Walker

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WALKER

By: Group of Ma’am Jing


WALKER
Walkers are mechanical devices for
ambulatory clients who need more support
than a cane provides and lack the strength
and balance required for crutches.
Overvie 4 CONDITIONS

w
1 THE PARTS 5 CLIENT TEACHING

2 THE IMPORTANCE 6 THE PROCEDURE

3 RESPONSIBILITIES
THE TYPES
PARTS
IMPORTANCE
It helps substitute for a decrease in
strength, range of motion, joint stability,
coordination, or endurance. It can also
reduce the stress on a painful joint or
limb. Using a walking aid can help to be
more safe and independent in daily
activities.
Types of a Walker
STANDARD
WALKER
The standard walker needs to be picked up to be
used and has four legs with rubber tips and plastic
hand grips. The client therefore requires partial
strength in both hands and wrists, strong elbow
extensors, and strong shoulder depressors. The
client also needs the ability to bear at least partial
weight on both legs.
STANDARD
WALKER
The standard walker needs to be picked up to be
used and has four legs with rubber tips and plastic
hand grips. The client therefore requires partial
strength in both hands and wrists, strong elbow
extensors, and strong shoulder depressors. The
client also needs the ability to bear at least partial
weight on both legs.
TWO-WHEELED FOUR-WHEELED
WALKER WALKER
WHEELED WALKER
Four-wheeled and two-wheeled models of walkers (roller
walk- ers) do not need to be picked up to be moved, but
they are less stable than the standard walker is. They are
used by clients who are too weak or unstable to pick up and
move the walker with each step.
The majority of people who use walkers are over
the age of 65 and have musculoskeletal
(muscle/bone) or neurological issues. They are
most usually suffering from arthritis, particularly
ON S in their knees and hips, or they have cracked a
I TI Y
N D A bone, are recovering from surgery, or are
CO HAT ME TO
T UIR recovering from a terrible illness. Osteoporosis,
REQUSE AER. Multiple Sclerosis, Parkinson's Disease, and
L K
WA hemiplegia (when half of a person's body is
paralyzed, commonly due to a stroke) are all
conditions that need the use of a walker.
CLIENT
TEACHING
PROCEDURE
1 ASSESSMENT
PROCEDURE
1. Gather materials needed for the procedure:
Review the medical record and nursing plan of
walker
care for conditions that may influence the
patient’s ability to move and ambulate and for
2. Identify the patient. Explain the procedure to
specific instructions for ambulation such as
the patient. Encourage the patient to report any
distance. Assess for tubes, intravenous lines,
feeling of dizziness, weakness or shortness of
incisions, or equipment that may alter the
breath while walking. Decide how far to walk.
procedure of ambulation. Assess the patient’s
knowledge and previous experience regarding
3. Perform hand hygiene.
the use of a walker. Identify any movement
limitations.
4. Place the bed in the lowest position.
PROCEDURE
5. Assist the patient to the side of the bed. Have the patient sit on the side of the bed. Assess for dizziness
or light headedness. Have the patient stay sitting until he feels secure. Alternatively, assist patient to chair.

6. Assist the patient with footwear and a robe, if desired.

7. the walker directly in front of the patient. Ask the patient to push himself off the bed or assist the
patient to stand if seated in the chair. Assist the patient to stand within the walker, if necessary. Once
standing, have the patient hold the handgrips firmly and equally, while standing slightly behind, on one
side.

8. Have the patient move the walker forward 6 to 8 inches and set it down, making sure all for feet of the
walker stay on the floor. Then tell patient to step forward with either foot into the walker, supporting
himself on his arms. Follow through with the other leg. If one leg is weaker or impaired, have patients
step forward with the involved leg and follow with the uninvolved leg, again supporting himself on his
arms.
PROCEDURE

9. Move the walker forward again and continue the same pattern. Continue with ambulation for
the planned distance and time. Return the patient to the bed or chair based on patient’s tolerance.

10. Perform hand hygiene. Document the activity, any observations, the patient’s ability to use the
walker, the patient’s tolerance of the procedure, and the distance walked.
NURSING RESPONSIBILITIES
• The nurse may need to adjust the height of a client’s walker so that the hand bar is just below
the client’s waist and the client’s elbows are slightly flexed. This position helps the client
assume a more nor- mal stance. A walker that is too low causes the client to stoop; one that is
too high makes the client stretch and reach.

• The nurse continually assesses the patient’s stability and protects the patient from falls.

• The nurse walks with the patient by holding him or her at the waist as needed for balance.
BY: GROUP OF MA’AM JING

Thank
You
for your participation

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