Assistive devices NCLEX nursing review about crutches, walkers, and canes. These assistive devices are used to help patients with mobility. It is essential you know how to fit a patient properly for these devices and how a patient should use them. Don’t forget to take the
assistive device NCLEX quiz after review these notes. What are crutches? Crutches are assistive devices used to help a patient ambulate. As the nurse you must know the following material about crutches: Before a patient uses crutches for the first time, each crutch must be adjusted to the patient’s height. Each crutch can be adjusted at the top and bottom. Below are some key concepts to help you tell if the crutches fit your patient properly. Mains points to remember: When a patient is learning how to use crutches, the nurse should apply a gait belt to the patient for safety. When a patient is
ready to start ambulating with crutches, they will start in the tripod position as demonstrated in the picture below. Each tip of the crutch will be about 6 inches to the side of the feet
diagonally. Below are the types of gaits you want to remember for exams. I highly suggest you watch the crutches video within this article to help you visually see how each gait is performed (this will help you understand it better).
Four-point gait: this type of gait is similar to the two-point gait BUT the crutch and leg move SEPARATELY rather than at the same time. For example, the patient will move the injured side’s crutch (example right crutch), then move the non-injured leg (example left leg), then move the non-injured side’s crutch (example left crutch), and then move injured leg (example right leg).
Three-point gait: the patient will not let the injured leg touch the ground….therefore, the patient will move BOTH crutches and the injured leg forward together and then move the non-injured leg.
Swing-to-gait: the patient will move both crutches forward and then SWING both legs forward to the same point as the crutches. Swing-through-gait: the patient will move both crutches forward and then SWING both legs forward, PAST the crutches. Up and Down Stairs with Crutches?Again, be sure you watch the video within these notes to help you visualize how to go up and down the stairs with crutches. The key to understanding what moves first (the good or bad leg) when either going up or down the stairs is to remember: “Good=UP” and “Bad=Down” Sitting Down and Getting Up from a Chair?
Walker Nursing NCLEX ReviewWalkers are assistive devices used to help a patient ambulate. As the nurse you must know the following material about walkers:
Properly Fit?Before a patient uses a walker for the first time, the walker must be adjusted to fit the patient’s height. Walkers can be adjusted at the bottom via the legs of the walker (there are four legs that will need to be adjusted). Below are some key concepts to help you tell if a walker fits your patient properly.  Mains points to remember: Ambulate?When a patient is learning how to use a walker, the nurse should apply a gait belt to the patient for safety. In addition, the nurse should stand on the patient’s WEAK side during ambulation. Before a patient starts ambulating with a walker, the patient should get into a starting position by making sure that the middle of the foot lines up with the back tips of the walker. Also, tell the patient to look ahead while using the walker because some patients may want to look down and stare at their feet while ambulating. This could lead to an injury or fall.
Sitting Down and Getting Up from a Chair?Going Up and Down Stairs with a Walker? It is not recommended a patient uses a walker to go up and down the stairs due to safety issues. The patient should use another type of assistive device like a cane. However, the patient should always consult with their doctor or physical therapist about this. For exams, you will not have to know about going up and down stairs with a walker. Canes NCLEX Nursing ReviewCanes are assistive devices used to help a patient ambulate. As the nurse you must know the following material about canes:
Properly Fit?Before a patient uses a cane for the first time, the cane must be adjusted to the patient’s height. Most canes can be adjusted at the bottom. Below are some key concepts to help you tell if a cane fits your patient properly. Mains points to remember: Ambulate?When a patient is learning how to use a cane, the nurse should apply a gait belt to the patient for safety. In addition, the nurse should stand on the patient’s WEAK side during ambulation. When a patient is ready to start ambulating with a cane, the patient should place the tip of the cane about 4 inches from the side of the foot. To walk (ambulate) with a cane, the patient will hold the cane on the STRONG side. Then the patient will move the cane and weak side TOGETHER forward, and then move the strong side. Please watch the video within this article to help you visualize how to walk with a cane. Up and Down Stairs with a Cane?Again, be sure you watch the video within these notes to help you visualize how to go up and down the stairs with a cane. The key to understanding what moves first (the good or bad leg) when either going up or down the stairs is to remember: “Good=UP” and “Bad=Down” Sitting Down and Getting Up from a Chair?References: Department of Human Services. Department of Human Services Disability Information (Walking Aids Using and Measuring) [Ebook] (pp. 1,2). Retrieved from https://www.sa.gov.au/__data/assets/pdf_file/0020/19019/walking-aids-using-and-measuring.pdfHow to Use a Walker. (2015). Retrieved 2 August 2019, from https://myhealth.alberta.ca/Alberta/Pages/use-a-walker.aspx How will the nurse determine the correct measurement of a pair of crutches for their client?The nurse observes clients to evaluate for the correct height of crutches. The nurse should determine that which client is correctly fitted with crutches? Two to three fingers fit between the client's axillae and the top of the crutches.
Which group of patients is at most risk for severe injuries related to falls?Older people have the highest risk of death or serious injury arising from a fall and the risk increases with age. For example, in the United States of America, 20–30% of older people who fall suffer moderate to severe injuries such as bruises, hip fractures, or head trauma.
What would the nurse do with the sling of a full body sling lift Once the client has been lowered into a chair?What would the nurse do with the sling of a full‑body sling lift once the client has been lowered into a chair? Leave the sling in place under the client.
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Which of the following statements from a client with one weak leg regarding use of crutches when using stairs indicates a need for increased teaching?
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