Mobility and Ambulation
Techniques
NATCEP Day Thirteen
Objectives
• Identify safety precautions in the use of wheelchairs and
geriatric chairs
• Identify/describe types and purp...
Safety Precautions: Wheelchairs or
Geriatric Chairs (Geri-chair)
• Start with a Safety check!
– Check the brakes! Make sur...
Safety Precautions: Wheelchairs or
Geriatric Chairs (Geri-chair)
• Position the person’s feet on the footrests before
movi...
Safety Precautions: Wheelchairs or
Geriatric Chairs (Geri-chair)
• Make sure the resident has needed wheelchair
accessorie...
Safety Precautions: Wheelchairs or
Geriatric Chairs (Geri-chair)
• Clean the wheelchair according to agency policy.
• When...
Mechanical Lifts
• Types
– Manual or hydraulic
– Electric

• Purpose
– Lifts are used to move residents
• who cannot assis...
Mechanical Lifts
• Make sure you are trained in its use.
• Make sure the lift works.
• Make sure the sling, straps, hooks ...
Ambulation Devices
• Walker
– Skid-proof tips
– Skid proof shoes
– Stand still
– Place walker forward with all four legs s...
Ambulation Devices
• Crutches
– Should have some space between top of crutch and
axilla (arm pit).
– Elbows flexed slightl...
Ambulation Devices
• Cane
– Regular
– Quad (four legs): most stable
– Weak side
– Move forward, walk toward
Safety Techniques When
Walking the Resident
•
•
•
•
•
•
•
•
•

Non skid shoes
Change positions slowly to avoid dizziness
A...
Effects of Immobility
•
•
•
•
•
•
•

Skin: increases breakdown
Bowel: decreased motility
Lungs: shallow breathing
Muscles:...
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Natcep day 13

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Natcep day 13

  1. 1. Mobility and Ambulation Techniques NATCEP Day Thirteen
  2. 2. Objectives • Identify safety precautions in the use of wheelchairs and geriatric chairs • Identify/describe types and purposes of lifts • Identify safety precautions involved in the use of portable lifts to move residents • Identify safe and proper use of walkers, canes and crutches • Demonstrate the safe way to assist a resident to walk – SKILL: Ambulation using a Gait Belt – SKILL: Ambulation with a Walker
  3. 3. Safety Precautions: Wheelchairs or Geriatric Chairs (Geri-chair) • Start with a Safety check! – Check the brakes! Make sure you can lock and unlock – Check for flat or loose tires which will prevent locking – Check wheel spokes – are they intact? – Do casters point forward? (balance and stability) – Blankets and tubing away from the wheels?
  4. 4. Safety Precautions: Wheelchairs or Geriatric Chairs (Geri-chair) • Position the person’s feet on the footrests before moving. • Do not let the resident stand on the footplates • Do not let the footplates fall back onto the resident’s legs • Push the chair forward - do not pull it backward. • Lock both the brakes before you transfer a person to or from the wheelchair. – Remind the resident to do the same if independent
  5. 5. Safety Precautions: Wheelchairs or Geriatric Chairs (Geri-chair) • Make sure the resident has needed wheelchair accessories per care plan • Remove the armrests (if removable) – when the resident transfers to the bed, commode, tub or car – when lifting the resident from the chair • Swing front rigging out of the way for transfers to and from the wheelchair. – Some front riggings detach for transfers
  6. 6. Safety Precautions: Wheelchairs or Geriatric Chairs (Geri-chair) • Clean the wheelchair according to agency policy. • When using an elevator, the wheelchair should be pulled backward into and out of the elevator. • When moving a resident down a steep ramp, you should take the wheelchair or geriatric chair down backwards. – Glance over your shoulder to be sure of your direction and prevent collisions and possible falls • Slow down at corners and look before moving the wheelchair to prevent collisions with other residents, staff, etc. • Use the wheelchair that has been designated as appropriate for the resident. • Use caution to prevent injuries to hands and arms when pushing wheelchairs
  7. 7. Mechanical Lifts • Types – Manual or hydraulic – Electric • Purpose – Lifts are used to move residents • who cannot assist in their own transfer • and/or residents who are too heavy to lift safely
  8. 8. Mechanical Lifts • Make sure you are trained in its use. • Make sure the lift works. • Make sure the sling, straps, hooks and chains are in good repair. • Never operate the lift without the assistance of other staff. • Lock all brakes after positioning the lift. • Securely fasten all locks and straps before operating the lift • Lift and lower the resident slowly.
  9. 9. Ambulation Devices • Walker – Skid-proof tips – Skid proof shoes – Stand still – Place walker forward with all four legs solidly on the floor – Step forward to the walker – Repeat
  10. 10. Ambulation Devices • Crutches – Should have some space between top of crutch and axilla (arm pit). – Elbows flexed slightly – Weight supported on palms of hands
  11. 11. Ambulation Devices • Cane – Regular – Quad (four legs): most stable – Weak side – Move forward, walk toward
  12. 12. Safety Techniques When Walking the Resident • • • • • • • • • Non skid shoes Change positions slowly to avoid dizziness Assist on the weak side Strong side toward hand rails Assisting visually impaired, walk slightly ahead Use gait/transfer belt Stand straight with head up and back straight Walk to the side and slightly behind Encourage normal walking – Not shuffling – Not sliding – Not on toes
  13. 13. Effects of Immobility • • • • • • • Skin: increases breakdown Bowel: decreased motility Lungs: shallow breathing Muscles: atrophy Circulation: slows, clots Kidneys: decreased function Bladder: distension, infection

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