2a

• Your patient is PWB on their right leg following hip surgery (They have problems with both writs and unable to weight bear through them) Teach them to walk with a gutter frame for the first time, patient starts in bed – WALKING WITH GUTTER FRAME

  • must use gutter frame as pts has wrist problems - gutter frame puts pressure on forearms instead
  • Technique same as Zimmer frame
  • advantage of Gutter frame allows pts not to have to lift up frame, but only works on smoot surfaces
  • make sure to turn in half circles
  • try to get heel strike with injured leg
  • try to look forward, not down at feet
• Your patient is PWB on their right leg following hip surgery (They have problems with both writs and unable to weight bear through them) Teach them to walk with a gutter frame for the first time, patient starts in bed – WALKING WITH GUTTER FRAME

  • technique same as zimmer frame:
  • make the safety checks with the frame first
  • bring frame forward, followed by the bad leg, then the good leg
  • (3 points of contact per gait cycle)
  • STAND RIGHT NEXT TO PTS
• PWB on their right leg following hip surgery (They have problems with both writs and unable to weight bear through them) Teach them to walk with a gutter frame for the first time, patient starts in bed – WALKING WITH GUTTER FRAME

  • safety checks:
  • wheels must be stable
  • ferrules must have good grip on it and securely on the legs
  • the poppers must be visible and are stable
  • the poppers at same level on each leg
  • the shafts shouldnt have any dents, may collapse if someone puts their weight on it
  • sticker saying its been confirmed for safety (same as crutches)
  • the handles mustnt have any cracks
• Your patient is PWB on their right leg following hip surgery (They have problems with both writs and unable to weight bear through them) Teach them to walk with a gutter frame for the first time, patient starts in bed – WALKING WITH GUTTER FRAME

  • patient starts in bed:
  • LOOK AT FIRST TIME UP SUBDECK
• • patient starts in bed:
  • LOOK AT FIRST TIME UP SUBDECK
  • need pts to understand their weightbearing status
  • need to ask pts if theyre in pain and if theyre nauseas/dizzy
  • check if pts have taken their medication - make sure theyve taken their pain relief so theyre not in pain doing the rehab
  • check what the pts are in for
  • check their situation last night
  • check observation chart
  • check history of presenting condition
  • check relevant past medical history - e.g. RA will need gutter crutches
• • there should be around 90 degrees of elbow flexion, without there being too much lumbar flexion on the gutter frame
• PWB on their right leg following hip surgery (They have problems with both writs and unable to weight bear through them) Teach them to walk with a gutter frame for the first time, patient starts in bed – WALKING WITH GUTTER FRAME

  • TELL AND EXPLAIN TO PATIENT THAT THEYRE PARTIAL WEIGHTBEARING!!!!