🛏️ Swen Debaz ak Konfò · Leson 3 sou 6 · 6 min
Kann, Bekiy ak Mache: Ki Bò, Ki Janm, Ki Etap
Canes, Crutches and Walkers: Which Side, Which Leg, Which Step
🩼 'Up with the good, down with the bad' [monte ak bon an, desann ak move a]. Chak enfimyè ka resite li. Mwatye nan yo mete kann lan sou move bò a. Egzamen an poze kesyon sou toulede, epi sou espas de dwèt ki anpeche bekiy paralize yon bra.
🩼 'Up with the good, down with the bad.' Every nurse can recite it. Half of them put the cane on the wrong side. The exam asks about both, and about the two-finger gap that keeps crutches from paralyzing an arm.
💡 Ide prensipal
Kann sou bò fò a, li deplase ak janm fèb la. Bekiy pote pwa sou men yo. Eskalye: monte ak janm fò a anvan, desann ak janm fèb la ak bekiy yo anvan.
Cane on the strong side, moving with the weak leg. Crutches bear weight on the hands. Stairs: up with the strong leg first, down with the weak leg and crutches first.
🧠 Poukisa sa enpòtan
KANN: kenbe li sou bò FÒ a, deplase kann lan ak janm FÈB la ansanm, apre janm fò a; manch lan dwe rive nan pli ponyèt la ak koud la yon ti jan pliye. BEKIY: kousen yo chita 2 a 3 lajè dwèt anba esèl la epi pwa a pote sou MEN yo, pa janm sou zesèl yo, pou anpeche blesi pleksis brakyal. Demach komen: kat pwen (toulede janm pote pwa, pi stab), twa pwen (yon janm pa ka pote pwa: toulede bekiy ak janm afekte a deplase ansanm), de pwen, ak balanse-pase. ESKALYE ak bekiy oswa yon kann: lè w ap MONTE, janm fò a ale anvan epi bekiy yo swiv ak janm fèb la; lè w ap DESANN, bekiy yo ak janm fèb la ale anvan. MACHE: leve oswa woule li annavan apeprè 6 a 8 pous, apre fè etap ak janm fèb la, apre janm fò a; koud yo pliye apeprè 15 a 30 degre. Pou tout aparèy, soulye ki pa glise, planche klè ak yon senti demach pandan premye antrènman an.
CANE: hold it on the STRONG side, move the cane and the WEAK leg together, then the strong leg; the handle should reach the wrist crease with the elbow slightly bent. CRUTCHES: the pads sit 2 to 3 finger widths below the axilla and the weight is borne on the HANDS, never the armpits, to prevent brachial plexus injury. Common gaits: four-point (both legs bear weight, most stable), three-point (one leg cannot bear weight: both crutches and the affected leg move together), two-point, and swing-through. STAIRS with crutches or a cane: going UP, the strong leg goes first and the crutches follow with the weak leg; going DOWN, the crutches and weak leg go first. WALKER: lift or roll it forward about 6 to 8 inches, then step the weak leg, then the strong leg; elbows bent about 15 to 30 degrees. For all devices, non-skid shoes, clear floors and a gait belt during early training.
🏥 Nan lavi reyèl
🪜 Yon pasyan ki gen yon cheviy goch kase ap aprann eskalye ak bekiy. Monte: janm dwat (fò) anvan, apre bekiy ak janm goch. Desann: bekiy ak janm goch anvan, apre janm dwat. Li plenyen tou dwèt li ap pikote apre yon long pwomnad; enfimyè a jwenn bekiy yo twò wo epi pasyan an ap apiye sou kousen yo. De pous ajisteman anpeche yon blesi nè.
🪜 A client with a fractured left ankle is learning stairs with crutches. Up: right (strong) leg first, then crutches and left leg. Down: crutches and left leg first, then right leg. He also complains of tingling fingers after a long walk; the nurse finds the crutches too tall and the client leaning on the pads. Two inches of adjustment prevents a nerve injury.
📌 Sa pou retni
- Kann: bò fò, li deplase ak janm fèb laCane: strong side, moves with the weak leg
- Bekiy: de a twa lajè dwèt anba esèl la; pwa sou men yoCrutches: two to three finger widths below the axilla; weight on the hands
- Up with the good, down with the bad [monte ak bon an, desann ak move a]Up with the good, down with the bad
✅ Teste tèt ou
Yon pasyan ki gen feblès bò dwat apre yon estwok ap aprann itilize yon kann. Ki enstriksyon ki kòrèk?A client with right-sided weakness after a stroke is learning to use a cane. Which instruction is correct?
- Deplase kann lan ak janm goch laMove the cane with the left leg
- Kenbe kann lan 12 pous lwen kò aKeep the cane 12 inches from the body
- Kenbe kann lan nan men goch laHold the cane in the left hand
- Kenbe kann lan nan men dwat laHold the cane in the right hand
Repons: C · Kenbe kann lan nan men goch la
Yo kenbe kann lan sou bò fò a (goch) epi li avanse ansanm ak janm fèb la (dwat) pou elaji baz sipò a.
The cane is held on the strong (left) side and advances together with the weak (right) leg to widen the base of support.
Yon pasyan rapòte angoudisman ak pikotman nan men ak avanbra apre li fin itilize bekiy. Ki kòz ki pi posib?A client reports numbness and tingling in the hands and forearms after using crutches. What is the most likely cause?
- Manch men yo twò baThe hand grips are too low
- Bekiy ki twò kout, ki fòse yon panche annavanCrutches that are too short, forcing a forward lean
- Presyon aksilè soti nan bekiy ki twò longAxillary pressure from crutches that are too long
- Yon ajisteman nòmal nan itilizasyon bekiy ki rezoud nan yon semènA normal adjustment to crutch use that resolves within a week
Repons: C · Presyon aksilè soti nan bekiy ki twò long
Presyon sou esèl la konprese pleksis brakyal la. Kousen yo dwe chita de a twa lajè dwèt anba zesèl la ak pwa a sou men yo. Bekiy ki twò kout lakòz koube ak tansyon nan do olye sentòm nè nan men ak avanbra yo.
Pressure on the axilla compresses the brachial plexus. The pads should sit two to three finger widths below the armpit with weight on the hands. Crutches that are too short cause stooping and back strain rather than nerve symptoms in the hands and forearms.
Kijan yon pasyan k ap itilize yon mache dwe deplase?How should a client using a walker move?
- Deplase mache a annavan, fè etap ak janm fèb la, apre janm fò aMove the walker forward, step with the weak leg, then the strong leg
- Fè etap annavan ak janm fò a, apre janm fèb la, apre deplase mache aStep forward with the strong leg, then the weak leg, then move the walker
- Pote mache a pandan w ap macheCarry the walker while walking
- Apiye tout pwa kò a sou mache a pandan w ap fè etapLean the full body weight on the walker while stepping
Repons: A · Deplase mache a annavan, fè etap ak janm fèb la, apre janm fò a
Mache a anvan, apre janm fèb la, apre janm fò a, kenbe kò a anndan ankadreman an. Fè etap anvan epi deplase mache a an dènye ranvèse sekans lan, kidonk pasyan an fè etap anvan sipò mache a an plas.
Walker first, then the weak leg, then the strong leg, keeping the body inside the frame. Stepping first and moving the walker last reverses the sequence, so the client steps before the walker's support is in place.
Kesyon tankou NCLEX, XP ak seri jou nan aplikasyon an, an angle ak èd an kreyòl. Pa bezwen enskri.