Lesson 1: - GCSSD

Lesson 1: - GCSSD

Unit 3: Ambulation Lesson 1: Ambulation Lesson 1 Ambulation Ambulation Process of moving

about Walking Transferring to and from bed, chair, toilet, car Lesson 1 Ambulation Ambulation

Role of an assistant Lesson 1 Ambulation Levels of ambulation training Independent

Setup Supervised Limited Extensive Lesson 1 Ambulation Independent Least assistive

ambulation training No need to watch or help patient Lesson 1 Ambulation Setup Setup or prepare assistive devices and

patient for ambulation Lesson 1 Ambulation Supervised ambulation training Watch patient ambulate

Use verbal cues Provide physical assistance Lesson 1 Ambulation Limited Provide minimal physical assistance

while patients ambulate Lesson 1 Ambulation Extensive Most assistive level of ambulation training

Provide much physical assistance Lesson 1 Ambulation Wheelchair Encourage patients to use wheelchair with the least

amount of assistance Use correct body mechanics Unit 3: Ambulation Lesson 2: Transfer Belt Lesson 2 Transfer Belt

Transfer belt Assistive device to help with ambulation Worn around patients waist Hold onto to provide patient support and balance Give patient security

Also called gait belt Lesson 2 Transfer Belt Transfer belt safety Cannot be used on everyone Should not be used to lift or pull patients

Unit 3: Ambulation Lesson 3: The Falling Patient Lesson 3 The Falling Patient

Reasons for falling when ambulating Role of an assistant Unit 4: Assistive Devices for Ambulation Lesson 1: Cane

Lesson 1 Cane Cane Assistive device to help patients ambulate Provides stability Support weight

Lesson 1 Cane Types of canes Single-tipped Multiple-tipped Hemiwalker Lesson 1 Cane

Single-tipped cane One tip in contact with floor Curved or straight handle to grip Straight or offset shaft

Lesson 1 Cane Multiple-tipped canes Tripod cane 3 tips in contact with floor Quad cane 4 tips in contact with floor

Provide more stability and support Lesson 1 Cane Hemiwalkers or walkcanes 4 legs and a handlebar to grip

Provide more stability and support Lesson 1 Cane Adjusting and using canes Must fit patient properly

Grip should be level with patients hip Must use correctly Unit 4: Assistive Devices for Ambulation Lesson 2: Crutches Lesson 2 Crutches

Crutches Assistive device for ambulation For patients who cannot bear weight on leg Provide support Do not provide stability

Lesson 2 Crutches Types of crutches Axillary Forearm Platform Lesson 2 Crutches

Axillary crutches Placed under arms Bear weight on hands Short term use Good upper body strength Lesson 2 Crutches

Forearm crutches Insert forearms into cuff Bear weight on hands Long term or permanent use Some upper body strength

Lesson 2 Crutches Platform crutches Patients who cannot bear weight on hands Forearms strapped into platforms Long term or permanent use

Least upper body strength Lesson 2 Crutches Adjusting crutches All health care workers need to know if crutches fit properly

Each type is different Lesson 2 Crutches Using crutches correctly 4-point gait 2-point gait 3-point gait

Swing-to gait Swing-through gait Unit 4: Assistive Devices for Ambulation Lesson 3: Walker Lesson 3 Walker

Walker Assistive device for ambulation Provide stability Provide support Lesson 3 Walker

Types of walkers Standard Rolling Platform Lesson 3 Walker Standard walker Patient lifts walker to

move forward Lesson 3 Walker Rolling walker Wheels allow patient to push to move forward

Lesson 3 Walker Platform walkers Patients bear weight on their forearms when moving forward Lesson 3 Walker

Adjusting walkers properly Handlebars level with patients hip Using walkers

properly

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