Name of the Procedure:

Common Name(s): Power Wheelchair, Group 2
Technical/Medical Term: K0835

Summary

A Power Wheelchair, Group 2 with a single power option and a weight capacity of up to 300 pounds is a motorized wheelchair providing mobility assistance for those with significant mobility impairments. It includes a standard sling or solid seat and back support.

Purpose

Medical Conditions:

• Severe arthritis
• Advanced neurological disorders (e.g., Multiple Sclerosis, ALS)
• Spinal cord injuries
• Severe obesity

Goals/Expected Outcomes:

• Enhanced mobility and independence
• Improved quality of life
• Reduced caregiver burden
• Prevention of secondary complications such as pressure sores and muscle atrophy

Indications

Symptoms/Conditions:

• Inability to propel a manual wheelchair
• Limited upper body strength or stamina
• Progressive disorders affecting mobility

Patient Criteria:

• Weight up to and including 300 pounds
• Requires at least one power option (e.g., power tilt or recline)
• Medically documented necessity for motorized mobility assistance

Preparation

Pre-Procedure Instructions:

• Physician's prescription
• Occupational and physical therapy evaluation
• Potential home assessment for accessibility

Diagnostic Tests/Assessments:

• Functional mobility evaluation
• Assessment of seating and positioning needs
• User’s ability to operate the power wheelchair safely

Procedure Description

Detailed Steps:

1. Assessment by healthcare professionals to determine the appropriate wheelchair type and specifications.
2. Customized fitting for the patient ensuring proper seat and back support.
3. Training the patient on the use of the wheelchair controls and safety features.
4. Home delivery and setup by a qualified technician.

Tools/Equipment:

• Power wheelchair (K0835), customized seating solutions.

Anesthesia/Sedation: Not applicable.

Duration

Assessment and Fitting: Typically 1-2 hours over multiple sessions.
Delivery and Setup: Approximately 1-2 hours.

Setting

This procedure is performed in various settings:

• Outpatient clinics
• Rehabilitation centers
• Patient's home (for delivery and setup)

Personnel

Healthcare Professionals Involved:

• Physicians (for prescription)
• Occupational therapists
• Physical therapists
• Rehabilitation engineers
• Technicians (for fitting and setup)

Risks and Complications

Common Risks:

• Issues with wheelchair fit leading to discomfort
• Battery malfunction
• Navigation difficulties in home or community settings

Possible Complications:

• Skin breakdown from improper seating
• Mechanical failures
• Safety risks, such as tipping

Management: Regular follow-ups, immediate technical support for repairs, and proper user training.

Benefits

Expected Benefits:

• Improved independent mobility
• Enhanced participation in daily activities and social interaction
• Prevention of complications associated with immobility

Timeline: Benefits can be realized immediately upon proper use and acclimatization to the wheelchair.

Recovery

Post-Procedure Care and Instructions:

• Regular maintenance of the wheelchair
• Follow-up appointments for adjustments and monitoring

Expected Recovery Time: Adjustment period of a few days to weeks.

Restrictions/Follow-ups: Gradual increase in usage; regular check-ins with the healthcare team.

Alternatives

Other Treatment Options:

• Manual wheelchair
• Scooter-type mobility devices
• Assistive walking devices (e.g., walkers, canes)

Pros and Cons of Alternatives:

• Manual wheelchair: Lower cost, physical exertion required.
• Scooter: Easier to use, less support for seating and positioning.
• Walking devices: Limited usability for severely impaired mobility.

Patient Experience

During the Procedure:

• Comfort fitting sessions with professionals.
• Training sessions which may include practical tips and troubleshooting.

After the Procedure:

• Gradual adaptation to the new mobility device.
• Regular use enhances mobility and independence.

Pain Management and Comfort Measures: Ensuring proper fit and seated posture to avoid discomfort. Promptly addressing any issues that arise with device use.

This overview provides a comprehensive understanding of the procedure for obtaining and using a Group 2 Power Wheelchair (K0835). It includes necessary preparatory steps, indications, benefits, and risks, ensuring patients and caregivers are well-informed.