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Assisting with Ambulation Teresa V. Hurley, MSN, RN.

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Presentation on theme: "Assisting with Ambulation Teresa V. Hurley, MSN, RN."— Presentation transcript:

1 Assisting with Ambulation Teresa V. Hurley, MSN, RN

2 Dangling a Client  Prevent injury  Seated position at side of bed with feet touching the floor  Gaze looking forward  What is orthostatic hypotension?

3 Ambulation  Stand erect  Gaze forward  Heel to toe  Opposite arm swing to opposite leg

4 Nursing Assistance  One Nurse Assist  Two Nurse Assist

5 Special Consideration  Client has one-sided weakness or paralysis  Nurse stands on the weaker or affected side  With arm around waist to stabilize the client

6 Preventing Injury: Falls  Client begins to fall or feels faint  What are you going to do?

7 Nurse Guides to Floor  Move hip forward closest to client with a wide base of support and have client slide down your leg into a sitting or lying position

8 Walking Assistive Devices  Canes  Walkers  Braces  Walking belts

9 Canes  Single-ended curve ended ideal for use with stairs  Single-ended straight ended used when balance is intact and hand weakness exists  Multi-prong used when there is balance problems because it has a wide base of support

10 Canes  Rubber tipped  Sizing: bottom 4 inches to side of foot  Sizing: top reaches hip joint  Held with stronger side with elbow bent at 30 degree angle  Weight evenly distributed  Advance weaker leg and cane simultaneously  Swing stronger leg  Avoid leaning forward

11 Walkers  Client picks up walker and advances as steps ahead  Impaired side advances first ahead after picks up walker

12 Braces  Support joints and muscles that can not support body weight

13 Crutches  Reliance on strength of arms and shoulders  Limit or eliminate weight bearing  Forearm Support Crutches used for permanent limitations  Axillary Crutches used for short or long term

14 Axillary Crutches  Body weight carried on arms and hands and not axilla  2 Point Gait and 4 Point Gait used for partial weight bearing  3 Point Gait non-weight bearing  Swing to and Swing through for weight bearing  Upstairs lead with unaffected and going down stairs lead with effected

15 Crutches  Measure by lying flat in bed with shoes used for walking Measure from anterior fold of axilla to the heel and add 1 inch = 2.5 cm Standing position: crutch pad should be three finger breaths from anterior fold of axilla

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