Positioning & Assistive devices Flashcards
Partial weight bearing client with vertigo
THREE-POINT GAIT
Reduce low back pain
Rest
LOW-FOWLER’S
- Partial weight bearing
- Stability
- Each leg advances alternately
with opposing crutch
FOUR-POINT GAIT
___ finger space between
armpit & top of crutch
Bend in elbows
2-3
DOWN THE STAIRS
Crutch on ____ side
____ leg & crutch ___
____ leg follows
good
bad; down
good
- Best for lung expansion
- Decrease aspiration risk
- Pulmonary embolism
- Placing an NGT
- Taking X-rays
- Eating
HIGH-FOWLER’S
- Non-weight bearing or partial weight
bearing clients - Requires balance
- Stand on the unaffected leg
- Move both crutches forward
- Brace the hand grips for support
- Swing both legs through the crutches
SWING-THROUGH GAIT
- Gastric emptying
- Post-op liver biopsy
RIGHT LATERAL RECUMBENT
Tet spell
Prolapsed umbilical cord
KNEE-TO-CHEST
Stand in the center of the walker
Slide walker forward ___ inches
Keep all 4 feet of walker on ground
Step forward with ____ side
Keep weight on the walker and
_____ leg
Bring _____ leg up to walker
6-8 inches
affected
unaffected
unaffected
Cane goes on the ____ side
Slight bend at the elbow
Cane moves forward ____ inches
____ leg moves forward with cane
_____ leg then moves past the
cane
unaffected
6-10
affected
unaffected
Partial weight bearing client with unsteady gait
FOUR-POINT GAIT
- Non-weight bearing and can progress
to partial weight bearing - Crutches advanced with affected leg
- Unaffected leg brought forward
THREE-POINT GAIT
- Prepare for walking
- Rest after feeding if
NGT or aspiration risk - Decrease ICP
- GERD
SEMI-FOWLER’S
- Promote gastric emptying
- Prevent reflux
REVERSE TRENDELENBURG
