A nurse is teaching a client who has a non-weight-bearing cast on the right lower extremity how to ascend stairs using crutches. Arrange the following actions in the correct chronological order.
- 1Stand in the tripod position at the bottom of the stairs and transfer body weight onto both crutches.
- 2Advance the unaffected leg onto the first stair tread.
- 3Shift body weight from the crutches entirely onto the unaffected leg.
- 4Bring both crutches and the affected leg up to the stair tread.
Cevap
To ascend stairs with crutches while non-weight-bearing, the client places weight on the crutches, steps up with the unaffected leg, shifts weight to the unaffected leg, and finally brings the crutches and affected leg up to the stair tread.
When ascending stairs using a three-point gait with crutches (non-weight-bearing), the standard safe practice follows the phrase 'up with the good.' The client must start from a stable tripod position, bear weight on the crutches, and step up with the unaffected (strong) leg first. Once the unaffected leg is planted on the stair tread, the client shifts their weight onto that leg. This securely allows the client to lift the crutches and the affected leg simultaneously to the same step, maintaining a non-weight-bearing status on the injured extremity.
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Anahtar Kavram
Mobility and Assistive Devices: Ascending Stairs with Crutches