Name of the Procedure:

Skin Protection and Positioning Wheelchair Seat Cushion, Adjustable, Width 22 inches or Greater, Any Depth (E2625)

Common names include:

• Adjustable wheelchair seat cushion
• Pressure relief wheelchair cushion
• Customizable seating system

Summary

A specialized wheelchair seat cushion designed to provide optimal skin protection and positioning for individuals with or at risk of skin breakdown. This adjustable cushion, suitable for widths of 22 inches or greater, offers customizable depth to enhance comfort and support.

Purpose

The cushion targets skin protection and proper positioning for wheelchair users. It helps prevent pressure sores and ensures proper spinal alignment, which can significantly improve comfort and reduce the risk of skin injuries and postural deformities.

Indications

This procedure is particularly beneficial for patients who:

• Are at high risk of developing pressure sores or skin ulcers
• Experience discomfort or pain from sitting for extended periods
• Require specific positioning to address postural imbalances

Preparation

Generally, there are no stringent pre-procedure preparations. However, patients might need:

• A seating assessment by a healthcare professional to determine specific needs
• Measurements of wheelchair and patient dimensions for proper fit

Procedure Description

1. Assessment: Conduct a thorough seating assessment and skin evaluation.
2. Selection: Choose an appropriate cushion model based on the patient’s needs.
3. Adjustment: Configure the cushion to the appropriate width (22 inches or greater) and depth.
4. Placement: Position the cushion on the wheelchair seat.
5. Fine-tuning: Make additional adjustments for optimal positioning and comfort.

Tools and equipment used include adjustable wheelchair seat cushions, measuring tapes, and other seating assessment tools.

No anesthesia or sedation is required for this process.

Duration

The fitting and adjustment procedure typically takes about 30 minutes to an hour.

Setting

The adjustment and fitting of the cushion can be performed in outpatient clinics, rehabilitation centers, or at home by a seating specialist.

Personnel

• Seating Specialist (e.g., occupational therapist)
• Assistive Technology Professional

Risks and Complications

Common risks include:

• Incorrect fitting leading to discomfort
• Misalignment causing postural issues

Rare complications:

• Allergic reactions to cushion materials (managed by using hypoallergenic materials)

Benefits

• Enhanced comfort and reduced risk of pressure sores
• Improved posture and seating alignment
• Increased sitting tolerance and overall wheelchair use quality Benefits are often realized immediately upon correct fitting and adjustment.

Recovery

There's no recovery period as this is a non-invasive procedure. Patients should follow:

• Regular inspections of the cushion and skin condition
• Routine adjustments as needed Follow-up appointments may be scheduled to ensure the cushion remains effective as patient needs change.

Alternatives

Other treatment options include:

• Different types of wheelchair cushions (e.g., foam, air, gel)
• Custom-molded seating systems Each alternative has its pros and cons regarding cost, maintenance, and effectiveness.

Patient Experience

Patients typically feel immediate relief and enhanced comfort. Pain management focuses on the prevention of pressure sores and discomfort. Ensuring regular maintenance and adjustments will contribute to consistent patient comfort and satisfaction.