Name of the Procedure:

Positioning Wheelchair Back Cushion, Planar Back with Lateral Supports, Width Less Than 22 Inches, Any Height, Including Any Type Mounting Hardware (E2620).

Summary

This procedure involves the fitting and installation of a specially designed wheelchair back cushion. The cushion is planar with lateral supports, fits wheelchairs with a width of less than 22 inches, and includes any necessary mounting hardware to secure it.

Purpose

The positioning wheelchair back cushion aims to provide better posture and support for individuals who spend prolonged periods in a wheelchair. It alleviates discomfort, prevents pressure sores, and enhances overall stability, thereby improving quality of life.

Indications

• Prolonged wheelchair use causing discomfort or poor posture.
• Individuals with spinal deformities or scoliosis.
• Patients at risk of developing pressure sores due to prolonged sitting.
• Persons with weak trunk muscles needing extra lateral support.

Preparation

• No major preparation is needed.
• Patients might undergo an assessment to measure the appropriate dimensions and determine specific needs.
• Adjustments to current wheelchair settings may be required.

Procedure Description

1. Assessment: Determine the patient's requirements and measure the wheelchair.
2. Fitting: Place the cushion on the wheelchair and ensure it's aligned correctly.
3. Mounting: Secure the cushion using the provided mounting hardware.
4. Adjustment: Fine-tune the placement for optimal comfort and support.
5. Verification: Ensure the cushion is stable and check for pressure points.

Duration

The fitting typically takes about 30 minutes to an hour.

Setting

Usually performed in an outpatient clinic, a rehab center, or at home with professional aid.

Personnel

• Occupational therapists
• Rehabilitation specialists
• Wheelchair technicians

Risks and Complications

• Minimal risk, primarily related to improper fitting.
• Potential for skin irritation if not adjusted correctly.
• In rare cases, worsening of pressure sores if the cushion is unsuitable.

Benefits

• Improved posture and sitting comfort.
• Reduced risk of pressure sores and skin breakdown.
• Enhanced trunk stability and support.
• Benefits typically realized immediately upon proper fitting.

Recovery

• Minimal recovery time is required.
• Follow-up appointments may be needed for adjustments.
• Regular inspection for cushion wear and tear is recommended.

Alternatives

• Standard wheelchair cushions without lateral supports.
• Custom-molded cushions.
• Pros: Other options might be less expensive.
• Cons: They may not provide the same level of support and prevention of pressure sores.

Patient Experience

• Patients might feel immediate relief and improved comfort.
• Minor initial discomfort is possible as adjustments are made.
• Effective pain management through proper cushion use.
• Overall increased mobility and independence in daily activities.