Assisting A Patient With Ambulation Using A Cane: Page 1/2

The document provides instructions for assisting a patient with ambulation using a cane. It outlines 12 steps for the procedure, including reviewing the patient's medical history and mobility limitations, explaining the procedure to the patient, using proper hand hygiene and a gait belt, instructing the patient on how to properly use the cane to advance each leg during walking, and monitoring the patient during ambulation. Performance of each step is to be evaluated on a scale of 1 to 4.

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Mac Cristian A. Caragan

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Assisting A Patient With Ambulation Using A Cane: Page 1/2

Uploaded by

Mac Cristian A. Caragan

We take content rights seriously. If you suspect this is your content, claim it here.

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Download as DOC, PDF, TXT or read online on Scribd

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COLLEGE OF NURSING

Page 1/2
Remarks:

Instruction: check on the column of your choice as to what level is the performance of the student in the following procedure. Be
guided in the scoring with the legend below:
Legend: Level of performance
4 Very satisfactory (Performed all the procedures correctly)
3 Satisfactory (Needs minimal assistance in performing the procedure)
2 Good (Needs more practice in performing the procedure)
1 Fair (inappropriate in the performance of the procedure)
Name / Signature of Student Name / Signature of RD Instructor
STEP PROCEDURE 4 3 2 1
1 Review the medical record and nursing plan of care for conditions that may influence the patient’s
ability to move and ambulate, and for specific instructions for ambulation such as distance.
 Assess for tubes, IV lines, incisions, or equipment that may alter the procedure for
ambulation.
 Assess the patient’s knowledge and previous experience regarding the use of a walker
 Identify any movement limitations
2 Identify the patient and explain the procedure.
 Tell the patient to report any feeling of dizziness, weakness, or shortness of breath while
walking. Decide how far to walk
3 Perform hand hygiene
4 Encourage the patient to make a use of a stand-assist aid, either free standing or attached to the side
of the bed, if available, to move to the side of the bed.
5 Wrap the gait belt around the patient’s waist, based on assessed need and facility.
6 Encourage the patient to make use of the stand-assist device to stand with weight evenly distributed
between feet and cane.
7 Have the patient hold the cane on his or her stronger side, close to the body.
8 Tell the patient to advance the cane 4” to 12” (10-30cm) and then while supporting his or her weight
on the stronger leg and the cane, advance the weaker foot forward, parallel with the cane
9 While supporting his or her weight on the weaker leg and the cane, have the patient advance the
stronger leg forward ahead of the cane (heel slightly beyond the tip of the cane)
10 Tell the patient to move the weaker leg forward until it is even with the stronger leg, and then
advance the cane again. Subtotal:
11 Continue with ambulation for the planned distance and time. Return the patient to the bedTotal
or chair
Score:
based on the patient’s tolerance and condition, ensuring the patient’s comfort and that call lightScore:
Perfect is 48
within reach.
12 Remove gait belt. Perform hand hygiene.