COACHING CLIENTS WITH TOOLS

1. Preparing the client
1.1. Greetings therapeutic delivered to the client / family friendly upon meeting

greatings

1.2. Action plan described to the client / family understand
1.3. Plan validated program back
1.4. The need for tools and materials are identified
1.5. Readiness client be re-examined

2. preparation tool
2.1. Prepared with a complete tool :

- Measuring-tape
 - Ganiometer
- Rubber-tipped Crutches
-Wooden Crutches
2.2. Tools are neatly
2.3. Equipment was brought to a close patient

3. nurses wash their hands
3.1. Nurses wash their hands

3.2. Measure the length of the crutch; 3 to 4 fingers, the width of the axilla to a point 15 cm (6 inches) toward the lateral heel to the client is the standard
3.3. Position the handle crutches with elbow flexed at an angle of 20 to 25 degrees, elbow flexion angle should be ensured by geniometer
3.4. Ensure that the distance between the bearing and axillary crutches is 3-4 finger width
3.5. Instruct clients to perform three-axis step, step three axis formed when the crutches are placed IS cm (6 inches) at the front and 15 cm beside each - each leg
3.6. teaches clients one of four ways to walk with crutches (more black printed areas indicate areas of weight load)
3.7. Teach clients up and down the stairs
Up:
- Perform three point position
- Move the weight on crutches
- Nicknames are not sore leg between the crutches and stairs
- Move your weight from leg crutch to not get sick
- Align both crutches flat rungs down:
Move the weight on the leg does not hurt
- Place the crutches on the steps and began to shape shift weight on crutches, leg pain move forward
- Straighten your legs are not sore on stairs with crutches
3.8. Teach clients how to sit in a chair and how to get up from a chair
Sitting:
- Clients in the front center seat position on the posterior aspect of the foot touches the chair
- Provide a safe method to sit and get up from a chair, reducing further damage to the system muskuloskletal client and the risk of falling
- Clients hold both crutches with his leg against the illness, when the second leg pain, crutch hold, hold in your hands stronger client
- The client grabbed the armrest with the other hand and lowered himself into a chair up:
- Perform three steps, above in reverse order
3.9 Nurses wash their hands
3:10 Note the walk ways and procedures that are taught as well as the client's ability to perform the way it goes in the notes to the nurse