Rehabilitation

Ambulatory Assistive Devices
 Cane, Walker, and Crutches
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Slide 1: Slide
Nursing

This lesson contains 15 slides, with interactive quizzes and text slides.

Items in this lesson

Ambulatory Assistive Devices
 Cane, Walker, and Crutches

Slide 1 - Slide

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Used for balance, not supporting full weight
  • C-Cane: Curved handle, single rubber bottom
  • Functional Grip: Straight handle, single rubber bottom
  • Quad-cane: 4 rubber tipped feet, allowing more weight

Proper Use
  • Hold cane on stronger side, move cane forward
  • Bring weaker leg forward to match cane
  • Bring stronger leg slightly past cane. Repeat
Canes

Slide 2 - Slide

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More support/stability than a cane
Must be able to bear some weight on both legs
Proper Use:
  • Pick up or roll walker forward 
  • Make sure all 4 feet are on solid ground 
  • Move weak leg first, followed up stronger leg
  • Never move walker before moving both feet or put feet in front of walker 

For residents that can only put limited/no weight on one leg
Resident needs to be properly fitted by physical therapist 
Proper Use:
  • Keep weight on your hands/arms and move crutches forward
  • Move injured leg forward, putting as much weight on crutches as needed
  • Follow with stronger leg. Repeat  
Walkers
Crutches

Slide 3 - Slide

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 Guidelines for Ambulatory Assistive
 Devices 
  • Check assistive device for any defect or damage prior to use
  • Resident should always wear non-skid shoes that fit correctly when ambulating
  • Promptly clean spills and clutter from floors
  • Clothing should fit properly, not be too long or too loose-fitting
  • When assisting resident to walk, stay on resident's on the weak side
  • Can you think of any others?

Slide 4 - Slide

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Drag and drop images to the correct assistive device functions
Eating
Hygiene
Grooming and Dressing

Slide 5 - Drag question

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When assisting a client in learning how to use a cane, the nurse aide stands
A
approximately two feet directly behind the client.
B
about one foot from the client's strong side.
C
about one foot from the client's weak side.
D
slightly behind the client on the client's weak side.

Slide 6 - Quiz

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Positioning Devices
Foot Drop: weakness if the muscles in ankle/foot preventing flexion 
Orthotic Devices: devices used to support limb by keeping joints in correct position. They are used to improve function and prevent complications 
What are some concerns or things to monitor with these devices?

Slide 7 - Slide

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Range of Motion 

Slide 8 - Slide

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Types of Range of Motion (ROM)
Active ROM: the joint moves through full arc of motion without assistance from staff

Active-Assisted ROM: the joint moves through full arc of motion with some assistance from staff

Passive ROM: the joint moves through full arc of motion; done completely by staff with no assistance from resident

Slide 9 - Slide

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Flexion: bending a body part
Extension: straightening a body part 
Abduction: move away from the body's midline
Adduction: move toward the body's midline
Rotation: turning the joint

Slide 10 - Slide

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Which ROM exercises are displayed here?
A
Pronation and Supination
B
Flexion and Extension
C
Abduction and Adduction
D
Rotation

Slide 11 - Quiz

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Which ROM exercises are shown here?
A
Pronation and Supination
B
Flexion and Extension
C
Abduction and Adduction
D
Rotation

Slide 12 - Quiz

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What position is displayed here?
A
Supine
B
Fowler's
C
Recovery
D
Prone

Slide 13 - Quiz

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Which joints can perform rotation ROM exercises? (Select all that apply)
A
Elbows
B
Knees
C
Hip
D
Shoulder

Slide 14 - Quiz

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When should we stop/not
perform ROM exercises
with a resident?

Slide 15 - Mind map

pain in the joint, red, bruised, has open sore, draining, Fluid, swollen joint, joint that is bandaged or has dressing, cast, IV tubing

Then what do we do after stopping the ROM exercise?