Name of the Procedure:

Common Name: Installation of Fixed, Adjustable Height Armrest Technical/Medical Term: HCPCS K0020

Summary

Installing a fixed, adjustable height armrest involves attaching a supportive armrest to a wheelchair to provide better support and customized comfort for the user.

Purpose

This procedure aims to:

• Improve the comfort and support for wheelchair users
• Enhance the user's ability to perform daily activities
• Reduce the risk of arm and shoulder strain by allowing height adjustments

Indications

This procedure is indicated for:

• Patients experiencing discomfort or strain in their existing wheelchair
• Users who need adjustable armrest height for ergonomic support
• Individuals with limited arm strength or mobility requiring additional support

Preparation

No significant preparation is required for this procedure. However:

• Patients should consult with their healthcare provider for personalized advice
• A proper assessment of the patient's current wheelchair and needs should be conducted beforehand

Procedure Description

1. Assessment: The patient's current wheelchair is evaluated.
2. Selection: Appropriate fixed, adjustable height armrests are selected based on the patient's needs.
3. Installation:
   • Old armrests (if any) are removed.
   • New adjustable armrests are attached to the wheelchair frame.
   • Height adjustments are made to suit the patient's comfort.
4. Verification: Ensure the armrests are secure and adjusted correctly.

Tools and Equipment:

• Screwdrivers
• Adjustable wrenches

Duration

The procedure typically takes about 30 minutes to 1 hour.

Setting

This procedure is usually performed:

• In a medical supply store
• At a rehabilitation center
• At home if done by a professional therapist or technician

Personnel

Healthcare professionals involved:

• Assistive device technicians
• Occupational therapists
• In some cases, a physical therapist or a wheelchair specialist

Risks and Complications

Common Risks:

• Improper installation leading to discomfort

Rare Risks:

• Potential for small-scale injury if not installed correctly

Possible Complications:

• Misalignment causing strain; managed by readjustment

Benefits

Expected Benefits:

• Immediate improvement in comfort
• Enhanced ability to perform daily activities
• Reduced strain on arms and shoulders

Recovery

Post-procedure care:

• Regular adjustment checks and maintenance
• Immediate feedback on comfort improvement

Expected Recovery Time:

• No recovery time required, instant benefit upon installation

Alternatives

Other Treatment Options:

• Cushioned armrests
• Full-length armrests
• Swing-away armrests

Pros and Cons of Alternatives:

• Cushioned armrests offer comfort but no height adjustability
• Full-length armrests provide more support but are less flexible
• Swing-away armrests offer convenience but might not be as sturdy

Patient Experience

During Procedure:

• Typically pain-free
• Some might experience anxiety or stress; reassured by the provider

After Procedure:

• Immediate relief or improvement in support and comfort
• Occasional need for minor adjustments to ensure optimal comfort

Pain Management and Comfort Measures:

• Procedure is generally non-invasive and pain-free