Instruct patient to wear no skid shoe or slipper

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Instruct patient to wear no-skid shoe or slipperInstruct patient not to use walker on stairsHave patient stand in center of walker and grasp handgrips onupper barsLift walker and move it 6-8 inches forward, making sure all 4feet of the walker stays on the floor, take a step forward withone foot follow through with other leg.IF ONE LEG WEAKER THAN THE OTHER:Move the walker and the weak leg ahead together about 6inches while your weight is borne by the stronger leg.Then move the stronger leg ahead while weight is borne by the
affected leg and both arms.Standard WalkerTwo-wheeled WalkerSpecial ConsiderationsThe patient should be taught to examine the frame daily.Use caution when attempting to ambulate a patient who hasalready been given an antihypertensive or analgesicmedication, this may cause dizziness or instability.Caution should be used if the patient uses a walker or inclinesCare must be taken if the patient has IV line, urinary catheteretc.Assisting with Crutch WalkingAssisting patient to walk using crutches while providingsupport and balance and as a convenient method of gettingfrom one place to another.Types of Crutches:
Axillary CrutchLoftstand crutch – it has a handgrip and metal band that fitsaround the patient’s forearm.Platform crutch – it is used by the patients who are unable tobear weight on their wrists.Purposes1.To improve balance2.To either relieve weight bearing fully or partially on a lowerextremity.3.To increase the base of support4.To improve lateral stability5.To permit functional ambulation while maintaining arestricted weight bearing status.Crutch Measurement:
1.The client lies in supine position and the nurse measures from theanterior fold of the axilla to the heel of the foot and add 2.5 cm(1in.)2.The client stands erect and the shoulder rest of the crutch is atleast three fingerwidths, approximately 2.5 to 5 cm (1 to 2 in.)below the axilla.To determine the correct placement:1.The client stands upright and supports the body weight by thehand grips of the crutches.2.The nurse measures the angle of elbow flexion about 30 degreesusing goniometer.Crutch Gaits – is the gait a person assumes on crutches by alternatingbody weight on one legs and the crutches.ProcedureReview patient’s chart. Medical history, previous and currentactivity.
Assess patient’s physical readiness: Vital signs, orientation totime,place and person.Assess patient for any visual, perceptual, or sensory deficits.Place bed in low position and slowly assist patient to uprightposition, let patient sit or stand for a few minutes until balance isgained.Assist patient in crutch walking by choosing appropriate gait.Four point gait: This is the most stable of crutch gaits because itprovides at least 3 points of support at all times.

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Term
Fall
Professor
sam jane

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