| Term | Definition |
|---|
| Preparing for ambulation | requires physical conditioning before the client can ambulate, this increase muscle strength and the ability to bear weight and should include isometric exercises |
| Isometric exercises | Are used to promote muscle tone and strength. |
| Tone | Means the ability of the muscles to respond when stimuilated |
| Strength | means the power to perform |
| Types of isometric exercises | Gluteal setting contraction and relaxation of gluteal muscles (aids in extending, abducting and rotating the legs are essential for walking, quadriceps setting the client alternately tenses and relaxes the quadricep mucles(helps client to stand) |
| Upper arm strength | includes flexion and extension of the arms and wrist, raising and loweing weights with the hand, squeezing a ball or spring grip and performing modified hand push-pus in bed |
| Dangling | sitting on the edge of the bed, helps normalize blood pressure |
| Tilt table | a device that raises the client from a supine to standing position, helps clients adjust to being upright and bearing weight on their feet. |
| Assistive devices | are use when a client needs assistance to ambulate independently |
| Types of Assistive Devices | parallel bars and a walking belt |
| Ambulatory Aids | are used to help with ambulation |
| Types of ambulatory aids | canes, walker and crutches |
| Types of crutches | axillary, forearm and platform |
| Nursing diagnosis for clients who need ambulatory aids | Impaired physical mobility, risk for Disuse syndrome, unilateral neglect, risk for trauma, Risk for Peripheral neurovascular Dysfunction, risk for activity Intolerance |
| When using a cane | Use on strong side, move with affected side |
| Height of a cane | is measured at the hip |
| When using a walker | place walker 8-12 inches in front and step forward |
Combine with other sets
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