Page 19 - Altered Obstructive Nursing Care

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Nursing Interventions Rationales

Transferring/Ambulation

For moderate assistance, the caregiver places
arms beneath both patient’s armpits with the This method forces the patient to maintain his
or her weight forward.
caregiver’s hands on the patient’s back.

For patients needing maximal assistance, use a
gait belt.

• Raise the bed to the tallest height that
still allows the patient’s feet to be flat on
the floor.
• Grasp the gait belt with both arms and This method maximizes patient support while
pull the patient forward. protecting the care provider from injury.
• Place a knee against the patient’s weak
knee (if applicable) and encourage the
patient to put weight on the strong side
during the transfer.
• Encourage the patient to use his or her
arms to assist, as able, and to place them
on the caregiver’s forearms.

Aid with ambulation; direct the use of
ambulation devices such as canes, walkers, and
crutches.
These methods promote patient safety and aid
• Stand on the patient’s weak side. with balance and support.
• If using a cane, place the cane in the
patient’s strong hand and ensure proper
foot-cane sequence.

Miscellaneous skills:

Telephone: Evaluate need for adaptive
equipment through the therapy department Patients will need a useful tool for
(e.g., increased volume, larger numbers, communicating needs from home.
pushbutton phone).

Writing: Provide the patient with felt-tip pens. Felt-tip pens mark with little pressure and are
Assess the demand for a support or splint on easier to use. Splints assist in holding the
the writing hand. writing device.

Toileting

Assess and note prior and present patterns for The efficacy of the bowel or bladder program
toileting; introduce a toileting routine that will be improved if the natural and personal
factors these habits into the program.

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