Name of the Procedure:

Wheelchair Accessory, Bearings, Any Type, Replacement Only, Each (E2210)

Common names: Wheelchair bearing replacement, Bearing change for wheelchair wheels

Summary

Wheelchair bearing replacement involves changing the bearings in the wheels of a wheelchair. Bearings facilitate smooth wheel rotation and over time they can wear out, which can make the wheelchair difficult to maneuver.

Purpose

This procedure addresses issues caused by worn-out or malfunctioning bearings in wheelchair wheels, such as increased effort to move the wheelchair and reduced mobility. The goal is to restore the wheelchair's optimal performance, ensuring it moves smoothly and easily, thereby enhancing the user’s comfort and independence.

Indications

• Difficulty in maneuvering or pushing the wheelchair
• Unusual noises (grinding or squeaking) from the wheels
• Noticeable wobbling or instability in the wheels
• Regular maintenance checks indicating wear and tear in the bearings

Preparation

• Users should ensure the wheelchair is clean.
• If the wheelchair is essential for mobility, arrange a temporary alternative.
• No specific fasting or medication adjustments are needed.

Procedure Description

1. Assessment: A technician or healthcare provider inspects the wheelchair to confirm the need for bearing replacement.
2. Preparation: The wheelchair is securely supported to prevent movement. The wheel requiring bearing replacement is removed.
3. Removal: The old bearings are carefully extracted from the wheel.
4. Replacement: New bearings are inserted into the wheel hub.
5. Reassembly: The wheel is reattached to the wheelchair, ensuring it is securely fitted and rotates freely.
6. Testing: The functionality of the wheelchair is tested to ensure smooth operation.

Duration

The bearing replacement procedure typically takes about 30 minutes to 1 hour, depending on the wheelchair type and bearing condition.

Setting

This procedure can be performed in a wheelchair repair shop, a healthcare facility, or at the user's home by a skilled technician.

Personnel

• Certified wheelchair technicians
• Healthcare providers trained in wheelchair maintenance

Risks and Complications

While generally safe, risks associated with wheelchair bearing replacement include:

• Improper installation leading to wheel instability
• Potential damage to the wheel or axle if bearings are not correctly aligned
• Need for further adjustment if new bearings do not fit perfectly

Benefits

• Improved wheelchair maneuverability
• Enhanced user comfort and decreased physical strain
• Prolonged lifespan of the wheelchair

The benefits are usually realized immediately after the replacement.

Recovery

• Users can typically use their wheelchair immediately after the procedure.
• Regular follow-up checks may be advised to ensure the bearings remain in good condition.
• No significant restrictions are associated with recovery.

Alternatives

• Regular maintenance to delay bearing wear (e.g., cleaning and lubricating bearings)
• Using replacement wheels instead of just bearings, though this may be more costly

Alternatives may vary in terms of cost, effectiveness, and feasibility based on user needs and wheelchair model.

Patient Experience

Users might feel a marked improvement in the ease of maneuvering their wheelchair immediately after the replacement. There may be minimal discomfort if adjustment work is needed, but significant pain or discomfort is unusual. Pain management is rarely necessary, but comfort measures include ensuring the wheelchair is properly adjusted to the user's preferences post-replacement.