Name of the Procedure:

Manual Wheelchair Accessory, Nonstandard Seat Frame, Width Greater Than or Equal to 20 Inches and Less Than 24 Inches

Summary

This procedure involves fitting a manual wheelchair with a nonstandard seat frame that is specifically designed for a seat width of 20 to 24 inches. It's a custom accessory tailored to meet the needs of individuals who require extra seating space for comfort and support.

Purpose

The procedure aims to provide a more comfortable and functional seating arrangement for wheelchair users who need a wider seat due to their body size, medical condition, or personal preference. It addresses issues like discomfort, pressure sores, and improper posture associated with standard seat sizes.

Indications

• Patients who require a wheelchair and have a body size that does not fit into standard seat frame sizes.
• Individuals who experience discomfort or skin issues from sitting in a standard-width wheelchair.
• Patients with conditions that cause body swelling or necessitate additional space, like edema or obesity.

Preparation

• Medical assessment to determine the appropriate seat width.
• Measurements of the patient's body size to ensure the correct fit.
• No specific fasting or medication adjustments are typically required.

Procedure Description

1. Assessment by a healthcare provider to measure the patient's requirements.
2. Selection of a nonstandard seat frame that matches the patient's width needs (20 to 24 inches).
3. Fitting the new seat frame onto the manual wheelchair.
4. Adjustments to ensure the frame is securely attached and comfortable for the patient.

Tools, Equipment, or Technology Used:

• Measuring tape or specialized measurement tools.
• Nonstandard seat frame (20-24 inches).
• Manual wheelchair compatible with custom seat frames.
• Tools for assembling and securing the seat frame.

Anesthesia or Sedation:

• Not applicable.

Duration

The fitting process typically takes around 30 minutes to 1 hour.

Setting

The procedure is generally performed in an outpatient clinic, a wheelchair service center, or at the patient’s home.

Personnel

• Occupational therapists
• Physical therapists
• Wheelchair service technicians

Risks and Complications

• Misalignment of the seat frame can lead to discomfort or posture issues.
• Potential for pressure sores if the seat is not fitted correctly.
• Rare complications like minor injuries during the fitting.

Benefits

• Enhanced comfort and support while using the wheelchair.
• Better posture and reduced risk of pressure sores.
• Increased mobility and independence as a result of a more suitable wheelchair.

Recovery

• Immediate use of the wheelchair with the new seat frame.
• No recovery time is required.
• Patients may need follow-up appointments for adjustments.

Alternatives

• Standard width seat frames with additional padding.
• Custom-built wheelchairs to entirely fit the patient’s needs.
• Pros of alternatives include potentially lower costs and quicker availability; cons may include less customization and comfort.

Patient Experience

• Patients may experience immediate relief and comfort after the new seat frame is fitted.
• Minimal discomfort during the fitting process.
• Instructions on how to properly use and maintain the new seat frame will be provided to ensure continued comfort.