380 Unit 4 Healthcare Skills Copyright Goodheart-Willcox Co., Inc. 14. Walk behind the patient and to one side during ambulation. 15. Hold on to the belt directly from behind. Watch for signs of a possible patient collapse. Do not attempt to catch a patient who begins to collapse during ambulation. Instead, slowly ease the patient to the fl oor, using your body as an incline. 16. Determine if the patient has a weak side. If so, position yourself accordingly: • weak right side: stand between the 4 and 5 o’clock positions (Figure 13.10A) • weak left side: stand between the 7 and 8 o’clock positions (Figure 13.10B) 17. Let the patient set the pace while keeping a fi rm grasp on the gait belt, if used. 18. Encourage the patient to achieve the ordered distance, but be observant. Watch for signs of patient fatigue. If collapse occurs, follow the steps discussed earlier. 19. When the ambulation is completed, help the patient return to her room (or bed). Remove and put away the gait belt, robe, and shoes. Follow-up 20. Make sure the patient is safe and comfortable. Place the call light and personal items within easy reach. 21. Wash your hands to ensure infection control. Reporting and Documentation 22. Communicate any specifi c observations, complications, or unusual responses to the appropriate provider. Also record this information in the patient’s chart or EMR. Check Your Understanding 1. Name at least three benefits of exercise. 2. What is the goal of proper body alignment? 3. