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Zorluk: Çok zorBasic Care and Comfort

A nurse is teaching a client who has a casted right tibia fracture and is strictly non-weight-bearing on the right leg how to ascend stairs using axillary crutches. Arrange the following instructions in the exact chronological order the nurse should teach the client to perform them.

  1. 1Assume a tripod position facing the bottom of the stairs.
  2. 2Transfer all body weight firmly onto the handgrips of both crutches.
  3. 3Advance the unaffected left foot upward and place it flat on the next step.
  4. 4Shift the body weight upward from the crutches onto the unaffected left leg.
  5. 5Bring both crutches and the affected right leg up to the same step.

Cevap

The correct sequence is: 1) Assume a tripod position; 2) Transfer weight to the crutches; 3) Advance the unaffected left foot up; 4) Shift weight onto the unaffected left leg; 5) Bring the crutches and the affected right leg up.
When ascending stairs with axillary crutches and a non-weight-bearing leg, the sequence must prioritize stability and upward power. The client establishes a tripod base, transfers weight entirely to the crutches, steps up with the unaffected ('good') leg, shifts their weight onto that unaffected leg, and finally brings up the crutches alongside the affected ('bad') leg. The standard clinical mnemonic 'up with the good, down with the bad' dictates this process.

Adım Adım Çözüm

1
Assume a tripod position facing the bottom of the stairs.
The client establishes a secure center of gravity.
A stable starting stance is critical before attempting any weight transfer or elevation change on uneven surfaces.
2
Transfer all body weight firmly onto the handgrips of both crutches.
The unaffected left leg is freed from bearing weight.
The client must rely entirely on their upper body strength and the crutches temporarily so they can lift their strong leg against gravity.
3
Advance the unaffected left foot upward and place it flat on the next step.
The strong leg is positioned on the higher elevation.
The rule for stairs is 'up with the good.' The unaffected leg is moved first because it has the quadriceps strength to lift the client's entire body weight up to the next level.
4
Shift the body weight upward from the crutches onto the unaffected left leg.
The body weight is fully supported by the strong leg on the new step.
Weight must be transferred to the strong leg to allow the client to safely lift the crutches and the injured leg without losing balance or falling backward.
5
Bring both crutches and the affected right leg up to the same step.
The client is fully stabilized on the new step in the tripod position.
The crutches and the affected leg follow the strong leg, realigning the client's center of gravity and completing the movement cycle.

Anahtar Kavram

Assistive Devices: Crutch Walking (Stairs)
Tahmini Süre:1m 30s
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Konular

Basic Care and Comfort

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