A nurse is instructing a client with left-sided hemiparesis on how to safely descend stairs using a quad cane. The client holds the cane in the right hand. In what order should the nurse instruct the client to perform the following actions to step down?
- 1Shift body weight entirely to the unaffected right leg.
- 2Advance the quad cane down to the next step.
- 3Lower the affected left leg down to the step with the cane.
- 4Transfer body weight to the cane and the affected left leg.
- 5Step down with the unaffected right leg to the same lower step.
Cevap
The correct sequence for descending stairs with a cane is to first stabilize weight on the strong leg, lower the cane, move the weak leg down to the cane, shift weight to the cane and weak leg, and finally bring the strong leg down to join them.
The correct sequence follows the standard principle of 'down with the bad' for descending stairs with an assistive device. The sequence prioritizes stability by shifting weight to the strong side and moving the cane first to establish a new base of support. The affected (weak) leg is then lowered while the unaffected (strong) leg remains safely on the upper step to bear the body weight. Only after the weight is safely distributed between the cane and the affected leg on the lower step does the unaffected leg step down. This sequence minimizes the risk of the weak leg buckling under the full body weight.
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Anahtar Kavram
Safe stair descent using a cane ('Down with the bad' principle)
Tahmini Süre:1m 30s