A patient with left hemiparesis is using a quad cane for ambulation. Which of the following is the correct technique for the nurse to use in teaching the patient?
a. Use the cane on the right side, with the cane moving forward first.
b. Use the cane on the left side, with the left leg moving forward with the cane.
c. Use the cane in either hand, with the right leg moving forward first.
d. Use the cane in either hand, with the left leg moving beyond the forward placement of the cane.
A
To correctly use a quad cane, the patient places the cane on the side opposite the involved leg. This provides added support for the weak or impaired side. Ambulation then begins by moving the cane forward 6 to 10 inches (15 to 25 cm), keeping body weight on both legs. The weak leg is then brought forward even with the cane while the body weight is supported by the strong leg and the cane. The strong leg is then advanced past the cane. Moving a leg and the cane forward at the same time will compromise balance and increase risk of fall.
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