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