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Zorluk: Çok zorBasic Care and Comfort

A practical nurse in an outpatient orthopedic clinic is reinforcing discharge teaching for a client with a postoperative non-weight-bearing right leg cast. The client needs to learn how to safely ascend stairs at home using standard axillary crutches. Place the following steps in the correct chronological order to ensure safe mobility.

  1. 1Assume a stable tripod stance facing the stairs with crutches positioned securely on the floor.
  2. 2Support body weight entirely on the crutch handgrips and advance the unaffected left leg onto the step.
  3. 3Transfer body weight from the crutch handgrips onto the unaffected left leg.
  4. 4Lift both crutches and the affected right leg simultaneously up to the step.
  5. 5Re-establish a stable tripod base on the new step and verify balance before continuing.

Cevap

The correct sequence is: Assume a tripod stance, support weight on crutches while advancing the unaffected leg, shift weight to the unaffected leg, lift the crutches and affected leg together, and verify balance.
The proper sequence for ascending stairs with crutches and a non-weight-bearing leg follows the fundamental principle of 'up with the good.' The client must first establish a stable tripod base. Next, body weight is supported entirely by the arms on the crutches while the unaffected, strong leg is advanced up onto the step. Once the strong leg is firmly planted, the client shifts their weight onto it, which provides the necessary power to lift the body. Finally, the crutches and the affected leg are brought up simultaneously to the new step, and balance is verified before repeating the process.

Adım Adım Çözüm

1
Assume a stable tripod stance facing the stairs with crutches positioned securely on the floor.
A wide, secure base of support is established.
The tripod position is the foundational stance for crutch walking, ensuring stability before initiating movement.
2
Support body weight entirely on the crutch handgrips and advance the unaffected left leg onto the step.
The strong, unaffected leg is securely placed on the higher surface.
When ascending, the strong leg must lead ('up with the good') because it is capable of bearing the full body weight and lifting the client against gravity.
3
Transfer body weight from the crutch handgrips onto the unaffected left leg.
The arms and crutches are relieved of the body's weight.
Weight must be fully supported by the planted strong leg to allow the client to safely lift the crutches off the ground.
4
Lift both crutches and the affected right leg simultaneously up to the step.
The crutches and the injured leg rejoin the strong leg on the new step level.
The crutches always move concurrently with the affected leg to provide continuous physical support and prevent accidental weight-bearing on the injury.
5
Re-establish a stable tripod base on the new step and verify balance before continuing.
The client is fully stable and ready to attempt the next stair.
Safety protocols dictate verifying equilibrium after every dynamic movement sequence to prevent backward falls.

Anahtar Kavram

Crutch Walking on Stairs (Non-Weight-Bearing)
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Konular

Basic Care and Comfort

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