Name of the Procedure:

Common Names: Power Wheelchair
Technical/Medical Term: Power wheelchair, group 1 standard, portable, sling/solid seat and back, patient weight capacity up to and including 300 pounds (HCPCS Code K0813)

Summary

A power wheelchair is a battery-operated mobility device designed to help individuals with limited mobility move around independently. It includes a solid or sling seat and back to support the patient's posture and can accommodate weight up to 300 pounds.

Purpose

Medical Conditions Addressed:

• Severe arthritis
• Leg or balance impairments
• Neuromuscular disease
• Multiple Sclerosis (MS)
• Chronic Obstructive Pulmonary Disease (COPD)
• Stroke aftermath requiring mobility assistance

Goals/Expected Outcomes:

• Enhanced mobility and independence
• Improved quality of life
• Increased participation in daily activities

Indications

Symptoms/Conditions Warranting Use:

• Inability to walk or move without assistance
• Severe endurance limitations
• Need for mobility support to navigate home and community environments

Patient Criteria:

• Patient weight up to 300 pounds
• Physically unable to operate a manual wheelchair
• Need for a portable and standard grade power mobility solution

Preparation

Pre-Use Instructions:

• Ensure the wheelchair battery is fully charged.
• Receive proper training on operating the power wheelchair safely.

Diagnostic Tests/Assessments:

• Mobility assessment by a healthcare professional.
• Evaluation for the need of customized seating options.

Procedure Description

Step-by-Step Use:

1. The patient transfers to the power wheelchair from another seating position.
2. Ensure the patient's seatbelt is fastened for safety.
3. Using the control joystick, the patient navigates the wheelchair.
4. The control system is usually mounted on the armrest and can move the wheelchair forwards, backwards, and sideways.
5. Periodically recharge the wheelchair battery to ensure it is functional.

Tools/Equipment:

• A standard group 1 power wheelchair with a solid/sling seat and back.
• Joystick controller.

Anesthesia/Sedation: Not applicable.

Duration

Operational Use: Continuous, as needed daily.

Setting

Procedure Performed At:

• Home
• Outpatient settings
• Assisted living facilities

Personnel

Healthcare Professionals Involved:

• Physical therapist
• Occupational therapist
• Primary care physician or specialist for initial prescription

Risks and Complications

Common Risks:

• Battery malfunction
• Systematic breakdown leading to immobility

Rare Risks:

• Potential for pressure sores if sitting for prolonged periods without appropriate breaks
• Electric system short-circuiting

Management:

• Regular maintenance and battery checks
• Pressure sore prevention strategies

Benefits

Expected Benefits:

• Immediate improvement in mobility
• Increased ability to perform daily tasks independently
• Better social engagement and participation in community activities

Recovery

Post-Procedure Care:

• Routine maintenance and servicing of the wheelchair.
• Regular assessment of the user’s comfort and fit.

Expected Recovery Time:

• No recovery time; benefits are realized upon proper use.

Restrictions/Follow-Up:

• Periodic check-ups to monitor the wheelchair's condition and the user’s physical health.

Alternatives

Other Treatment Options:

• Manual wheelchair
• Mobility scooters
• Canes or walkers

Pros and Cons of Alternatives:

• Manual Wheelchair: Less expensive but requires upper body strength.
• Mobility Scooters: Suitable for outdoor use but less portable.
• Canes/Walkers: Less supportive than a wheelchair but more portable and inexpensive.

Patient Experience

During Use:

• May experience initial learning curve in controlling the wheelchair.
• Comfortable seating depending on adjustments and customization.

After Use:

• Increased fatigue if used for long periods without breaks.
• Potential need for periodic adjustments for comfort and usability.

Pain Management/Comfort:

• Regular seat cushioning and posture adjustments.
• Scheduled breaks to relieve any discomfort from prolonged sitting.