A clinical nurse is guiding a client with generalized deconditioning on how to safely transfer from a seated position in a standard armchair to a standing position using a rolling walker. Place the following instructions and actions in the correct sequential order to prevent injury.
- 1Securely apply a transfer belt around the client's waist.
- 2Instruct the client to scoot forward to the front edge of the chair seat.
- 3Direct the client to place both hands firmly on the armrests of the chair.
- 4Ask the client to lean slightly forward and push up through their arms and legs to stand.
- 5Instruct the client to grasp the walker handles one at a time after establishing balance.
Cevap
The correct sequence is to first apply the transfer belt, have the client scoot to the edge of the chair, place their hands on the chair's armrests, push up to a standing position, and finally grasp the walker handles once balanced.
Safe transferring with a walker requires strict adherence to biomechanics and device safety rules. The nurse must first apply a transfer belt to ensure client safety during the movement. Next, the client must scoot to the edge of the chair to bring their center of gravity forward. Crucially, the client must push up from the chair's armrests rather than pulling on the walker. Pulling on a wheeled walker can cause it to tip or roll, leading to a severe fall. Once the client has pushed up, is standing upright, and has established equilibrium, they can safely transfer their hands one at a time to the walker.
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Anahtar Kavram
Assistive Device Safety and Proper Transfer Biomechanics
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