Name of the Procedure:

Special Wheelchair Seat Depth, by Upholstery (HCPCS E1297)

• Common Terms: Customized wheelchair seat
• Medical Terms: Upholstered wheelchair seat depth adjustment

Summary

This procedure involves modifying the seat depth of a wheelchair using specialized upholstery. It ensures that the wheelchair provides improved comfort, support, and posture for the user, catering specifically to their body measurements and needs.

Purpose

The primary goal is to enhance the comfort and support for patients who spend extended periods in a wheelchair. It addresses issues such as discomfort, poor posture, and the risk of pressure sores. The expected outcome is a better fit of the wheelchair, improving the user's quality of life and reducing potential health complications.

Indications

• Patients with poor posture or discomfort in their current wheelchair.
• Individuals at risk of developing pressure sores.
• People with specific body measurements that standard wheelchairs don't accommodate.
• Wheelchair users complaining of musculoskeletal pain or discomfort.

Preparation

• Patients should discuss any discomfort or issues with their current wheelchair with their healthcare provider.
• Measurements will be taken to customize the seat depth.
• No specific fasting or medication adjustments are typically required.

Procedure Description

1. Measurement: Accurate measurements of the patient's seating dimensions are taken.
2. Selection: Choosing appropriate upholstery materials based on the patient's needs.
3. Modification: The wheelchair seat is adjusted to the specified depth using specialized upholstery techniques.
4. Fitting: The modified wheelchair is fitted to ensure it meets the patient's needs.

• Tools and Equipment: Measuring tape, specialized upholstery materials and tools.
• Anesthesia or Sedation: Not applicable.

Duration

The procedure can usually be completed within a few hours, though preparation and fitting might extend over several days for precision.

Setting

The procedure is typically performed in a medical supply or orthopedic clinic specializing in mobility aids.

Personnel

• Rehabilitation specialists
• Orthopedic technicians
• Occupational therapists
• Medical supply personnel

Risks and Complications

• Common Risks: Minimal, primarily involving discomfort if adjustments aren’t correct.
• Rare Risks: Possible allergic reactions to upholstery materials.

Benefits

• Enhanced comfort and correct posture.
• Reduced risk of pressure sores.
• Improved overall mobility and quality of life.
• Benefits are usually realized immediately after proper fitting.

Recovery

• Post-procedure Care: Regular check-ups to assess comfort and fit.
• Expected Recovery Time: Immediate usability, with follow-up adjustments as needed.
• Restrictions: Minimal, primarily ensuring proper seating posture.

Alternatives

• Standard, off-the-shelf wheelchair cushions.
• Alternate cushioning technologies like gel or foam pads.
• Pros: Quickly available, often at a lower cost.
• Cons: May not provide the same level of customization and comfort.

Patient Experience

• During Procedure: Patients might undergo measurement and fitting, which involves sitting and adjusting.
• After Procedure: Improved comfort and posture are typically felt immediately; ongoing adjustments may be necessary.
• Pain Management: Usually not required, but initial discomfort during the adjustment period might be managed with standard OTC pain relievers.