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Study Guide

Nursing Skills Laboratory Ten

DATE:

  1. October 30 or November 4, 2003

NURSING INTERVENTIONS CLASSIFICATION (NIC):

  1. Domain 1: Physiological: Basic (Care That Supports Physical Functioning)
    1. A (Activity and Exercise Management): Interventions to organize or assist with physical activity and energy conservation and expenditure
      1. Ambulating a patient alone
        1. (0221 Exercise Therapy: Ambulation)
      2. Ambulating a patient with one assistant
        1. (0221 Exercise Therapy: Ambulation)
      3. Ambulating a patient with a cane
        1. (0221 Exercise Therapy: Ambulation)
      4. Ambulating a patient with a walker
        1. (0221 Exercise Therapy: Ambulation)
      5. Measuring a patient for axillary crutches
        1. (0221 Exercise Therapy: Ambulation)
      6. Ambulating a patient with crutches using a 4-point gait
        1. (0221 Exercise Therapy: Ambulation)
      7. Ambulating a patient with crutches using a 3-point gait
        1. (0221 Exercise Therapy: Ambulation)
      8. Ambulating a patient with crutches using a 2-point gait
        1. (0221 Exercise Therapy: Ambulation)
      9. Ambulating a patient with crutches using a swing to gait
        1. (0221 Exercise Therapy: Ambulation)
      10. Ambulating a patient with crutches using a swing through gait
        1. (0221 Exercise Therapy: Ambulation)

READ CAREFULLY:

  1. Taylor, Lillis, & LeMone, Chapter 38 (pp. 994-1000)
  2. Nursing Skills Laboratory Procedure: Ambulating a Patient Alone
  3. Nursing Skills Laboratory Procedure: Ambulating a Patient With One Assistant
  4. Nursing Skills Laboratory Procedure: Ambulating a Patient With a Cane
  5. Nursing Skills Laboratory Procedure: Ambulating a Patient With a Walker
  6. Nursing Skills Laboratory Procedure: Measuring a Patient for Axillary Crutches
  7. Nursing Skills Laboratory Procedure: Ambulating a Patient With Crutches Using a 4-point Gait
  8. Nursing Skills Laboratory Procedure: Ambulating a Patient With Crutches Using a 3-point Gait
  9. Nursing Skills Laboratory Procedure: Ambulating a Patient With Crutches Using a 2-point Gait
  10. Nursing Skills Laboratory Procedure: Ambulating a Patient With Crutches Using a Swing To Gait
  11. Nursing Skills Laboratory Procedure: Ambulating a Patient With Crutches Using a Swing Through Gait

TERMS TO KNOW:

  1. 2-point gait
    1. crutch gait that permits weight bearing on both feet, but is a speed up of the 4-point gait
  2. 3-point gait
    1. crutch gait that permits weight bearing on one foot; the other foot cannot bear weight, but acts as a balance
  3. 4-point gait
    1. crutch gait that permits weight bearing on both feet
  4. Ambulate
    1. to walk or move about freely
  5. Cane
    1. an assistive device prescribed to provide support during ambulation for individuals with weakness, instability, pain, or loss of balance
  6. Crutches
    1. an assitive device prescribed to provide support during ambulation for individuals with paralysis, weakness, injury, or to minimize or eliminate weight-bearing on the lower extremities
  7. Single-ended cane with half-circle
    1. an assistive device prescribed to provide support during ambulation for individuals with weakness, instability, pain, or loss of balance that has a half-circle handle; recommended for individuals requiring minimal support
  8. Single-ended cane with straight handle
    1. an assistive device prescribed to provide support during amblation for individuals with weakness, instability, pain, or loss of balance that has a straight handle; recommended for individuals with hand weakness
  9. Swing through gait
    1. crutch gait that requires that both crutches move ahead together and the body weight is lifted by the arms and swung trhough and betyond the crutches
  10. Swing to gait
    1. crutch gait that requires that both crutches move ahead together and the body weight is lifted by the arms and swung to the crutches
  11. Tripod or quad cane
    1. an assistive device prescribed to provide support during amblation for individuals with weakness, instability, pain, or loss of balance that has a straight handle and broad, four-point base of support; recommended for individuals with hand weakness and poor balance
  12. Walker
    1. mechanical aid for walking that is a light-weight metal frame (usually aluminum) with a broad, four-point base of support

LEARNING ACTIVITIES:

  1. Read the following PRIOR to lab:
    1. Taylor, Lillis, & LeMone, Chapter 38 (pp. 994-1000)
    2. Nursing Skills Laboratory Procedure: Ambulating a Patient Alone
    3. Nursing Skills Laboratory Procedure: Ambulating a Patient With One Assistant
    4. Nursing Skills Laboratory Procedure: Ambulating a Patient With a Cane
    5. Nursing Skills Laboratory Procedure: Ambulating a Patient With a Walker
    6. Nursing Skills Laboratory Procedure: Measuring a Patient for Axillary Crutches
    7. Nursing Skills Laboratory Procedure: Ambulating a Patient With Crutches Using a 4-point Gait
    8. Nursing Skills Laboratory Procedure: Ambulating a Patient With Crutches Using a 3-point Gait
    9. Nursing Skills Laboratory Procedure: Ambulating a Patient With Crutches Using a 2-point Gait
    10. Nursing Skills Laboratory Procedure: Ambulating a Patient With Crutches Using a Swing To Gait
    11. Nursing Skills Laboratory Procedure: Ambulating a Patient With Crutches Using a Swing Through Gait
  2. View the following videotapes PRIOR to lab:
    1. Crutchwalking: An Overview for Nurses (Lippincott video; 23 mins.)
  3. Take a written test on the following DURING lab:
    1. Ambulating a patient alone
    2. Ambulating a patient with one assistant
    3. Ambulating a patient with a cane
    4. Ambulating a patient with a walker
    5. Measuring a patient for axillary crutches
    6. Ambulating a patient with crutches using a 4-point gait
    7. Ambulating a patient with crutches using a 3-point gait
    8. Ambulating a patient with crutches using a 2-point gait
    9. Ambulating a patient with crutches using a swing to gait
    10. Ambulating a patient with crutches using a swing through gait
  4. Demonstration/redemonstration of the following skills DURING Lab:
    1. Ambulating a patient alone
    2. Ambulating a patient with one assistant
    3. Ambulating a patient with a cane
    4. Ambulating a patient with a walker
    5. Measuring a patient for axillary crutches
    6. Ambulating a patient with crutches using a 4-point gait
    7. Ambulating a patient with crutches using a 3-point gait
    8. Ambulating a patient with crutches using a 2-point gait
    9. Ambulating a patient with crutches using a swing to gait
    10. Ambulating a patient with crutches using a swing through gait

STUDY QUESTIONS TO REVIEW FOR TEST:

  1. The proper technique for ambulating a patient with alone.
  2. The proper technique for ambulating a patient with one assistant.
  3. The proper technique for ambulating a patient with a cane.
  4. The proper technique for ambulating a patient with a walker.
  5. The proper technique for measuring a patient for axillary crutches.
  6. The proper technique for ambulating a patient with crutches using a 4-point gait.
  7. The proper technique for ambulating a patient with crutches using a 3-point gait.
  8. The proper technique for ambulating a patient with crutches using a 2-point gait.
  9. The proper technique for ambulating a patient with crutches using a swing to gait.
  10. The proper technique for ambulating a patient with crutches using a swing through gait.

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This page was last modified on 6/1/03