Mobility refers to a person's ability to move freely, while immobility is the inability to move freely. Maintaining or restoring mobility is important for physiological, psychosocial, and developmental well-being. Range of motion exercises, positioning, transfers, ambulation, and assistive devices can help preserve or improve mobility by preventing complications like contractures, skin breakdown, and pulmonary issues. Safety is paramount during any activities involving movement.
The nursing technique by which a patient with an infectious disease is prevented from infecting other people is called barrier nursing.Hand hygiene is the simplest, most effective measure for infection control.Contact Precautions
Airborne Precautions
Droplet Precautions
Three more elements have been added to standard precautions. They are:
4.1 Respiratory hygiene/cough etiquette
4.2 Safe injection practices
4.3Use of masks for insertion of catheters or injection into spinal or epidural areas
The nursing technique by which a patient with an infectious disease is prevented from infecting other people is called barrier nursing.Hand hygiene is the simplest, most effective measure for infection control.Contact Precautions
Airborne Precautions
Droplet Precautions
Three more elements have been added to standard precautions. They are:
4.1 Respiratory hygiene/cough etiquette
4.2 Safe injection practices
4.3Use of masks for insertion of catheters or injection into spinal or epidural areas
Safe transfer of patients is of utmost priority to minimize unwanted complications. Patients, especially the critical ones experience some amount of physical stress during the process of transfer which may result in the stress being manifested in altering one or more physical markers or parameters
continuous or intermittent monitoring of heart activity, generally by electrocardiography, with assessment of the patient's condition relative to their cardiac rhythm.
Safe transfer of patients is of utmost priority to minimize unwanted complications. Patients, especially the critical ones experience some amount of physical stress during the process of transfer which may result in the stress being manifested in altering one or more physical markers or parameters
continuous or intermittent monitoring of heart activity, generally by electrocardiography, with assessment of the patient's condition relative to their cardiac rhythm.
Waddling gait- definition|role of muscle|gait analysis|kinematic and spatiote...jasna ok
This powerpoint is about WADDLING GAIT,muscle that cause waddling gait , its causes, reasons for why this gait is called duck gait and pregnancy gait, gait analysis , and its physical therapy treatment
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
CDSCO and Phamacovigilance {Regulatory body in India}NEHA GUPTA
The Central Drugs Standard Control Organization (CDSCO) is India's national regulatory body for pharmaceuticals and medical devices. Operating under the Directorate General of Health Services, Ministry of Health & Family Welfare, Government of India, the CDSCO is responsible for approving new drugs, conducting clinical trials, setting standards for drugs, controlling the quality of imported drugs, and coordinating the activities of State Drug Control Organizations by providing expert advice.
Pharmacovigilance, on the other hand, is the science and activities related to the detection, assessment, understanding, and prevention of adverse effects or any other drug-related problems. The primary aim of pharmacovigilance is to ensure the safety and efficacy of medicines, thereby protecting public health.
In India, pharmacovigilance activities are monitored by the Pharmacovigilance Programme of India (PvPI), which works closely with CDSCO to collect, analyze, and act upon data regarding adverse drug reactions (ADRs). Together, they play a critical role in ensuring that the benefits of drugs outweigh their risks, maintaining high standards of patient safety, and promoting the rational use of medicines.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
2. Mobility
Mobility refers to a person’s ability to move about freely.
Immobility refers to a person’s inability to move about freely.
Mobility & immobility are the endpoints of a continuum with
many degrees of partial immobility in between.
mobility immobility
Some clients move back and forth, some clients remain absolute.
3. Ability to Move
The ability to move & function is a function most people take for granted.
The level of mobility has a significant impact on an ind.’s physiological,
psychosocial, & developmental well-being (Hamilton & Lyon, 1995).
When there is an alteration in mobility, many body systems are at risk for
impairment.
Cardiovascular functioning – orthostatic hypotension
Pulmonary complications – pneumonia
Promote skin breakdown, muscle atrophy etc
Such changes can lead to altered self-concept & lowered self-
esteem.
4. Medical Conditions that can Alter
Mobility
Fractures/sprains
Neurological conditions – spinal cord injury, head
injury
Degenerative neurological conditions – Myasthenia
gravis, Huntington’s chorea
5. Nursing Measures
Attempt to maintain and/or restore optimal mobility as well as to
decrease the hazards assoc. with immobility.
