Patient Movement.ppt

Report
Patient Movement
Patient Movement
Ambulation
• 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
2
Patient Movement
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
3
Patient Movement
Ambulation Aids
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
Axillary
Forearm
– Platform
• Forearm is placed on an armrest with
secure strap
• Used by person with poor hand grip
Platform
3.01 Understand Diagnostic and
Therapeutic Services
4
Patient Movement
Ambulation 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
5
Patient Movement
Ambulation
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
4 point gait pattern
3.01 Understand Diagnostic and
Therapeutic Services
6
Patient Movement
Ambulation
Crutch Gait
– Three Point Gait:
• One leg is non-weight bearing
3 point gait pattern
3.01 Understand Diagnostic and
Therapeutic Services
7
Patient Movement
Ambulation
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
8
Patient Movement
Ambulation Aids
Walker
• Ambulation aide that
provides support
• Patient must be strong
enough to hold
themselves upright
3.01 Understand Diagnostic and
Therapeutic Services
9
Patient Movement
Ambulation Aids
Walker
Styles:
– standard
– folding
– rolling
– platform
3.01 Understand Diagnostic and
Therapeutic Services
10
Patient Movement
Ambulation Aids
Walker
Correct Fitting
– Handles level with top of femur
– Elbow flexed to 25-30 degrees
3.01 Understand Diagnostic and
Therapeutic Services
11
Patient Movement
Ambulation
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
12
Patient Movement
Ambulation
Demonstrate the skill
Provide for guided practice
Provide for independent practice
Verify student passing
Patient Movement
Transferring 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
14
Patient Movement
Transferring a Patient
Transfer to a Stretcher
3.01 Understand Diagnostic and
Therapeutic Services
15

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