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