A nurse is providing teaching about the use of crutches using a three-point gait to a client who has a tibia fracture.
Which of the following actions by the client indicates an understanding of the teaching?
A.
Moving both crutches with the stronger leg forward first.
B.
Supporting his body weight while leaning on the axillary crutch pads
C.
Stepping with his affected leg first when going up stairs
D.
Positioning both hands on the grips with his elbows slightly flexed.
The correct answer and Explanation is :
The correct answer is D. Positioning both hands on the grips with his elbows slightly flexed.
Explanation:
When using crutches with a three-point gait, proper technique is crucial for safety and effectiveness. Here’s a breakdown of the options:
A. Moving both crutches with the stronger leg forward first.
This is incorrect because in the three-point gait, the crutches and the affected leg move together first, followed by the stronger leg. Moving the stronger leg first is more characteristic of a modified gait pattern rather than the standard three-point gait.
B. Supporting his body weight while leaning on the axillary crutch pads.
This is incorrect. Leaning on the axillary crutch pads can cause nerve damage and discomfort. Instead, the weight should be supported by the hands and arms, not the underarms, to prevent complications and ensure proper use of the crutches.
C. Stepping with his affected leg first when going up stairs.
This is incorrect. When using crutches to go up stairs, the stronger leg should lead first. The correct sequence involves bringing the crutches and the affected leg up to the same step, then bringing the stronger leg up to the step. Conversely, when going down stairs, the crutches and the affected leg should move down first, followed by the stronger leg.
D. Positioning both hands on the grips with his elbows slightly flexed.
This is correct. Proper use of crutches involves positioning the hands on the grips with the elbows slightly flexed. This positioning helps distribute weight evenly through the hands and arms, avoids excessive pressure on the underarms, and provides better stability and control. Keeping the elbows slightly flexed helps maintain a more balanced and comfortable posture while using crutches.
In summary, correct crutch use involves proper hand positioning and maintaining a slight flexion in the elbows to ensure stability and reduce the risk of injury.