DB & C exercises
Muscle & joint exercises
Frequent repositioning – q 2 hrs
fluid intake/fiber intake
Guidelines:
Check activity order
Know client’s past medical history & limitations
Baseline vital signs are necessary
Become familiar with assistive devices
7. Range of Motion Exercise (ROM)
ROM exercises, in which a body part is moved through a range of
motion, are carried out to promote circulation, maintain muscle
tone & promote flexibility. In doing this, joint stiffness &
debilitating contractures are prevented. Active ROM is range
of motion carried out by the patient. It is a form of isotonic
exercise & as such, it maintains strength, tone & flexibility. In
patients unable to move body parts due to paralysis or extreme
illness, ROM is performed by someone else. This is called
passive ROM exercise. Passive exercise helps to maintain joint
flexibility & prevent stiffness & contractures. Because this type
of exercise involves no active movement on the part of the
muscles, it does not contribute to muscle tone or strength.
8. ROM(cont.)
ROM exercises are planned as a regular part of nursing
activities. During a bath, for example, the nurse has
an excellent opportunity to move the patient’s limbs
through their full range of motion. The patient is
encouraged to exercise actively those muscles that
can be used. However, in certain cases, the nurse
may need to assist the patient in performing ROM
(active assisted ROM), or to perform passive ROM.
9. ROM (cont.)
The maximum movement that is possible for a joint is it’s range of
motion.
If a joint is not moved sufficiently it begins to stiffen within 24 hrs &
eventually becomes inflexible, flexor muscles contract & pull tight
causing contractures or fixed joint flexion.
To prevent joint contractures & muscle atrophy (wasting or
decrease in size of a normally developed organ or tissue), exercise
must be performed – ROM exercise.
Contracture – abnormal flexion & fixation of joints caused by the
disuse, shortening & atrophy of muscle fibers.
Correcting contractures requires intensive therapy over a prolonged
period of time, and may be impossible. Prevention is the key.
10. Two Purposes of ROM
1. Maintain joint function
2. Restore joint function
Do not exercise joints beyond the
point of resistance or to the point
of fatigue or pain
11. Contraindications to ROM
ROM requires energy & increased circulation, any
illness/disorder where increased use of energy or
increased circulation is hazardous is contraindicated;
puts strain/stress in soft tissues of the joint & bony
structures, therefore not done with swollen, inflamed
joints.
12. Perform Exercises in Head to
Toe Format
Start with the head and move down, always do bilaterally
Do not grasp the joint directly
Cup the joint gently (prevents pressure)
Do not grasp fingernail or toenail
Important joints – thumb, hip, knee, ankle
Return to correct anatomic position
Move joint through movement 5 times/session
13. Start at the Neck P&P p. 830
Neck Flexion – look @ the toes
Extension – look straight ahead
Hyperextension – look up @ ceiling
Lateral flexion – look straight ahead, tilt head to shoulder
Shoulder Flexion – raise arm forward & overhead
Extension – return arm to side of body
Abduction – raise arm to side to position above head with palm
away from head.
Adduction – return arm & bring across chest
Internal rotation – elbow flexed, rotate the shoulder by moving
arm til thumb is turned inward & toward the back (fingers to the
floor)
External rotation – elbow flexed, move arm until thumb is upward
& lateral to head. (fingers point up)
Circumduction – move arm in full circle (arm straight out, move
hand as if to draw a circle.
14. Elbow
Elbow Flexion – bend elbow
Extension – straighten elbow
Hyperextension – bend lower arm back as far as possible
Forearm Supination – turn lower hand so palm is up
Pronation - turn lower hand so palm is down
Wrist Flexion – bend wrist forward
Extension – straighten wrist (fingers, wrist & arm in same
plane)
Hyperextension – bring dorsal surface of hand as far back
as possible
Abduction (radial flexion) – bring wrist medially towards
the thumb
Adduction (ulnar flexion) – bend wrist laterally towards 5th
finger
15. Fingers & Thumb
Fingers & thumb Flexion – bend fingers & thumb into palm make a fist
Extension – straighten fingers & thumb
Hyperextension – bend fingers as far back as possible
Abduction – spread fingers apart / extend thumb
laterally
Adduction – bring fingers together/ thumb back to hand
Circumduction – move finger/thumb in circular motion
Opposition – touch thumb to each finger of same hand
16. Hip
Hip Flexion – move leg forward (ROM 90-120 deg)
Extension – move leg back beside other leg
Hyperextension – move leg backwards (ROM 30-50
deg)
Abduction – move leg laterally away from body (ROM
30-50 deg)
Adduction – move leg back to medial position &
beyond if possible (ROM 30-50 deg)
Knee Flexion – bring heel toward back of thigh (120-130
deg)
Extension – return leg to floor
17. Ankle
Ankle Dorsiflexion – move foot so toes are pointed upward
Plantarflexion – move foot so toes are pointed downward
Foot Inversion – turn sole of foot medially (ROM 10 deg)
Eversion – turn sole of foot laterally (ROM 10 deg)
Flexion – curl toes downward (ROM 30-60 deg)
Extension – straighten toes (ROM 30-60 deg)
Abduction – spread toes apart
Adduction – bring toes together
18. Spine
Spine Flexion – when standing – bend forward from the
waist
Extension – straighten up
Hyperextension – bend backward
Lateral flexion – bend to the side
Rotation – twist from the waist
19. Types of ROM exercises
Active – exercises the client is able to perform
independently.
