A client with a fractured hip is being taught correct use of the walker. The nurse is aware that the correct use of the walker is achieved if the:
A. Palms rest lightly on the handles
B. Elbows are flexed 0°
C. Client walks to the front of the walker
D. Client carries the walker
Correct Answer: A. Palms rest lightly on the handles
The client’s palms should rest lightly on the handles. The elbows should be flexed no more than 30° but should not be extended. Once a model of the walker has been selected, the “fit” of the walker becomes important. When holding on to the walker, the elbows should be bent in a position that feels comfortable and natural. The top of the walker should be even with the crease on the underside of the wrist when the arms are relaxed at the side.
Option B: A 0° is not a relaxed angle for the elbows and will not facilitate correct walker use. Walkers that are too low cause the client to stoop over while walking, which impedes proper body mechanics. If the walker is at the wrong height, the client will be prone to aches and pains.
Option C: The client should walk to the middle of the walker, not to the front of the walker. To get started, the client should push the walker slightly ahead, then step into the walker. Keep that pattern going—walker slightly ahead, then step into the walker. The walker should never be too far ahead and the client should have excellent posture as he takes steps. Also, the client should not look at feet, rather in front of him.
Option D: The client should be taught not to carry the walker because this would not provide stability. If there is trouble gripping the walker, platform walkers are available that may prove to be a better option. The platform allows the client to rest the elbow and forearm, taking stress off the hands.