Clinical Nursing Skills at a Glance. Группа авторов

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the patient to look in the direction they are wanting to walk in and let them initiate the first step.

       Walk with the patient and provide reassurance.

      Walking with Assistance of Two

       Follow the above steps, with the second handler doing the same on the patient's other side.

       Ensure both handlers' arms cross over, across the back of the patient, to provide further support (Figure 9.3).

      Walking with a Frame

       Inform the patient that once they are standing the frame will be placed within reach.

       The patient's hands should be placed either side of the frame for support while they walk.

       The frame should be moved first, followed by the patient's feet (Figure 9.4).

      Standing to Sitting

       Ensure the back of the patient's legs are touching the chair.

       The patient reaches for the chair behind them with bottom out towards the chair to sit.

       Your hand can come to the middle of their back and apply gentle pressure to guide the patient back into the chair (Figure 9.5).

        Never use a frame to assist standing.

        Do not walk too close to the patient’s hips; allow for natural sway and movement of hips.

        Changes in mobility, particularly any weakness, should be noted and escalated as appropriate.

      1 Health and Safety Executive (HSE) (2015) Health and Safety in the Health and Social Care Sector in Great Britain, 2014/15. www.hse.gov.uk/statistics/industry/healthservices/health.

      2 Smith, J. (2011). The Guide to the Handling of People, 6e. London: National Back Pain Association.

      3 The National Back Exchange (2010). Guidelines for Manual Handling, 3e. Towcester: The National Back Exchange.

      Note

      1 1 A load refers to a person or any object.

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