If the client is non-weight bearing, the nurse assistant should transfer him using a mechanical lift (see Figure 26.3). Standing and sitting • To stand up with the crutches, it is important that you do not put your hands inside the grey cuff part until you are fully standing. Scoot forward in the chair to make it easier to stand. Position the wheelchair directly next to the surface (bed, toilet, tub bench, car, sofa, etc.). Intervention and outcomes: After referral to our clinic, we ordered repeat lumbar MR imaging in an upright weight-bearing position (sitting) 14 months after the patient's recumbent MR imaging. Keep your surgical/injured leg in the air at all times. Pushing down through the crutch handles with your hands, bring your non-surgical/non-injured leg up onto the step by hopping. Always use both crutches. *If there is a railing available to use, hold both crutches on the side of your body opposite the handrail and grab the handrail with your free hand. 0000002542 00000 n 0000008900 00000 n 0000001661 00000 n Obviously you should follow the advice of your own surgeon, however mine told me that a little weight bearing from fairly early on helps with the fusion (but not for the first 4 weeks). Maintain single leg standing, with minimal support, 5 seconds. This can be accomplished by bending your knee so that your foot is in the air behind you. CAUTION: A MECHANICAL LIFT IS NEVER USED TO LIFT A CLIENT FROM THE FLOOR There are many types of lifts. What Does Non-Weight Bearing Mean? You will need to use crutches or a walking frame. 0000003276 00000 n Raised Toilet Seat and Grab Bar Frame Raised toilet seat on free-standing frame with handrails placed over an existing toilet to provide a higher sitting position. Non-Weight Bearing (NWB): Do not place any weight through the surgical/injured leg. By understanding what bones in the body bears body weight enables us to be more aware of the body and how it works. Your surgical/injured leg should remain off of the ground at all times. Lower both crutches down to the step below. Why is touching the ground so bad after foot or ankle surgery? 0000004594 00000 n 0000008109 00000 n It is very important that you adhere to your weight-bearing instructions in order to avoid disrupting the healing process. A non-load bearing position of sitting upright will place 140 kg of pressure on the lumbar disc. Advertisement . When standing up from the sitting position, move to the front of the chair. Do not provide any mechanized assistance or support during standing process. 30. The Definition of Non-weight bearing simply means that you can’t put any weight on your injured lower limb for a period of time, which can be anything from weeks to months (1). Help for people who are weight-bearing … The client may reach toward the surface they will be transferring to. This meant that my right ankle was in a hard cast for 6 weeks and I was 100% non-weight bearing…but this was challenging because the foot meant to be my stable base for crutching or knee scootering was often pretty wobbly and in a lot of pain. h�b```b``��������A���bl,�� Do not wear slippers or high heels. The windlass test achieves a direct stretch on the plantar aponeurosis which can be effective in examining dysfunction of the plantar fascia. Use your crutches only as instructed. Use your crutches for all walking and standing activities until your physician instructs you otherwise. 0000071801 00000 n This is the most restrictive of all weight-bearing limitations. Start by placing both crutches 1-2 inches to the outside of each leg, and 6-12 inches in front of you. Foot Bones That Bear the Weight of the Body: The Calcaneum. 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