OUR LADY OF FATIMA UNIVERSITY

College of Nursing – Pampanga

PROGRAM Bachelor of Science in Nursing Student Name

Year and Section
COURSE NCM 104 Instructor
Date

PROCEDURE : Teaching a patient to walk with CRUTCHES

EXPECTED OUTCOME : The student should be able to teach client how to use crutch effectively and
efficiently
ASESSMENT TASK : Return demonstration
Link: https://www.youtube.com/watch?v=ElZkPye4WtA

Purpose: Crutches can help you recover from leg injuries such as a fracture, surgery, sprain (over-stretching of
the ligaments) or strain (over-stretching of muscles and tendons). By reducing the amount of weight placed on
an affected leg, injuries can heal quicker and allow you to stay mobile. Sometimes crutches may be given to
you for other injuries such as low back pain, particularly if you have pain or weakness in your legs.
.

Exceptional Good Average Poor

Assessment Dimension SCORE
(3) (2) (1) (0)
1. Greet and identify the Performed Performed Performed the Failed to perform the
patient assessment with assessment with assessment with some assessment.
ease without little errors errors.
supervision.

2. Inform client you will be The procedure The procedure The procedure Failed to perform the
teaching crutch ambulation. performed performed but performed with slight procedure.
accurately with needs minimal difficulty, needs
evident ease supervision. supervision most of
without supervision the time.
3.Assess client for strength, The procedure The procedure The procedure Failed to perform the
mobility, range of motion, performed performed but performed with slight procedure
visual acuity, perception, accurately with needs minimal difficulty, needs
difficulties and balance. evident ease supervision. supervision most of
without supervision the time.
4. Adjust crutches to fit the The procedure The procedure The procedure Failed to perform the
client.The crutches pad performed performed but performed with slight procedure
should fit 1.5 to 2 inches accurately with needs minimal difficulty, needs
below the axilla.The hand evident ease supervision. supervision most of
grip should keep the elbows without supervision the time.
bent at 30 degrees flexion.
5. Lower the height of the The procedure The procedure The procedure Failed to perform the
bed.Dangle the the clients performed performed but performed with slight procedure
feet.Assess for vertigo. accurately with needs minimal difficulty, needs
evident ease supervision. supervision most of
without supervision the time.
6. Instruct the client to The procedure The procedure The procedure Failed to perform the
position crutches lateral to performed performed but performed with slight procedure
and forward of feet. accurately with needs minimal difficulty, needs
Demonstrate correct evident ease supervision supervision most of
positioning. without the time.
supervision.
7. Assist the client to a Performed the Performed the Performed the Failed to perform the
standing position with procedures with procedure with procedures with some procedure
crutches. ease little errors errors.
8. Four-point gait Performed the Performed the Performed the Failed to perform the
•Position crutches to the procedures with procedure with procedures with some procedure
side and in front of each ease little errors errors.
foot. (Tripod position)
•Move the right crutch
forward 4 t0 6 inches. then
•Move the left foot forward
even with the right crutch.
•Move the left crutch
forward 4 to 6 inches.
•Move the right foot
forward, even with the left
crutch.
•Repeat the 4 point gait.
9. Three-Point Gate The procedure The procedure The procedure Failed to perform the
• Advance both crutches performed performed but performed with slight procedure
and the weaker leg forward accurately with needs minimal difficulty, needs
together. evident ease supervision supervision most of
•Move the stronger leg without the time.
forward, even with the supervision.
crutches.
• Repeat the 3 point gait
10. Two-Point Gait The procedure The procedure The procedure Failed to perform the
•Move the right crutch and performed performed but performed with slight procedure
left leg forward together 4 accurately with needs minimal difficulty, needs
to 6 inches.then evident ease supervision supervision most of
•Move the left crutch and without the time.
right leg forward together 4 supervision.
to 6 inches/
• Repeat 2 point gait.
11. Swing to Gait/ Swing The procedure The procedure The procedure Failed to perform the
through gait performed performed but performed with slight procedure
• Move both crutches accurately with needs minimal difficulty, needs
forward together 4 to 6 evident ease supervision supervision most of
inches. without the time.
• Move both legs forward, supervision.
even with both crutches. (
through crutches)
• Repeat the swing to gait.
12. Walking Up stairs The procedure The procedure The procedure Failed to perform the
• Instruct the client to performed performed but performed with slight procedure
position the crutches as if accurately with needs minimal difficulty, needs
walking. evident ease supervision supervision most of
•Move the strong leg on the without the time.
first step first. then supervision.
• Followed by both crutches
and weak leg.
• Repeat the steps
13. Walking Down Stairs The procedure The procedure The procedure Failed to perform the
• Instruct the client to performed performed but performed with slight procedure
position the crutches as if accurately with needs minimal difficulty, needs
walking. evident ease supervision supervision most of
•Place the weight on the without the time.
strong leg, then supervision.
• Move the crutches down
to the next lower step
followed by the weak leg.
• Place total weight on hand
grip and crutches
• Followed by strong leg.
• Repeat the steps.
14. Document the Performed the Performed the Performed the Failed to perform the
procedure. procedures with procedure with procedures with some procedure
ease little errors errors.

OVERALL SCORE: ________________

Target raw score is 32 out of 42. If raw score is less than 32, repeat the return demonstration.

___________________________________
FACULTY SIGNATURE OVER PRINTED NAME