ASSISTIVE DEVICE

ANGELI PEARLYNE RAMOS RN

In assisting patients that has special
needs, we are helping them reach
their goal which is independence.

In this module we will discuss on how

are we going to instruct the patients on
how to use the assistive devices
properly.
 CRUTCHES
GAIT- MANNER OF
WALKING

2 point gait
3 point gait
4 point gait
swing to
Swing through
 2 POINT GAIT
 
• LEFT LEG WITH OPPOSITE CRUTCH, 
• RIGHT LEG WITH OPPOSITE CRUTCH 
• (VICE VERSA OK) 
3 POINT GAIT

CRUTCHES-BAD LEG-GOOD LEG

4 POINT GAIT LEFT  

 LEFT CRUTCH
 OPPOSITE LEG 
 RIGHT CRUTCH 
 OPPOSITE LEG
SWING THROUGH

requires the abdominal

muscles

fastest gait
SWING TO
 BOTH CRUTCHES. BOTH LEGS TO
THE CRUTCH LEVEL
CANE

PROPER POSITION OF CANE:

 
LEVEL OF THE WRIST 
IT MUST BE ON THE STRONG LEG
 CANE AND WEAK LEG
 STRONG LEG 

OR
CANE
WEAK LEG
STRONG LEG
“GOOD LEG GOES TO HEAVEN , BAD
LEG GOES TO HELL”

 GOING UP THE STAIRS

 GOOD LEG 
 CANE WITH BAD LEG
GOING DOWN THE STAIRS 

 CANE WITH BAD LEG 

 GOOD LEG 
PATIENT’S TRANSFER

 AS HEALTHCARE
PROVIDERS WE HAVE
TO KNOW AND USE
BODY MECHANICS
PROPERLY IN SAFELY
TRANSFERRING THE
PATIENTS.
 Preparation
 Think through the steps before you act, and get help if you
need it. If you are not able to support the patient by
yourself, you could injure yourself and the patient.
 Make sure any loose rugs are out of the way to prevent
slipping. You may want to put non-skid socks or shoes on
the patient's feet if the patient needs to step onto a slippery
surface.
 The following steps should be followed:
 Explain the steps to the patient.
 Park the wheelchair next to the bed, close to you.
 Put the brakes on and move the footrests out of the way.
 Getting a Patient Ready to Transfer
 Before transferring into the wheelchair, the patient must be
sitting.
 Allow the patient to sit for a few moments, in case the
patient feels dizzy when first sitting up.
Transfer: Bed to Wheelchair

ALWAYS REMEMBER TO KEEP

YOURSELF AWAY FROM THE
AFFECTED AREA

THAT’S HOW YOU WILL REMEMBER

WHERE YOU SHOULD POSITION
YOURSELF
 IDENTIFY THE PATIENT'S WEAK SIDE
 MAKE SURE THAT YOUR WHEEL CHAIR IS
NOT FAULTY
 MAKE SURE YOU HAVE GAIT BELT
 GO TO THE PATIENT EXPLAIN THE
PROCEDURE TO THE PATIENT
 BUILD RAPPORT TO GAIN PATIENT'S
COOPERATION
.
 IN GETTING THE PATIENT WHEEL CHAIR SHOULD BE 45 DEGREES TO THE
HEAD OF THE BED AWAY FROM THE AFFECTED SIDE

 IN PUTTING BACK THE PATIENT FROM WHEEL CHAIR , WHEEL CHAIR

SHOULD BE 45 DEGREES TO THE FOOT OF THE BED

 STRONG SIDE SHOULD BE THE ONE NEAR THE BED

1. Sit the patient up
2. Lock the wheelchair.
3. Help the patient turn over onto his or her side, facing you.
4. Put an arm under the patient’s neck with your hand
supporting the shoulder. Put your other hand behind the
knees.
5. Swing legs over the edge of the bed, helping the patient to
sit up
6. Stand the patient up
7. Have the patient scoot to the edge of the bed.
8. Put your arms around the patient’s chest and clasp
your hands behind his or her back
9. Support the leg farthest from the wheelchair
between your legs, lean back, shift your weight, and
lift.
10. Sit the patient down
Have the patient pivot toward the
chair, as you continue to hold on.
Always transfer toward the person’s
stronger side.
11. As the patient bends toward you,
bend your knees and lower the
patient into the back of the chair.
 ACTIVITY TIME

 DAY 1 PRACTICE DEMO

 DAY 2 GRADED DEMO
 ASSIGNMENT: PUT THIS ON YOU REVIEWER

ASSISTIVE DEVICES AND ITS MANNER OF WALKING

PARTS OF ASSISTIVE DEVICES
PATIENT’S TRANSFER