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Patient Movement

Patient Movement

Ambulation
Choose an ambulation aid
based on patient age type of injury patients condition patients weight bearing status

A gait belt should be used by the health care provider to provide safety and support for the patient
3.01 Understand Diagnostic and Therapeutic Services 2

Patient Movement

Ambulation 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 Patients elbow is flexed 25-30 degrees
3.01 Understand Diagnostic and Therapeutic Services 3

Patient Movement

Ambulation 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

Axillary Forearm

Platform
Forearm is placed on an armrest with secure strap Used by person with poor hand grip
Platform
3.01 Understand Diagnostic and Therapeutic Services 4

Patient Movement

Ambulation Aids
Crutches
Correct Fitting
Patient and crutch tips form a tripod: Crutch tips are 4-6 in front and to side of patients foot 2 between axilla and crutch Elbows flexed 25-30 degrees
3.01 Understand Diagnostic and Therapeutic Services 5

Patient Movement

Ambulation
Crutch 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


3.01 Understand Diagnostic and Therapeutic Services 6

Patient Movement

Ambulation
Crutch Gait
Three Point Gait: One leg is non-weight bearing

3 point gait pattern


3.01 Understand Diagnostic and Therapeutic Services 7

Patient Movement

Ambulation
Crutch 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.

3.01 Understand Diagnostic and Therapeutic Services

Patient Movement

Ambulation Aids
Walker
Ambulation aide that provides support Patient must be strong enough to hold themselves upright

3.01 Understand Diagnostic and Therapeutic Services

Patient Movement

Ambulation Aids
Walker
Styles:
standard folding rolling

platform

3.01 Understand Diagnostic and Therapeutic Services

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Patient Movement

Ambulation Aids
Walker
Correct Fitting
Handles level with top of femur
Elbow flexed to 25-30 degrees

3.01 Understand Diagnostic and Therapeutic Services

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Patient Movement

Ambulation
Walker Gait
Step-to/3 point gait
pattern for weight bearing on both legs

Swing-to/2 point gait


pattern for non-weight bearing

3.01 Understand Diagnostic and Therapeutic Services

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Patient Movement Ambulation


Demonstrate the skill Provide for guided practice Provide for independent practice Verify student passing

Patient Movement

Transferring a Patient
Transfer to a Chair/Wheelchair

Demonstrate the skill Provide for guided practice Provide for independent practice Verify student passing
3.01 Understand Diagnostic and Therapeutic Services 14

Patient Movement

Transferring a Patient
Transfer to a Stretcher

3.01 Understand Diagnostic and Therapeutic Services

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