A nurse is teaching a client who has left leg weakness how to ambulate safely using a straight cane. Arrange the following actions in the correct sequence from first to last to ensure a safe gait.
- 1Hold the cane in the right hand.
- 2Move the cane forward approximately 6 to 10 inches.
- 3Advance the left leg forward to align with the cane.
- 4Advance the right leg forward past the cane.
Answer
The correct sequence is: hold the cane in the right hand, move the cane forward, advance the left (weak) leg, and then advance the right (strong) leg.
Safe cane ambulation relies on maintaining a wide base of support and ensuring weight is distributed safely. The client must first hold the cane on the unaffected (stronger) side—in this case, the right hand. The sequence of a step begins by moving the cane forward 6 to 10 inches. Next, the weaker (left) leg is brought forward to align with the cane so that the strong leg and the cane support the body's weight. Finally, the stronger (right) leg is advanced past the cane to complete the step.
Step-by-Step Solution
Key Concept
Assistive device use: Cane ambulation sequence