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Quick Reference

Assistive and adaptive devices help residents maintain independence, improve safety, and compensate for functional limitations.

Ambulation Devices

DevicePurposeKey Consideration
CaneProvides balance and supportUsually held in the stronger or unaffected hand
Quad CaneProvides a wider base of supportRequires appropriate placement and technique
WalkerProvides greater walking stabilityMust be adjusted to appropriate height
CrutchesSupport walking with restricted weight-bearingFollow prescribed gait and weight-bearing status

CNA Responsibilities:

  • Check the care plan for device selection and assistance level.
  • Ensure equipment is appropriately sized and in good condition.
  • Reinforce techniques taught by therapy staff.
  • Stand on the weaker side when assisting with a cane, as directed.
  • Never allow a resident to pull themselves up using an unsecured walker.

Adaptive ADL Tools

DevicePurpose
Reacher/GrabberRetrieve items without excessive bending
Sock AidAssist with putting on socks
Button HookHelp fasten clothing
Elastic ShoelacesReduce the need to tie shoes
Raised Toilet SeatReduce effort when sitting and standing
Adaptive UtensilsSupport independent eating

Important Considerations

  • Devices must match individual abilities and care plans.
  • Check equipment for wear, damage, and proper fit.
  • Encourage independence without sacrificing safety.
  • Report new difficulties or increased assistance needs.
  • Do not independently prescribe or adjust mobility equipment outside training.

Flashcards

What determines selection of an assistive device?01-foundations / reference-guidelines
Answer

Individual function, safety needs, and the care plan.