Name of the Procedure:

Power Wheelchair, Group 2 Heavy Duty
Common Name(s): Heavy-duty power wheelchair, Electric wheelchair
Technical/Medical Term: HCPCS Code K0824

Summary

A heavy-duty power wheelchair designed for patients weighing between 301 to 450 pounds. The wheelchair provides electronic mobility support with a durable sling or solid seat and backrest, enhancing independence and mobility for individuals with substantial weight and mobility limitations.

Purpose

Medical Conditions/Problems Addressed: Severe mobility impairments due to conditions such as spinal cord injuries, multiple sclerosis, muscular dystrophy, severe arthritis, or morbid obesity. Goals/Outcomes: Improved mobility and independence; enhanced quality of life by facilitating daily activities and social participation.

Indications

Symptoms/Conditions:

• Severe impairment in ambulation.
• Inability to use a manual wheelchair due to physical limitations. Patient Criteria:
• Weight between 301 to 450 pounds.

• Demonstrated need for powered mobility due to medical conditions.

  Preparation

  Pre-Procedure Instructions:

• Thorough evaluation by a healthcare provider to assess mobility needs. Diagnostic Tests/Assessments:
• Mobility assessment by a physical therapist or occupational therapist.
• Medical evaluations to confirm the patient's specific needs.

Procedure Description

Step-by-Step Explanation:

• Initial assessment by a healthcare provider.
• Prescription for a power wheelchair tailored to the patient's weight and mobility requirements.
• Fitting and customization of the wheelchair to ensure comfort and functionality.
• Training session for the patient on the use and maintenance of the wheelchair. Tools/Equipment:
• Group 2 power wheelchair with sling/solid seat/back. Anesthesia/Sedation:
• Not applicable.

Duration

The fitting and customization process typically takes a few hours over one or more appointments.

Setting

Completed at a medical equipment provider's facility or a specialized clinic.

Personnel

Healthcare Professionals Involved:

• Physical therapist or occupational therapist.
• Medical equipment specialist.
• Possibly a physician for prescription and assessment.

Risks and Complications

Common Risks:

• Initial discomfort while adjusting to the wheelchair.
• Potential for pressure sores if seating is not properly fitted. Rare Risks:
• Mechanical failure leading to injury. Management:
• Regular follow-up appointments to adjust the fit and ensure proper use.
• Immediate reporting and repair of any mechanical issues.

Benefits

Expected Benefits:

• Improved mobility and ability to perform daily activities independently.
• Enhanced quality of life and reduced caregiver burden. Timeframe:
• Benefits can often be realized immediately after proper training and adjustment.

Recovery

Post-Procedure Care:

• Regular maintenance of the wheelchair.
• Follow-up appointments to reassess fit and function. Recovery Time:
• No physical recovery time needed. Restrictions/Follow-Up:
• Regular use and proper handling of the device.
• Scheduled follow-ups to address any issues or adjustments needed.

Alternatives

Other Treatment Options:

• Manual wheelchairs (for those with adequate upper body strength).
• Other types of power wheelchairs with different weight capacities or features. Pros/Cons of Alternatives:
• Manual wheelchairs may not be suitable for all due to physical strain.
• Other power wheelchairs may not support the required weight or specific user needs.

Patient Experience

During Procedure:

• Might feel an initial discomfort as they get used to the new equipment. After Procedure:
• Increased comfort and mobility. Pain Management/Comfort Measures:
• Adjustments in seating and back support to ensure comfort and prevent sores.