Name of the Procedure:

Power Wheelchair, Group 4 Standard, Single Power Option, Sling/Solid Seat/Back, Patient Weight Capacity Up to and Including 300 Pounds
Common Names: Electric wheelchair, Powered mobility device.

Summary

A Group 4 power wheelchair is a highly specialized, motorized wheelchair designed to provide mobility assistance to individuals who have significant impairments that affect their ability to walk or move. This particular model supports patients weighing up to 300 pounds and features a comfortable sling or solid seat/back.

Purpose

The purpose of this power wheelchair is to assist individuals with severe mobility impairments, enhancing their independence and ability to perform daily activities. It is often recommended for patients with serious neuromuscular conditions, spinal cord injuries, or severe arthritis.

Indications

• Inability to walk or severe difficulty walking.
• Muscle weakness or paralysis.
• Neuromuscular diseases such as ALS or MS.
• Severe arthritis or joint problems that limit mobility.

• Spinal cord injuries.

  Patients must be evaluated by a healthcare professional to determine the need and appropriateness for a power wheelchair.

Preparation

• Pre-procedure Instructions:
  • No special preparation is typically required.
• Assessments:
  • A clinical evaluation by a physical or occupational therapist.
  • Possible consultation with a specialist in mobility aids.

Procedure Description

• Initial Assessment: A healthcare professional conducts a comprehensive assessment of the patient’s mobility needs.
• Customization: Measurements are taken to tailor the wheelchair's fit and accessories to the patient's needs.
• Fitting Session: The patient tries the power wheelchair to ensure comfort and proper operation.
• Training: Instructions on how to use and maintain the wheelchair properly.

Tools and equipment used include measuring tools, adjustment tools, and the wheelchair itself. No anesthesia or sedation is required.

Duration

The whole process, including evaluation, customization, and training, typically spans several days to weeks, but individual fitting sessions last around 1-2 hours.

Setting

Evaluations and fittings are usually carried out in specialized outpatient clinics, rehabilitation centers, or sometimes in the patient's home.

Personnel

• Physical or Occupational Therapists
• Rehabilitation Specialists
• Wheelchair Technicians

Risks and Complications

• Common Risks:
  • Initial discomfort as the patient adjusts to using the wheelchair.
• Rare Risks:
  • Pressure sores from prolonged sitting.
  • Malfunctions or operational issues.

Most complications can be managed with proper training and adjustments.

Benefits

• Restored mobility and independence.
• Enhanced ability to perform daily tasks.
• Improved quality of life.

Benefits are typically realized immediately after the patient becomes proficient in using the wheelchair.

Recovery

No recovery period is needed, but ongoing use of the wheelchair involves regular maintenance and periodic reassessments to ensure it meets the patient's needs.

Alternatives

• Manual Wheelchairs: Less expensive but require upper body strength or caregiver assistance.
• Scooters: Suitable for those with some mobility but less customization.
• Mobility Aids (e.g., walkers, canes): Appropriate for those with partial mobility.

Each alternative has its own pros and cons, with varying levels of independence and physical effort required.

Patient Experience

Patients may initially find using the power wheelchair challenging but usually adapt quickly with training. They should experience increased comfort and significant improvements in their daily mobility. Pain management is generally not a concern, but patients should report any discomfort to their healthcare provider for adjustments.