Name of the Procedure:

Power Wheelchair, Group 3 Heavy Duty, Single Power Option, Sling/Solid Seat/Back, Patient Weight 301 to 450 Pounds (K0858)

Summary

A power wheelchair designed for individuals who weigh between 301 to 450 pounds, featuring a single power option and a sling or solid seat/back for comfort and support.

Purpose

Power wheelchairs in this category are used to improve mobility and independence for patients with severe mobility impairments due to medical conditions such as muscular dystrophy, spinal cord injuries, or advanced arthritis. The goal is to enhance the patient's quality of life by providing a means for them to move around independently both at home and in the community.

Indications

• Severe mobility impairment due to medical conditions like muscular dystrophy, multiple sclerosis, spinal cord injury, or severe arthritis.
• Inability to effectively use a manual wheelchair due to strength, endurance, or other physical limitations.
• Specific need for a heavy-duty wheelchair to safely support the patient's weight (301 to 450 pounds).

Preparation

• Evaluation by a specialist in mobility equipment (e.g., a physical therapist or a rehabilitation specialist) to determine the specific needs and proper fit of the wheelchair.
• Possible diagnostic tests to assess strength, endurance, and overall physical condition.
• Consultation to discuss and adjust current medications if necessary.

Procedure Description

1. Assessment: A healthcare provider assesses the patient's mobility needs and recommends the K0858 power wheelchair.
2. Prescription: A medical professional provides a prescription for the power wheelchair.
3. Custom Fitting: The power wheelchair is customized to fit the patient's body size, weight, and comfort needs. This may include adjustments to the seat, back support, and control mechanisms.
4. Delivery and Training: The wheelchair is delivered to the patient, and training is provided on how to operate and maintain the device safely.

Duration

The entire process from assessment to delivery and training can take several weeks, depending on the customization required and the provider's schedule.

Setting

The procedure primarily takes place in:

• Rehabilitation centers
• Home healthcare settings
• Specialized medical equipment providers

Personnel

• Physiatrists or rehabilitation doctors
• Physical therapists or occupational therapists
• Medical equipment specialists
• Home healthcare providers

Risks and Complications

• Mechanical Failure: There is a risk of mechanical issues with the wheelchair, which can be managed with regular maintenance.
• Skin Breakdown: Prolonged use without proper cushioning can lead to pressure sores, which is mitigated with regular position changes and proper padding.
• Battery Issues: Failure to charge properly can lead to immobility until recharged.

Benefits

• Improved independence and ability to perform daily activities.
• Enhanced mobility in various environments, both indoors and outdoors.
• Reduction in the physical strain on caregivers.

Recovery

• No surgical recovery time is required.
• Initial adjustment period to learn how to use the power wheelchair correctly.
• Follow-up appointments may be needed to ensure proper function and fit.

Alternatives

• Manual Wheelchairs: Suitable for those with upper body strength and endurance but may not be viable for heavier patients.
• Scooters: Useful for less severe mobility issues but may not provide the same support and customization as a power wheelchair.
• Standard Power Wheelchairs: Suitable for lighter weight individuals but not for those requiring a heavy-duty option.

Patient Experience

• During: The patient will undergo an evaluation and fitting; typically, this is a non-invasive and straightforward process.
• After: Patients might initially experience a learning curve in operating the wheelchair but generally should have minimal discomfort. Ongoing technical and physical support is typically available to address any issues.