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ambulatory aids

debilitated client clients who are frail or weak from prolonged inactivity
tone the ability of muscles to respond when stimulated
strength power to perform
quadriceps setting an isometric exercise in which the client alternately tenses and relaxes the quadriceps muscles
gluteal setting the contraction and relaxation of the gluteal muscles to improve strength and tone
dangling sitting on the edge of the bed
tilt table device that raises the client from a supine to a standing position
parallel bars double row of stationary bars
walking belt(gait belt) applied around the client's waist for support
cane handheld ambulation device made of wood or aluminum for support while walking
walker ambulatory aid constructed of curved aluminum bars that form a three sided enclosure with four legs for support
prosthetic limb a substitute for an arm or leg
prosthetist person who constructs prosthetic limbs
crutches an ambulatory aid generally used in pairs that are constructed of wood or aluminum
axillary crutches have a bar that fits below the axilla and is the most standard type of crutch
forearm crutches has an arm cuff but no axillary bar
platform crutches crutches that support the forearm
crutch palsy weakening of the forearm, wrist, and hand muscles because of nerve impairment in the axilla due to incorrectly fitted crutches or poor posture
gait the manner or style of walking
paralysis motion loss or impairment of sensation in a body part
paraplegia paralysis of waist down
hemiplegia paralysis on one side of the body
what type exercise is used to promote muscle tone and strength? isometric exercises
what are the quadriceps muscles? rectus femoris, vastus intermedius, vastus lateralis, vastus medialis
how would you teach a client how to do quadriceps exercises? flatten back of knee into mattress making it tight, make sure kneecaps move upward, hold position for at least 5 seconds, relax and repeat at least 2-3 times per hour
what are the gluteal muscles? gluteus maximus, gluteus medius, gluteus minimus
how would you teach client to do gluteal exercises? tell them to squeeze buttocks together, hold for 5 seconds, release and repeat 2-3 times per hour
while ambulating a client what should the nurse observe client for? pallor, dizziness, weakness
what should the nurse do if fainting occurs while ambulating? slide arms under clients axilla area, place foot outside forming wide base of support, balance client on hip until someone gets there or allow client to slide down leg onto floor
what aids are available to assist with ambulation? crutches, walkers, canes, wheelchairs
which type of ambulatory aid may a client use that has hemiplegia? cane
which side of the body should the cane be placed on while ambulating? stronger side
what is the most stable form of ambulatory aid? walker
what are some things the nurse teaches the client who is using a walker? stand within the walker, hold onto the padded handgrips, pick up walker, advancing it 6-8 in, take step forward, support body weight on handgrips when moving weaker leg
what are the basic types of crutches? axillary, forearm, platform
what are the examples of forearm crutches? canadian and lofstrand crutches
which type of crutch is used for a client who needs permanent assistance with walking? forearm crutch
which type of crutch is used by clients who can't bear any weight with their hands or wrists? platform crutch
which type of crutch is used for a client experiencing arthritis? platform crutch
a client with bilateral weakness or disability like arthritis or cerebral palsy may use what type of crutch gait? four point crutch gait
what is the gait pattern for a four point gait? one crutch, opposite foot, other crutch, remaining foot
a client that has more strength, coordination and balance may use which type crutch gait? two point crutch gait
a client learning to walk again, following spinal cord injury or both legs having about the same strength may use which crutch gait? two point crutch gait
what is the gait pattern for a two point crutch gait? advance once crutch and opposite foot together then the other crutch and foot
a client that has an amputated, injured or disabled extremitiey may use which crutch gait? three point non weight bearing
what is the gait pattern for three point non weight bearing gait? both crutches moved forward followed by weight bearing leg
a client who is an amputee but learning to use prosthesis would use which crutch gait? three point partial weight bearing
what is the gait pattern for three point partial weight bearing gait? advance both crutches with weaker leg and strong leg is placed parallel to weaker leg
a client in which both legs are affected as in a paralyzed client or one with leg braces may use which crutch gait? swing through
what is the gait pattern for swing through gait? move both crutches forward and then advance one or both legs beyond crutches
when ambulating a client using a cane, which side would you stand on? weak side
when the client is ambulating with a cane, what should move first?
Created by: 1115060100