Name of the Procedure:

• Common Name(s): Power Wheelchair
• Technical/Medical Term: Power Wheelchair, Group 5 Pediatric, Single Power Option, Sling/Solid Seat/Back, Patient Weight Capacity up to and including 125 pounds (HCPCS K0890)

Summary

This procedure involves the provision and fitting of a specialized power wheelchair designed for pediatric patients. The wheelchair is equipped with a single power option for mobility, and features a sling or solid seat and back, supporting a patient weight up to 125 pounds.

Purpose

• Medical Conditions: Severe mobility impairments, neuromuscular disorders, congenital anomalies, and other conditions causing significant disability.
• Goals/Outcomes: To improve mobility, enhance independence, and increase the quality of life for pediatric patients with severe mobility restrictions.

Indications

• Symptoms/Conditions: Inability to walk or severe difficulty with walking.
• Patient Criteria: Pediatric patients (typically under 18 years old) who require powered mobility due to significant physical disability.

Preparation

• Pre-procedure Instructions: No specific fasting or medication adjustments are typically needed.
• Diagnostic Tests/Assessments: Comprehensive physical and occupational therapy evaluations, potentially including a seating and mobility assessment.

Procedure Description

1. Evaluation: The patient undergoes a thorough assessment by a physical/occupational therapist to determine mobility needs.
2. Prescription: A prescription for the power wheelchair is written by a healthcare provider.
3. Measurement and Customization: The wheelchair is customized to fit the patient's specific measurements and needs.
4. Training: The patient and their family members are trained on the safe operation and maintenance of the wheelchair.

Duration

The evaluation and fitting process may take several hours, spread over multiple appointments.

Setting

• Typically performed in a specialized outpatient clinic, rehabilitation center, or a medical equipment supplier's facility.

Personnel

• Healthcare Professionals: Physical therapists, occupational therapists, rehabilitation specialists, and possibly a medical equipment supplier representative.

Risks and Complications

• Common Risks: Minor discomfort during fitting, learning curve for safe usage.
• Possible Complications: Potential for pressure sores if not fitted correctly, risk of mechanical failure.

Benefits

• Expected Benefits: Enhanced mobility, increased independence, improved quality of life.
• Timeframe for Benefits: Benefits can often be realized immediately following proper training and adjustment.

Recovery

• Post-Procedure Care: No recovery period necessary. Ongoing adjustments and periodic check-ups may be required.
• Recovery Time: Immediate usage.
• Follow-Up: Regular follow-ups to ensure proper fit and functioning of the wheelchair.

Alternatives

• Other Treatment Options: Manual wheelchairs, scooters, non-powered mobility aids.
• Pros and Cons: Manual wheelchairs require physical effort, scooters may not offer sufficient support for severe disabilities, and non-powered aids lack the independence provided by a power wheelchair.

Patient Experience

• During the Procedure: Patients will undergo assessments and fittings, which should be pain-free but might require patience and cooperation.
• After the Procedure: Patients might feel a sense of increased freedom and capability. Any initial discomfort should be addressed with further adjustments.
• Pain Management/Comfort: Focus on ensuring proper fit to prevent discomfort and periodic follow-ups to make necessary adjustments.