A nurse is instructing a client with right-sided hemiparesis on how to safely ambulate using a single-point cane. Place the following steps of the ambulation sequence in the correct order. (Arrange the items from first to last.)
- 1Hold the cane in the left hand.
- 2Advance the cane forward approximately 15 to 25 cm (6 to 10 inches).
- 3Step forward with the right leg so it is even with the cane.
- 4Shift body weight to the right leg and the cane.
- 5Step forward with the left leg past the cane.
Answer
The correct sequence for safe cane ambulation is: hold the cane in the strong hand, advance the cane, step forward with the weak leg, shift weight to the weak leg and cane, and finally step past the cane with the strong leg.
Safe ambulation with a cane requires the 'COAL' method (Cane Opposite Affected Leg). The client must hold the cane in the strong (left) hand. The sequence begins by advancing the cane to create a new, forward base of support. Next, the weak (right) leg is advanced to become even with the cane, ensuring the strong leg remains firmly planted for balance. Once the weak leg and cane are in position, the client shifts their weight onto them. This allows the strong (left) leg to safely step forward past the cane, completing the gait cycle.
Step-by-Step Solution
Key Concept
Assistive Device Ambulation (Cane Sequence)