Name of the Procedure:

Common Name: Power Wheelchair Accessory - Attendant Control Technical Term: Power Wheelchair Accessory, Attendant Control, Proportional, including all related electronics and fixed mounting hardware (HCPCS Code: E2331)

Summary

The installation of an attendant control system for a power wheelchair allows a caregiver to maneuver the wheelchair. This control system is proportional, meaning the speed and direction of the wheelchair correspond to the caregiver's input. All necessary electronics and mounting hardware are included.

Purpose

This procedure helps individuals who are unable to control their power wheelchair independently due to medical conditions. The goal is to provide caregivers the ability to safely and effectively operate the wheelchair on behalf of the patient.

Indications

• Severe motor impairments (e.g., spinal cord injury, multiple sclerosis)
• Cognitive impairments preventing safe operation of the wheelchair
• Progressive neurological conditions (e.g., ALS)

Preparation

• No specific preparations like fasting are required.
• An assessment to determine the need for the accessory.
• Ensure the patient’s current power wheelchair is compatible with the attendant control system.

Procedure Description

1. Initial Assessment: A healthcare professional assesses the patient's needs and current wheelchair compatibility.
2. Consent: Obtain informed consent from the patient or legal guardian.
3. Setup: The power wheelchair is fitted with the attendant control system, including proportional joystick, electronics, and mounting hardware.
4. Configuration: The system is tailored to the patient's and caregiver's needs, adjusting settings for optimal control and safety.
5. Testing: Trial runs to ensure proper function and caregiver proficiency in using the control system.

Duration

The installation and testing usually take about 1-2 hours.

Setting

This procedure is typically performed in an outpatient clinic or a specialized medical equipment provider's facility.

Personnel

• Certified Rehabilitation Technology Supplier (CRTS)
• Occupational Therapist or Physical Therapist
• Wheelchair technician

Risks and Complications

• Minor electrical or mechanical failures
• Incompatibility with existing wheelchair equipment
• Training-related discomfort or fatigue

Benefits

• Enhanced mobility and safety for patients
• Greater independence for caregivers
• Improved quality of life for both patient and caregiver

Recovery

• Few specific recovery needs; patients can use their wheelchair immediately after installation.
• Follow-up appointments to adjust settings or perform maintenance.

Alternatives

• Manual wheelchairs operated solely by caregivers
• Other forms of mobility aids (e.g., scooters, manual wheelchairs)
• Custom control systems tailored to patient’s unique needs

Patient Experience

• During installation: Minimal discomfort, as this is not an invasive procedure.
• After installation: Improved maneuverability and ease of use, with a focus on minimizing discomfort for both patient and caregiver. Pain management is typically not necessary, but comfort measures include adjustments to fit and ergonomic configurations.