Name of the Procedure:

Common Name: Standard Hemi (Low Seat) Wheelchair
Technical Term: HCPCS Code K0002

Summary

A Standard Hemi (Low Seat) Wheelchair is a mobility device designed for individuals who have difficulty walking due to medical conditions. It features a lower seat height to facilitate easier foot propulsion and transfers.

Purpose

The primary purpose of the standard hemi wheelchair is to improve mobility for individuals with lower limb impairment, providing a means for independent movement and engagement in daily activities.

Indications

• Individuals with conditions that impair walking or balance, such as stroke, spinal cord injuries, or severe arthritis.
• Patients who require a lower seat height to use their feet for propulsion.
• People needing a temporary or permanent mobility solution due to lower extremity weakness.

Preparation

• No specific fasting or medication adjustments are required.
• An assessment by a healthcare provider to determine suitability for a wheelchair.
• Measurements to ensure proper fit and comfort.

Procedure Description

1. Assessment: A healthcare provider assesses the patient's mobility needs and physical capabilities.
2. Customization: The wheelchair is adjusted for seat height, leg rests, and armrests to ensure the patient's comfort and appropriate use.
3. Training: The patient and their caregivers receive training on how to use the wheelchair effectively, including safety tips and foot propulsion techniques.

Duration

The assessment and customization process typically take about 1-2 hours.

Setting

The procedures are usually performed in a clinical setting such as a rehabilitation center or outpatient clinic.

Personnel

• Physical Therapist or Occupational Therapist
• Mobility Equipment Specialist
• Possibly a Nurse or Physician for initial assessment

Risks and Complications

• Skin irritation or pressure sores from prolonged sitting
• Poor posture leading to back or neck pain
• Risk of falls if not used correctly

Benefits

• Enhanced mobility and independence
• Easier participation in daily activities and social interactions
• Potential improvement in overall quality of life

Recovery

• No recovery time is required, but adjustment to the new wheelchair may take a few days.
• Regular follow-up appointments to reassess fit and function.
• Maintenance checks to ensure the wheelchair remains in good condition.

Alternatives

• Standard wheelchair (if lower seat height is not necessary)
• Power wheelchair for those who cannot propel manually
• Walkers or canes, if appropriate for the patient's condition

Pros and Cons of Alternatives:

• Standard wheelchair may not facilitate foot propulsion.
• Power wheelchair provides ease of movement but may be costlier and require more maintenance.
• Walkers or canes are less restrictive but offer less support.

Patient Experience

• During Training: Patients learn how to navigate various terrains and environments, generally experiencing relief from improved mobility.
• Post-Procedure: Patients may take a little time to adjust but should increasingly find themselves more mobile and independent.
• Pain Management: Generally, there is no significant pain, but any discomfort from prolonged sitting can be managed with cushions and proper seating adjustments.