A practical nurse is reinforcing physical therapy instructions for a client who is non-weight-bearing on the right lower extremity and is learning to use axillary crutches. Arrange the following actions in the correct chronological sequence for safely navigating up a single step.
- 1Assume the tripod stance close to the base of the stairs.
- 2Bear the full body weight evenly on the handgrips of both crutches.
- 3Advance the unaffected left leg onto the step above.
- 4Shift the body weight from the crutches onto the unaffected left leg.
- 5Lift the affected right leg and both crutches simultaneously to the step.
Cevap
To ascend a step, the client starts in a tripod stance, shifts weight onto the crutches, steps up with the unaffected leg, shifts weight onto the unaffected leg, and finally brings the crutches and affected leg up together.
The fundamental principle for ascending stairs with an assistive device is 'up with the good.' The client must first establish stability in a tripod position. By bearing weight on the hands, the client can safely lift the strong, unaffected leg onto the step. Once the strong leg is anchored on the higher level, the client shifts their weight onto it. This strong leg now acts as the elevator for the rest of the body, allowing the client to safely bring up the crutches and the non-weight-bearing injured leg simultaneously without compromising balance or the surgical/injury site.
Adım Adım Çözüm
Anahtar Kavram
Basic Care and Comfort: Safe Mobility and Assistive Devices
Tahmini Süre:1m 30s