3.01 patient movement
TRANSCRIPT
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Patient MovementPatient Movement
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3.01 Understand Diagnostic and Therapeutic Services
Patient MovementPatient Movement
AmbulationAmbulation
• 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
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3.01 Understand Diagnostic and Therapeutic Services
Patient MovementPatient Movement
Ambulation AidsAmbulation 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
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3.01 Understand Diagnostic and Therapeutic Services
Patient MovementPatient Movement
Ambulation AidsAmbulation 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
– Platform• Forearm is placed on an armrest with
secure strap• Used by person with poor hand grip
AxillaryAxillary
ForearmForearm
PlatformPlatform
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3.01 Understand Diagnostic and Therapeutic Services
Patient MovementPatient Movement
Ambulation AidsAmbulation 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
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3.01 Understand Diagnostic and Therapeutic Services
Patient MovementPatient Movement
AmbulationAmbulation
Crutch GaitCrutch 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
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3.01 Understand Diagnostic and Therapeutic Services
Patient MovementPatient Movement
AmbulationAmbulation
Crutch GaitCrutch Gait– Three Point Gait:
• One leg is non-weight bearing
3 point gait pattern
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3.01 Understand Diagnostic and Therapeutic Services
Patient MovementPatient Movement
AmbulationAmbulation
Crutch GaitCrutch 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.
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3.01 Understand Diagnostic and Therapeutic Services
Patient MovementPatient Movement
Ambulation AidsAmbulation Aids
WalkerWalker• Ambulation aide that
provides support
• Patient must be strong enough to hold themselves upright
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3.01 Understand Diagnostic and Therapeutic Services
Patient MovementPatient Movement
Ambulation AidsAmbulation Aids
WalkerWalkerStyles:
– standard
– folding
– rolling
– platform
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3.01 Understand Diagnostic and Therapeutic Services
Patient MovementPatient Movement
Ambulation AidsAmbulation Aids
WalkerWalker
Correct Fitting– Handles level with top of femur
– Elbow flexed to 25-30 degrees
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3.01 Understand Diagnostic and Therapeutic Services
Patient MovementPatient Movement
AmbulationAmbulation
Walker GaitWalker Gait
– Step-to/3 point gait • pattern for weight bearing on both legs
– Swing-to/2 point gait • pattern for non-weight bearing
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Patient MovementPatient MovementAmbulationAmbulation
Demonstrate the skillProvide for guided practice
Provide for independent practiceVerify student passing
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3.01 Understand Diagnostic and Therapeutic Services
Patient MovementPatient Movement
Transferring a PatientTransferring a Patient
Transfer to a Chair/WheelchairTransfer to a Chair/Wheelchair
Demonstrate the skill
Provide for guided practice
Provide for independent practice
Verify student passing
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3.01 Understand Diagnostic and Therapeutic Services
Patient MovementPatient Movement
Transferring a PatientTransferring a Patient
Transfer to a StretcherTransfer to a Stretcher
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