Patient Movement

1. Patient Movement

2. Patient MovementAmbulation • Choose an ambulation aid • based on patient age • type of injury • patient’s condition • patient’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. Patient MovementAmbulation 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. Patient MovementAmbulation Aids Axillary Forearm Platform 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. Patient MovementAmbulation Aids Crutches • Correct Fitting • Patient and crutch tips form a tripod: Crutch tips are 4-6” in front and to side of patient’s foot • 2” between axilla and crutch • Elbows flexed 25-30 degrees 3.01 Understand Diagnostic and Therapeutic Services

6. Patient MovementAmbulation 4 point gait pattern Crutch Gait 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. Patient MovementAmbulation 3 point gait pattern Crutch Gait • Three Point Gait: • One leg is non-weight bearing 3.01 Understand Diagnostic and Therapeutic Services

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

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

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

12. Patient MovementAmbulation 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. Patient MovementAmbulation Demonstrate the skill Provide for guided practice Provide for independent practice Verify student passing

14. Patient MovementTransferring a Patient Transfer to a Chair/Wheelchair Demonstrate the skill Provide for guided practice Provide for independent practice Verify student passing 3.01 Understand Diagnostic and Therapeutic Services

15. Patient MovementTransferring a Patient Transfer to a Stretcher 3.01 Understand Diagnostic and Therapeutic Services