Page 2135 - Saunders Comprehensive Review For NCLEX-RN

Two- Used with partial weight-bearing limitations The crutch on the affected side and the unaffected foot are
point and with bilateral lower extremity prostheses advanced at the same time
gait
Three- Used for partial weight bearing or no weight Both crutches and the foot of the affected extremity are
point bearing on the affected leg; requires that the advanced together, followed by the foot of the unaffected
gait client have strength and balance extremity
Four- Used if weight bearing is allowed and 1 foot can The right crutch is advanced, then the left foot, then the left
point be placed in front of the other crutch, and then the right foot
gait
Swing- Used when there is adequate muscle power and Both crutches are advanced together, then both legs are
to gait balance in the arms and legs lifted and placed down on a spot behind the crutches. The
feet and crutches form a tripod.
Swing- Used when there is adequate muscle power and Both crutches are advanced together; then both legs are
through balance in the arms and legs lifted through and beyond the crutches and placed down
gait again at a point in front of the crutches

Adapted from Linton AD: Introduction to medical-surgical nursing, ed 4, St. Louis,
2007, Saunders.

Box 60-4

Types of Disk Surgery

Diskectomy: Removal of herniated disk tissue and related matter
Diskectomy with Fusion: Fusion of vertebrae with bone graft
Laminectomy: Excision of part of the vertebrae (lamina) to remove the disk
Laminotomy: Division of the lamina of a vertebra

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