TRINITY VALLEY COMMUNITY COLLEGE
TRINITY VALLEY COMMUNITY COLLEGE
ASSOCIATE DEGREE NURSING
RNSG 1216
PROCEDURE GUIDE AND CHECK-OFF SHEET
CANE USE
A cane may be on a temporary or permanent basis for patients with orthopedic or neurological injuries. Upper body strength and balance need to be assessed.
Delegation: This procedure may be delegated to unlicensed assistive personnel. Evaluations and instructions must be completed by a nurse.
| Procedure | Scientific Rationale |
|The following equipment is needed for this skill: | |
|gait belt |a. Helps to guide patient and provides support. |
|cane with rubber tips on end (straight cane, quad cane, or hemicane) |b. Prevents cane from slipping. Straight cane offers least support. |
| | |
|c. supportive shoes with non-skid soles. |c. Prevents feet from slipping. |
|Inspect condition of cane: rubber tips in place, without cracks. |Ensures safety. |
|Assess patient’s upper body and hand strength, ROM in arms. |Toned arm muscles and upper body strength is required to use cane. |
|Teach patient importance of exercising arms. |Arms are used to support weight of body. |
|Measure cane to fit patient based on height: When properly fitted, |Ensures safety. |
|the elbow should be slightly flexed when hand is resting on cane. | |
|Help patient to standing position by using a gait belt. Note: Refer to|Ensures safety. |
|transfer from bed to chair procedure. | |
|Have patient place cane in hand opposite from weaker leg (if R leg |Cane should be kept on the stronger side of the body to obtain maximum support |
|weaker, place cane in L hand) |when walking. |
|Have patient step forward with weaker leg and swing cane forward at |The patient should be encouraged to stand up straight and look forward. Leaning |
|same time. |to one side or looking down can jeopardize safety and cause poor posture. |
|b. Bearing weight partly on weaker leg, and partly on cane, have | |
|patient swing stronger leg forward. | |
|Document mobility and patient’s tolerance of procedure. |All data must be entered in patient’s record. |
N:ADN/ADN Syllabus/CBC Curriculum/Level I/1216/Performance Checklist for Basic Skills - Cane Use Reviewed 04/16
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