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