Name of the Procedure

Common name(s): Power Wheelchair
Technical/Medical Term: Power Wheelchair, Group 2 Standard, Sling/Solid Seat/Back, Patient Weight Capacity up to and including 300 pounds (HCPCS Code: K0822)

Summary

A power wheelchair designed for everyday use by individuals who cannot walk or have severe mobility issues. It features a sling or solid seat and back, and can support patients weighing up to 300 pounds.

Purpose

This power wheelchair helps individuals with severe mobility impairments to move independently. It is designed to enhance freedom of movement, improve overall quality of life, and facilitate participation in daily activities.

Indications

• Severe mobility impairment due to conditions such as spinal cord injuries, multiple sclerosis, or muscular dystrophy.
• Inability to self-propel a manual wheelchair.
• Patients weighing up to 300 pounds.

Preparation

• Consultation with a healthcare provider or therapist to determine suitability.
• Measurement for custom fitting.
• Possible assessment of the home environment to ensure safe use.
• No fasting or medication adjustments required.

Procedure Description

1. Evaluation: A healthcare professional conducts a thorough assessment to determine the patient's mobility needs and suitability for the power wheelchair.
2. Prescription: A prescription for the wheelchair is written by the healthcare provider.
3. Customization: The wheelchair is customized based on the user's measurements and needs, such as adjusting the seat and backrest.
4. Training: The patient undergoes training on how to safely operate the wheelchair, covering aspects like speed, turning radius, and battery maintenance.
5. Delivery: The wheelchair is delivered to the patient's home, and a professional ensures it is correctly set up.

Duration

The process from evaluation to delivery can take several weeks to a few months, depending on customization needs and insurance processing times.

Setting

Primarily conducted in outpatient settings like clinics, medical supply stores, and the patient's home.

Personnel

• Physicians
• Occupational or physical therapists
• Medical equipment specialists
• Wheelchair technicians

Risks and Complications

• Battery failure or mechanical issues.
• Difficulty navigating uneven terrain.
• Potential for skin sores from prolonged sitting if not properly fitted.

Benefits

• Improved mobility and independence.
• Enhanced ability to perform daily activities.
• Better participation in social and community events.
• Benefits are generally realized immediately upon proper use of the wheelchair.

Recovery

No recovery period is needed. However, ongoing wheelchair maintenance and periodic adjustments might be required.

Alternatives

• Manual Wheelchairs: Tend to be more affordable but require upper body strength and stamina.
• Group 1 Power Wheelchairs: Designed for less frequent use and may lack advanced features.
• Mobility Scooters: Suitable for patients with some strength and stability for transfer.

Patient Experience

Patients typically feel an immediate improvement in mobility and independence. Initial training and adaptation are crucial for comfort and efficient use. Pain or discomfort should be minimal if the wheelchair is properly fitted and used correctly. Continuous support from healthcare providers adds to a positive experience.