d. (If there’s no handrail, keep one crutch under each arm.) Push down hard on the crutches with your arms. "Look down at your feet before moving the crutches." In crutch walking, the client’s weight is borne by the muscles of the shoulder girdle and the upper extremities. Follow the … • Teach the person the correct sequence for going down stairs with a cane: o cane first o weak leg second o strong leg last o If a sturdy rail is available, tell the older adult to use the rail for support and carry the cane in the other hand. Always use an elevator if one is available. A guard stands below you. c. Move crutches down the next lower step. A B Figure 44-61 Types of crutches: axillary, Lofstrand, and platform. When there is no handrail, keep one crutch under each arm. Fall precautions Teaching 2626. Which of the following statements is appropriate to include? a. Hold onto the handrail with one hand. h. Repeat for all steps. d. Place partial weight on hands and crutches. Crutches. Lift the crutches and move them a step ahead of you. Step up with the stronger leg, then the injured leg, and lastly bring up the crutch. g. Move strong leg same step as weak leg and crutches. e. Move the weak leg down to the step with crutches. Put the rubber ends of the crutches firmly on the ground. Follow the same stepping sequence. In summary, move the crutches first, your injured leg next, and then your stronger leg. c. Weight is evenly distributed, with each leg being moved alternately with the opposing crutch. Partial weight is placed on the right foot moving the crutch at the same time as the right leg. Then move your left foot and right crutch forward. Have someone guard you as you learn to use stairs. This lifts the body upward. SN instructed patient and caregiver about how to implement fall prevention program. Then, step up first with your strong leg to the first step! Some have Velcro straps which make the splints easy to … Splints or half-casts can also be custom-made, especially if an exact fit is necessary. A nurse is reinforcing teaching for a client about proper crutch walking using the swing-through gait. Put your crutches down on the next step below. Keep crutches in the middle of the step, away from the edge. b. To sit down: Back up until legs touch the chair. Identify the order of the steps the nurse should give to the client. 13. a. Here's how to use crutches on the stairs: Approach the stairs and have your therapist stand by for safety until confident of abilities. Before begin-ning crutch walking, exercises that strengthen the upper arms and hands are recommended. Weight is placed on both legs, and crutches are placed one stride in front and then legs swing to the crutches. To go upstairs with a handrail, place one crutch under one arm and use the handrail with the other arm for support. Slowly lower into the chair, using the chair arms for support if needed. A. These off-the-shelf splints are made in a variety of shapes and sizes and are much easier and faster to use. Place that heel down first. Move the foot that is not injured between the crutches. Going Up Stairs. He or she holds your belt (or a special “gait belt” you can borrow or buy) to assist you if you lose your balance. Place weight on the strong leg. If you are using your crutches for balance, move your right foot and left crutch forward. Keep crutches down on lower level and do not place upward on the steps. Hold both crutches under your opposite arm. Use hands to feel behind for the seat of the chair or chair arms. Tips for Going Down the Stairs on Crutches. Other times, a ready-made splint will be used. b. It’s critical that your older adult does NOT use the walker to help them sit or stand. 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