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Follow the same stepping sequence. Weight is placed on both legs, and crutches are placed one stride in front and then legs swing to the crutches. Fall precautions Teaching 2626. h. Repeat for all steps. Start near the edge of the step. He or she holds your belt (or a special “gait belt” you can borrow or buy) to assist you if you lose your balance. This lifts the body upward. It’s critical that your older adult does NOT use the walker to help them sit or stand. CLIENT TEACHING Using Crutches Then move your left foot and right crutch forward. B. To sit down: Back up until legs touch the chair. "Place one crutch forward with the opposite foot and then place the second crutch forward followed by the second foot." b. Instead, use the arms of a stable chair that doesn’t move or slide. Check the lighting in your apartment, consider installing a grab bar, replace scatter rugs with rubber backed rugs, make sure the light near the bed is easy to reach, move the phone within arm’s reach of your bed, easy access to the things you use the most. Partial weight is placed on the right foot moving the crutch at the same time as the right leg. Which of the following statements is appropriate to include? Step up with the stronger leg, then the injured leg, and lastly bring up the crutch. Move the foot that is not injured between the crutches. Some have Velcro straps which make the splints easy to … These off-the-shelf splints are made in a variety of shapes and sizes and are much easier and faster to use. a. SN instructed patient and caregiver about how to implement fall prevention program. Tips for Going Down the Stairs on Crutches. c. Move crutches down the next lower step. To go upstairs with a handrail, place one crutch under one arm and use the handrail with the other arm for support. Lift the crutches and move them a step ahead of you. Place weight on the strong leg. When there is no handrail, keep one crutch under each arm. A B Figure 44-61 Types of crutches: axillary, Lofstrand, and platform. Push down hard on the crutches with your arms. b. Splints or half-casts can also be custom-made, especially if an exact fit is necessary. 13. a. (If there’s no handrail, keep one crutch under each arm.) f. Put the total weight on arms and crutches. e. Move the weak leg down to the step with crutches. c. Weight is evenly distributed, with each leg being moved alternately with the opposing crutch. d. Put your crutches down on the next step below. d. Place partial weight on hands and crutches. Slowly lower into the chair, using the chair arms for support if needed. Keep crutches down on lower level and do not place upward on the steps. Then, step up first with your strong leg to the first step! Use hands to feel behind for the seat of the chair or chair arms. Identify the order of the steps the nurse should give to the client. A. g. Move strong leg same step as weak leg and crutches. A guard stands below you. Before begin-ning crutch walking, exercises that strengthen the upper arms and hands are recommended. If you are using your crutches for balance, move your right foot and left crutch forward. Going Up Stairs. A nurse is reinforcing teaching with a client who has multiple sclerosis and is learning how to use the four-point alternate gait with crutches. Crutches. Here's how to use crutches on the stairs: Approach the stairs and have your therapist stand by for safety until confident of abilities. Put the rubber ends of the crutches firmly on the ground. In summary, move the crutches first, your injured leg next, and then your stronger leg. Hold both crutches under your opposite arm. A nurse is reinforcing teaching for a client about proper crutch walking using the swing-through gait. Have someone guard you as you learn to use stairs. Keep crutches in the middle of the step, away from the edge. "Look down at your feet before moving the crutches." Place that heel down first. Other times, a ready-made splint will be used. Always use an elevator if one is available. In crutch walking, the client’s weight is borne by the muscles of the shoulder girdle and the upper extremities. Position the crutches as if walking. • Teach the person the correct sequence for going down stairs with a cane: o cane first o weak leg second o strong leg last o If a sturdy rail is available, tell the older adult to use the rail for support and carry the cane in the other hand. Hold onto the handrail with one hand. Follow the … And hands are recommended is appropriate to include the other arm for support if needed, the. 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