Passive – exercises performed for the client by
someone else.
Active assisted – performed by a client with some
assistance – client can move a limb partially through
its ROM, but needs help completing the ROM.
20. Isometric/Isotonic Exercises
In addition to ROM exercises, some immobilized clients may
be able to perform muscle-strengthening exercises.
1. Isotonic – cause muscle contraction & change in muscle
length – walking, aerobics, moving arms & legs against light
resistance.
2. Isometric – tightening or tensing of muscles without moving
body parts. This increases muscle tension but do not change
the length of muscle fibers. Isometric exercises are easily
performed by an immobilized patient in bed.
Isotonic and isometric exercises help to prevent muscular atrophy
and combat osteoporosis.
21. Applying Antiembolism Stockings (Elastic)
P&P p. 842
Thromobophlebitis – the development of a thrombus or clot
along with the inflammation of the vein & may be classified
as superficial or deep.
Three elements contribute to the development of a clot.
1. Hypercoagulability of the bld – clotting disorders,
dehydration, pregnancy & 1st 6 weeks postpartum if
the woman was confined to bed, oral contraceptives.
2. Venous wall damage – local trauma, orthopedic
surgeries, major abdominal surgery, varicose veins,
arteriosclerosis
3. Blood stasis – immobility, obesity, pregnancy
22. Antiembolism stockings
Promote venous return by maintaining
pressure on superficial veins to prevent
venous pooling.
Prevent passive dilation of veins
Application of antiembolism stockings (refer
to p. 845 P&P)
23. Orthostatic hypotension
A drop in blood pressure that occurs when the client rises from lying to sitting or
from sitting to standing. (A decrease in systolic pressure >15 mmHg or
decrease diastolic pressure >10 mmHg.)
At risk clients
Immobilized clients
Prolonged bed red
Measures to minimized Orthostatic Hypotension
Maintain muscle tone
Increase venous return to the heart
Decrease stasis of bld in the lower extremities
ROM/isometric exercises/TED’s
Mobilize ASAP
24. Therapeutic Positions
Chair – feet flat on floor, footrest if unable to reach floor, knees
& hips flexed 90-100 degrees. Buttocks at back of the chair,
spine straight, pillows at side to prevent leaning.
Fowlers – supine, HOB elevated 45 deg. Promotes lung
expansion, decrease ICP, comfortable for eating.
High fowlers – same as above, with HOB elevated 45-90 deg.
Utilized for clients experiencing difficulty breathing.
Semi fowlers – as above with HOB elevated less than 45 deg.
Orthopneic – sit on side of bed with over bed table across lap,
pillow on table, lean forward & rest head & arms on table.
Utilized for patients with extreme difficulty breathing – promotes
lung expansion.
25. Therapeutic positions cont.
Lithotomy – supine flex both knees so that
feet are close to hips, separate legs, feet in
stirrups. Utilized for perineal & vaginal
examinations
Trendelenburg – supine, entire bed frame
tilted down with head 30 deg below
horizontal.
Postural drainage
Increase venous return in case of shock
26. Benefits of Proper Positioning
Maintains body alignment & comfort
Prevents injury to musculoskeletal system, prevents
strain
Provides sensory, motor & cognitive stimulation
Prevents pressure sore (decubitus ulcer) & joint
contractures
27. Transfers
Transferring is a nursing skill that helps the client with restricted
mobility attain/maintain mobility & independence.
