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Discussion

Hi I need your help please:)

I am trying to study a bit on Transferring, Lifting, and Repositioning...............

Can you tell me if there is a section in the fundamentals of nursing (Potter and Perry) about the use of cane and wheelchair use?

Here is a question I am trying to figure out.

When assisting a client to use a cane, the practicle nursing student needs to know that the client should hold the cane on the affected side.

Is that correct?

The practicle nursing student should walk slightly ahead and on the unaffected side of the client using a cane, is this correct?

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Pg 679 in P&P. Hold cane in hand on stronger side of the body, and I was always taught as a CNA to stand slightly behind on the affected side because that is the side that will give out first and they will fall backwards. If they start to fall let them sit on your knee and slide them to the floor if no one is nearby. If someone is near have them get a chair and help you ease the patient onto it from your knee. Always place a wheelchair on the side of the bed the person is strongest on. Especially with strokes you will have loss of vision on the affected side and they need to see where you are asking them to go. Sit them on the edge of the bed with their feet flat on the floor and place your knees on theirs keeping your back straight. Explain that you are going to rock them (their hands on your shoulders and your arms under their axillarys) and stand on "3". Pivot them to the wheel chair keeping your knees on theirs and your foot in front of the affected foot so it won't slide. Have them reach for the arm of the wheelchair when they are close and sit when they feel the chair touch the backs of their knees. This is easier to do than explain, I always tell my patients we are going to dance!

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