Ambulation & Safety
What are three benefits of ambulation?
Improves muscle/joint strength, prevents complications of immobility, increases well-being/independence
What is the purpose of a gait belt?
Provides stability and support during ambulation- assist with falls
What is the Fowler's position, and what is it used for?
Semi-seated position (15-90°), promotes lung expansion
What tool is used for lateral transfers with minimal lifting?
Slide board
What is the difference between passive and active range of motion?
Passive: Moved by another person. Active: Moved by the client.
What should be assessed before ambulating a client?
Mobility status, need for assistance, risk of orthostatic hypotension
When using a cane, how should it be positioned when climbing stairs?
On the same level as the weaker leg
Which position promotes spinal alignment and reduces pressure on the sacrum?
Lateral position
What is the difference between moderate and minimum assistance for transfers?
Moderate: Can sit but needs help standing. Minimum: Can stand but needs support.
What type of movement involves reducing the angle of a joint?
Flexion
Name two things to ensure before a client stands up from bed.
Non-skid footwear, clear pathway, IV lines secured
What type of walker provides the most support but requires more strength?
Standard walker (no wheels)
What is the Trendelenburg position used for?
Promotes venous return and drainage of lower lungs
What assistive device is used for clients who can stand but have difficulty moving their feet?
Pivot disc
What are three examples of moderate-intensity aerobic exercise for older adults?
Walking, swimming, water aerobics, dancing, biking
What is "dangling," and why is it important before standing?
Sitting at the bedside before standing to prevent dizziness/falls
What should be the proper height for a walker or cane?
At wrist level when arms are at the side
What are the two "P’s" of client positioning?
Promotion (comfort, safety, dignity) and Prevention (injury, skin breakdown)
When is a mechanical lift required?
When a client cannot bear weight or assist with transfers
How much exercise is recommended per week for adults?
150 minutes of moderate-intensity exercise
What are three safety measures to reduce fall risk when ambulating a client?
Use gait belt, ensure clear path, assist with position changes
Why should crutches not rest in the axilla?
Risk of nerve damage (crutch palsy)
What is the purpose of frequent repositioning for immobile clients?
Prevents pressure ulcers, muscle contractures, and respiratory complications
How many team members should assist with a slide board transfer?
Three to four
What can happen if an inactive client suddenly increases activity too quickly?
Muscle strain, fatigue, risk of falls