NCLEX-RN Review Crutch Walking


A. Four-point sequence

1. Gait is slow but stable

2. Used when client can bear some weight on each leg

3. Technique
a. Move right crutch
b. Move left foot
c. Move left crutch
d. Move right foot

B. Three-point sequence

1. Client cannot bear any weight on one leg

2. The crutches completely support the affected leg

3. Technique
a. Move both crutches with the affected leg forward
b. Move unaffected leg forward

4. Use of mechanical aids to promote mobility
a. Crutches-support; balance feet, and legs during walking

A. keep tips of crutches 12 to 16 inches to side of feet

B. adjust handbars to allow 15 to 30 degrees of elbow flexion

C. use well fitting shoes with nonslip soles

D. use rubber suction tips on crutches
a. inspect weekly
b. replace when worn

E. may be used temporarily or permanently
F. teach client crutch walking

G. Cane-provides stability when walking and relieves pressure on weight-bearing joints
a. adjust cane with handle at level of greater trochanter, elbow flexed at 30 degree angle
b. teach client to hold cane close to body, and hold in hand on stronger side.
c. move cane at same time as the weaker leg.
d. Walker-assists in weight bearing and mobility

A. assists in weight bearing and mobility

B. teach client how to sit, stand and turn

C. Gait belt
a. leather or canvas belt around client's waist with handles
b. safety devices for ambulatory clients who may have some balance problems

5. Prosthetic devices - used to replace a missing body part

6. Brace - support for weakened muscles

No comments: