Patient Movement PP7

1. Patient MovementPP7

2. Ambulation • Choose an ambulation aid • based on pt age • type of injury • pt’s condition • pt’s weight bearing status • A gait belt should be used by the health care provider to provide safety and support for the patient 3.01 Understand Diagnostic and Therapeutic Services

3. Ambulation Aids Cane • Used to help with: • balance • weakness, injury or pain on one side • Place the cane on the unaffected side • Correct fitting: • Handle of cane is level with the head of the femur • Patient’s elbow is flexed 25-30 degrees 3.01 Understand Diagnostic and Therapeutic Services

4. Ambulation Aids Platform Axillary Forearm Crutches • Axillary • Used by placing the pads under the armpits and holding on to the grip • Grips are below and parallel to the armpit pads • Forearm • Used by slipping the arm into the cuff and holding on to the grip • Platform • Forearm is placed on an armrest with secure strap • Used by person with poor hand grip 3.01 Understand Diagnostic and Therapeutic Services

5. Crutches • Correct Fitting • Patient and crutch tips form a tripod: Crutch tips are 4-6” in front and to side of pt’s foot • 2” between axilla and crutch • Elbows flexed 25-30 degrees 3.01 Understand Diagnostic and Therapeutic Services

6. Crutch Gait 4 point gait pattern Gait is the pattern of movement • Four Point Gait • Slow, both legs can bear some weight • Two Point Gait • Faster, more natural, both legs can bear some weight 3.01 Understand Diagnostic and Therapeutic Services

7. Crutch Gait 3 point gait pattern Three Point Gait: One leg is non-weight bearing 3.01 Understand Diagnostic and Therapeutic Services

8. Crutch Gait Swing –Through: • One leg is non-weight bearing; 2 point pattern. • Most rapid gait pattern Swing – To: • One leg is non weight bearing; 2 point pattern. 3.01 Understand Diagnostic and Therapeutic Services

9. Walker Ambulation aide that provides support Patient must be strong enough to hold themselves upright 3.01 Understand Diagnostic and Therapeutic Services

10. Walker Styles: • standard • folding • rolling • platform 3.01 Understand Diagnostic and Therapeutic Services

11. Walker Correct Fitting • Handles level with top of femur • Elbow flexed to 25-30 degrees 3.01 Understand Diagnostic and Therapeutic Services

12. Walker Gait Step-to/3 point gait • pattern for weight bearing on both legs Swing-to/2 point gait • pattern for non-weight bearing 3.01 Understand Diagnostic and Therapeutic Services

13. Transfer to a Chair/Wheelchair Move pt from bed to a chair /wheelchair 3.01 Understand Diagnostic and Therapeutic Services

14. Transfer to a Stretcher Move pt from bed to stretcher 3.01 Understand Diagnostic and Therapeutic Services