Name of the Procedure:

Power Wheelchair, Group 2 Very Heavy Duty
Common Names: Heavy Duty Power Wheelchair, Electric Wheelchair for Bariatrics
Technical/Medical Terms: HCPCS Code K0826

Summary

A power wheelchair customized for patients weighing between 451 to 600 pounds. It's designed with a stronger frame and motor, providing mobility assistance to individuals with severe mobility limitations.

Purpose

This power wheelchair addresses mobility issues faced by individuals with severe obesity or bariatric conditions. The primary goal is to enhance mobility, independence, and quality of life for patients who cannot use standard wheelchairs due to their weight.

Indications

Specific Symptoms or Conditions:

• Severe obesity (Body Mass Index over a specific threshold)
• Difficulty walking due to joint pain, muscle weakness, or cardiovascular issues.
• Dependence on a wheelchair for daily activities.

Patient Criteria:
Individuals weighing between 451 to 600 pounds and with documentation proving their need for a heavy-duty power wheelchair.

Preparation

Pre-procedure Instructions for the Patient:

• No special preparation like fasting is required.
• Provide a thorough medical history emphasizing mobility issues.

Diagnostic Tests or Assessments:

• Physical and functional assessments by a healthcare provider to determine the need for a power wheelchair.
• Insurance documentation may require specific forms and letters from healthcare professionals.

Procedure Description

Step-by-Step Explanation:

1. Prescription & Justification: A healthcare provider evaluates the patient and prescribes the power wheelchair.
2. Customization: The wheelchair is customized to fit the patient’s weight, size, and specific functional needs.
3. Delivery & Adjustment: The wheelchair is delivered, and adjustments are made to ensure comfort and functionality.
4. Training: The patient and their caregivers are trained on how to operate, care for, and maintain the wheelchair safely.

Tools/Equipment:

• Heavy-duty motors and reinforced frame designed for higher weight capacity.
• Sling or solid seat/back for support.
• Batteries and controls customized for easy use.

Anesthesia or Sedation:
Not applicable.

Duration

The overall process from assessment, customization, to delivery typically takes a few weeks to a couple of months.

Setting

The procedure involves multiple settings:

• Initial assessment at a healthcare provider's office.
• Customization in a specialized medical equipment facility.
• Delivery and adjustment at the patient’s home or a healthcare provider's office.

Personnel

• Physicians and Physical Therapists: For initial assessments and prescriptions.
• Medical Equipment Specialists: For wheelchair customization and adjustments.
• Instructors or Occupational Therapists: For user training.

Risks and Complications

Common Risks:

• Potential technical issues with the motor or controls.
• Risks of improper fit leading to discomfort or pressure sores.

Rare Risks:

• Battery failures or malfunctions.
• Electrical issues requiring repairs or replacements.

Benefits

• Improved Mobility: Enhances the patient’s ability to move independently.
• Quality of Life: Increases participation in daily activities and social interactions.
• Safety: Reduces the risk of falls and injuries associated with manual wheelchair use or attempting to walk.

Benefits can be realized almost immediately upon receiving and properly adjusting the wheelchair.

Recovery

Post-Procedure Care:

• Regular maintenance of the wheelchair to ensure longevity and safety.
• Follow-up appointments with healthcare providers to monitor mobility and wheelchair functionality.

Expected Recovery Time:

• Immediate mobility with ongoing adjustments as needed.
• Regular follow-ups to ensure the wheelchair continues to meet the patient's needs.

Alternatives

Other Treatment Options:

• Manual wheelchairs.
• Standard power wheelchairs with lower weight capacities.
• Mobility scooters.

Pros and Cons of Alternatives:

• Manual Wheelchairs: Less costly but require physical strength and can cause strain.
• Standard Power Wheelchairs: Less costly but may not safely support heavier weights.
• Mobility Scooters: Less costly and portable but limited in customization and indoor usability.

Patient Experience

During the process, the patient will undergo:

• Initial assessment and possibly some paperwork.
• Fitting sessions to customize the wheelchair.
• Training sessions to ensure safe and effective use.

Pain Management and Comfort Measures:

• The wheelchair is designed to enhance comfort with ergonomic seating.
• Patient and caregiver education on managing any discomfort and ensuring proper fit.