Name of the Procedure:

Manual Wheelchair Accessory: Nonstandard Seat Frame Width, 24-27 Inches
Common Name(s): Wide Wheelchair Seat Frame
Technical Term: E2202

Summary

A nonstandard seat frame width for a manual wheelchair, ranging from 24 to 27 inches, is an accessory designed to provide additional comfort and accommodate larger body sizes.

Purpose

This accessory is provided for individuals who require a wider seat frame than the standard sizes available. It addresses the need for comfortable and suitable seating for those with larger body dimensions or specific medical conditions requiring more space.

Indications

• Individuals with larger body sizes
• Patients experiencing discomfort in standard-sized wheelchair seats
• Medical conditions like obesity or other mobility-related issues that necessitate a larger seating area

Preparation

• No special preparation is required from the patient.
• Assessment by a healthcare professional to determine the appropriate seat size.
• Measurement of the patient's dimensions to ensure the correct fit.

Procedure Description

1. Assessment: A healthcare professional measures the patient to determine the appropriate seat width.
2. Selection: Based on the measurements, a nonstandard seat frame width (24-27 inches) is selected.
3. Installation: The selected seat frame is installed on the manual wheelchair by a technician.
4. Adjustment: The wheelchair is adjusted to ensure the seat frame is securely and properly fitted, providing optimal comfort and support.

Tools and Equipment: Measurement tools, manual wheelchair, nonstandard seat frame, installation tools.
Anesthesia or Sedation: Not applicable.

Duration

The measurement and installation process typically takes about 1-2 hours.

Setting

The procedure can be performed in various settings, including:

• Outpatient clinics
• Medical supply stores
• Patient's home with a visiting technician

Personnel

• Occupational therapist or physical therapist for measurement and assessment
• Technician for installation and adjustment

Risks and Complications

• Common Risks: Discomfort if not properly fitted, potential pressure sores.
• Rare Risks: Mechanical failure or instability of the seat frame.

Benefits

• Improved comfort and mobility
• Better support for larger body sizes
• Enhanced overall quality of life
• Benefits are usually realized immediately after installation.

Recovery

• No specific recovery period as it is an accessory installation.
• Patients might need a short adjustment period to get used to the new seating.

Alternatives

• Standard wheelchair seat frames (smaller sizes)
  • Pros: More commonly available, generally less expensive
  • Cons: May not provide sufficient comfort or support for larger patients
• Custom-built wheelchairs
  • Pros: Tailored to exact needs and measurements
  • Cons: Typically more expensive and longer lead times

Patient Experience

During the fitting and installation of the nonstandard seat frame, the patient might experience minor discomfort from the adjustment process. After installation, patients generally feel more comfortable and better supported. Pain management is not usually necessary, but comfort measures, such as cushioning, can be added for additional support.