs.

Setting

The assessment and training are usually performed in a clinical setting, such as a rehabilitation center, outpatient clinic, or home health visit.

Personnel

• Physician or Rehabilitation Specialist: Performs initial assessment and recommends the wheelchair.
• Occupational Therapist or Physical Therapist: Provides fitting and training.
• Medical Equipment Specialist: Delivers the wheelchair and ensures it is set up correctly.

Risks and Complications

• Common Risks: Skin irritation or pressure sores from prolonged sitting.
• Rare Risks: Mechanical failure or issues with the wheelchair functioning.

Management of complications typically involves adjusting the wheelchair or additional padding to prevent skin issues.

Benefits

• Immediate Mobility: Allows the patient to move around independently or with assistance.
• Enhanced Quality of Life: Improved access to various environments and participation in daily activities.
• Comfort and Support: Fixed full-length arms and adjustable footrests provide comfort and stability.

Recovery

No recovery period required. Patients may need time to get accustomed to the wheelchair and develop the necessary skills to use it effectively.

Alternatives

• Standard Wheelchair: Typically heavier and may lack certain adjustable features.
• Electric or Motorized Wheelchair: Provides greater independence but requires battery charging and maintenance.
• Mobility Scooters: Suitable for those who can sit upright and manage steering.

Each alternative has its own set of pros and cons, such as weight, ease of use, and costs.

Patient Experience

Patients may experience increased independence and ease of movement. Initial discomfort is possible as they adapt to the wheelchair, but proper training and adjustments typically result in a positive experience. Pain management is seldom needed, but support pads and cushions can optimize comfort.