Benefits of transfers
Maintains & improves joint motion
Increases strength
Promotes circulation
Relieves pressure on the skin
Improves urinary/respiratory function
Increases social activity
Increased mental stimulation
28. Transfers - Safety
Safety is a major concern when transferring. Falls are a common
hazard. If a patient starts to fall – do not try to stop the fall,
instead assist the patient to the floor while protecting the head
from injury. This will reduce the risk of patient as well as staff
injury.
Complete a thorough nursing assessment before you move the
patient to determine if she/he has suffered any injuries.
Prevention of injury is the key, be aware of the client’s motor
deficit, ability to support their body weight and use effective
body mechanics & lifting techniques.
When in doubt regarding the patient’s ability-GET ASSISTANCE
29. Nursing Process - Transfers
Assessment Activity orders
Client capabilities
Planning Decide appropriate transfer technique
Explain procedure to the patient
Implementation Wash hands
Position chair 45 deg angle to bed on clients stronger side
Lock bed brakes, lower bed, raise HOB as high as patient
tolerates
Lower side rail
Assist to sitting (lift upper body & swing legs around)
Assist with robe & slippers
Position feet on floor
Take wide stance, bend knees, grasp patient
“1 2 3 stand”
Pivot to chair
30. Nursing Process (cont.)
Evaluation
Of note:
Body in alignment, patient comfortable, no
injuries
Nurse maintains good body alignment
Two person lift (same as above) except one
nurse is on each side of the patient
Never lift under the axilla – can damage nerves
Mechanical lifts – enables you to lift heavy
patients, or those unable to help. (Use 2
people)
31. Ambulation
Clients who have been immobile even for a short time may
require assistance
A client may require the use of an assistive device to aid in
ambulation.
Assistive devices
Increase stability
Support a weak extremity
Reduce the load on weight bearing structures; hip, knees
32. Assisting the patient
Simple assist
1. Place arm near patient under the arm & at the elbow &
grasp pt’s hand, synchronize walking with the pt (move
inside foot forward at same time as pt’s inside foot)
2. Grasp pt’s left hand in nurses’ left hand & encircle pt’s
waist with the rt hand & synchronize walking as above
3. Using a transfer belt (held at the waist from the rear by
the belt – helps maintain balance)
Nurse to stand on the pt’s weak side. The nurse provides
support with his/her leg to the pt’s weakened one if
necessary. Do not allow the pt. to place their arm around
your shoulder.
Walk slowly, even gait, synchronize your steps.
33. Cane
Helps maintain balance by widening the base of support increases a
pt’s security.
Should be held on stronger side
Should have rubber tip – prevent slipping
Height (from greater trochanter to the floor allowing 15-30 deg
of elbow flexion.
Gait – place cane 6-10 inches ahead, move affected leg ahead
to cane, place weight on affected leg and cane, move
unaffected leg ahead of cane.
Stand from sitting
Cane in hand opposite affected leg, grasp arm of chair & cane
in other, push to stand, gain balance
34. Walker
Wide base of support, provides great stability
& security. Used for clients who are weak or
who has problems with balance.
Patient should have at least one weight bearing leg and
arm
Pick up walker is more stable, walker with wheels easier
for pt’s who have difficulty with lifting or balance,
however can roll forward when weight is applied.
Height – upper bar of walker should be slightly below the
client’s waist with arms flexed 15-30 deg
35. Walker (cont.)
To stand – walker in front of seat, push up off arms
of chair (walker is less stable, chair is lower pt. can
push with more force. Hands move to walker one at
a time.
To sit – back up to chair, reach back with one arm to
arm of chair, then with the other arm and lower to
chair.
Gait – walker ahead 6-8 inches, weight on arms.
Partial weight on affected leg first.
36. Crutches
Wooden or metal staff that reaches from the ground
to 11/2 – 2 inches below the axilla. When standing
tip of crutch rests 4-6 inches in front & 4-6 inches to
side of foot.
Do not rest on top of crutches – pressure on axilla
nerves – can lead to paralysis called crutch paralysis
(numbness, tingling, muscle weakness)
37. Crutches (cont.) P&P p.859
3 point gait – able to wt. bear on one foot, full wt. on
unaffected leg then on both crutches – begin in
tripod position, move crutches & affected leg ahead,
move stronger leg forward and repeat.
4 point gait – (most stable crutch walk) weight on
both legs and both crutches – muscular weakness,
improves balance by providing a wide base of
support, lack of coordination, move each
independently – rt crutch-lt foot-lt crutch-rt leg