5a

• patient is PWB on their right leg following hip surgery. Teach them to stand to sit with EC for the first time starting with your patient in a chair- SIT TO STAND ELBOW CRUTCHES

  • REFER TO FIRST TIME UP SUBDECK
• patient is PWB on their right leg following hip surgery. Teach them to stand to sit with EC for the first time starting with your patient in a chair- SIT TO STAND ELBOW CRUTCHES

  • get pts onto zimmer frame first - check safety
  • then measure crutches whilst on zimmer frame - check safety of crutches as well
  • then get pts to stand up via crutches
• • then get pts to stand up via crutches:
  • put crutches on injured leg side in H position
  • also use the arms of the chair / sides of the bed to get into standing
  • transfer non injured side arm through the elbow cuff first, then put injured side through the cuff, then move non injured side to its normal side
  • to go back down move the non injured side to the same side as the injured side, take injured side arm out of cuff, then non injured side, look back and then place hand on chair, lowering yourself down
• CRUTCHES SAFETY CHECK

  • shouldn't be able to move the bottom rubber at all
  • need to make sure theres no wear in the holes
  • the poppers should be able to come out
  • the handle shouldnt be able to move around
  • the handle pivot should be firm
  • no damage or loose bolts by the elbow cuff
• CRUTCHES HEIGHT

  • the top of the handle should be in line with the styloid process (can also use the wrist crease) whilst the arm is relaxed by the side
  • patients taller than 5"11 require longer crutches
  • get pts to stand up using the arms of the chair and hold onto a Zimmer frame when measuring (only hold onto frame after standing up)
  • stand next to pts at all times
  • after arms are in crutches get pts to lean forwards with crutches and bring injured leg forward to make a triangular base of support
• ZIMMER FRAME STS

  • first give a demonstration so pts can learn
  • check if frame has been set up to pts height
  • pts must be in suitable footwear and environment must be safe
  • get pts to shuffle to the edge/front of the chair
  • must sit to stand from the chair, using the chair, pushing down on it to stand up
  • only once theyve stood up should they hold onto the frame - IMPORTANT!!!!
  • to sit down make sure pts can feel the bed/chair behind them and at that point reach back and sit down
• patient is PWB on their right leg following hip surgery. Teach them to stand to sit with EC for the first time starting with your patient in a chair- SIT TO STAND ELBOW CRUTCHES

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