Name of the Procedure:

Elevating Legrest, Lower Extension Tube, Replacement Only (K0046)

Summary

This procedure involves replacing the lower extension tube of an elevating legrest in a wheelchair. The lower extension tube is a key component that allows the legrest to be adjusted to provide better support and comfort for the user.

Purpose

Replacing the lower extension tube on an elevating legrest addresses issues related to mobility and comfort in wheelchair users. The goals include restoring the functional adjustment capability of the legrest and ensuring user comfort and safety.

Indications

• Difficulty in adjusting the legrest due to a damaged or malfunctioning lower extension tube.
• User discomfort or improper leg positioning while using the wheelchair.
• Wear and tear of the legrest over time that makes it unsafe or ineffective.

Preparation

• No specific fasting or medication adjustments are usually required.
• A preliminary assessment of the wheelchair condition and user's needs should be performed.
• The user might be instructed to ensure the wheelchair is clean and easily accessible for modification.

Procedure Description

1. The healthcare provider assesses the current condition of the legrest.
2. The malfunctioning or damaged lower extension tube is identified.
3. Using specific tools, the provider carefully detaches the old lower extension tube.
4. A new, compatible lower extension tube is securely installed.
5. The legrest is tested for functionality, ensuring it adjusts properly.
6. Adjustments are made to ensure optimal positioning and comfort for the user.

Equipment used includes tools like screwdrivers and wrenches, and the new lower extension tube. No anesthesia or sedation is required for this procedure.

Duration

The replacement procedure typically takes about 15-30 minutes.

Setting

This procedure is usually performed in an outpatient clinic or a specialized wheelchair service center.

Personnel

• Certified wheelchair technician
• Occupational therapist or physiotherapist specialized in wheelchair modifications

Risks and Complications

• Common risks include improper fit or adjustment of the new extension tube.
• Rare risks could involve minor injury if the wheelchair is used improperly before testing.
• Proper follow-up can address any issues promptly.

Benefits

• Improved comfort and support for the wheelchair user.
• Restored functionality of the elevating legrest.
• Immediate benefits can be realized upon successful installation and adjustment.

Recovery

• The user may resume normal activities immediately after the procedure.
• Follow-up appointments may be scheduled to ensure the legrest is functioning properly and to make any necessary adjustments.

Alternatives

• Using a different type of legrest or support system.
• Upgrading to a newer model of wheelchair that suits the user’s needs better.
• Each alternative would carry its own considerations regarding comfort, functionality, and cost.

Patient Experience

• The user might experience minor adjustments and re-positioning during the procedure.
• No pain is expected; however, comfort measures and assurance are provided throughout.
• Post-procedure, the user should feel improved support and comfort in their wheelchair configuration.