A nurse is instructing a client who has a cast on the right lower extremity and is prescribed non-weight-bearing status. The client is learning to ascend stairs using axillary crutches. Arrange the following actions in the correct sequence from first to last.
- 1Assume the tripod stance at the base of the stairs.
- 2Place body weight entirely onto the crutches.
- 3Advance the unaffected leg onto the step above.
- 4Shift body weight from the crutches to the unaffected leg.
- 5Bring the affected leg and both crutches up to the step.
Answer
The correct sequence for ascending stairs with crutches is: 1. Assume the tripod stance at the base of the stairs, 2. Place body weight entirely onto the crutches, 3. Advance the unaffected leg onto the step above, 4. Shift body weight from the crutches to the unaffected leg, 5. Bring the affected leg and both crutches up to the step.
Safe stair navigation with crutches relies on the principle that the unaffected ('good') leg must power the upward movement. The client must first establish stability (tripod stance) and shift weight to the crutches to free the strong leg. The unaffected leg is placed on the higher step, followed by a weight shift onto that leg, which then lifts the rest of the body, the affected leg, and the crutches up to the same step.
Step-by-Step Solution
Key Concept
Crutch walking on stairs (Three-point gait)
Estimated Time:1m 30s