Name of the Procedure

Common name: Power Wheelchair, Group 2 Technical term: Power wheelchair, group 2 very heavy duty, captain's chair (HCPCS Code: K0827)

Summary

This is a specialized electric-powered wheelchair designed for individuals with severe mobility issues. It features a very heavy-duty captain's chair and can support patients weighing between 451 to 600 pounds.

Purpose

The power wheelchair assists patients with significant mobility limitations, allowing them to move independently. It aims to enhance the quality of life by providing greater independence and accessibility.

Indications

• Severe mobility impairments or conditions like muscular dystrophy, spinal cord injuries, or severe arthritis.
• Inability to use a manual wheelchair due to upper body limitations.
• Patients weighing between 451 to 600 pounds who require a sturdy and reliable mobility aid.

Preparation

• No specific fasting or medication adjustments required.
• A thorough assessment by a healthcare professional to determine the patient's need for the power wheelchair and to evaluate their weight and mobility capabilities.

Procedure Description

1. Evaluation: The patient undergoes a clinical assessment to determine the suitability for the power wheelchair.
2. Prescription and Approval: A licensed healthcare provider prescribes the power wheelchair, and insurance or Medicare approval is sought.
3. Customization: The wheelchair is customized based on the patient’s specific needs and measurements.
4. Delivery and Training: The wheelchair is delivered to the patient, and they receive training on its safe use and maintenance.

Duration

The assessment and approval process can take several weeks, while the delivery and training typically occur on the same day or over a few sessions.

Setting

• Assessment: Outpatient clinic or rehabilitation center.
• Delivery: Patient's home or the providing medical equipment facility.
• Training: Can occur either at the outpatient clinic, rehabilitation center or at the patient's home.

Personnel

• Physicians or Rehabilitation Specialists
• Medical Equipment Supplier
• Occupational or Physical Therapists

Risks and Complications

• Potential for equipment malfunction or power failure.
• Risk of pressure sores or skin breakdown due to prolonged sitting.
• Possible accidents or falls if the wheelchair is not used correctly.

Benefits

• Enhanced mobility and independence.
• Improved quality of life.
• Increased access to various environments and activities.
• Immediate benefits felt as soon as the patient becomes proficient in using the wheelchair.

Recovery

• No recovery time as it is not a physically invasive procedure.
• Regular maintenance of the wheelchair to ensure optimal functioning.
• Routine follow-up appointments for equipment adjustments.

Alternatives

• Manual Wheelchairs: Require upper body strength and effort, less suitable for patients with severe mobility impairments.
• Scooters: Might lack the customizability and support compared to heavy-duty power wheelchairs.
• Assistance from caregivers: Provides mobility aid but limits independence.

Patient Experience

• During the initial training, patients might feel a learning curve while adapting to handling and controlling the power wheelchair.
• Patients are generally more comfortable and experience improved mobility immediately after becoming familiar with the wheelchair.
• Pain management is not typically necessary, but measures should be taken to prevent discomfort from prolonged sitting, such as using pressure-relief cushions.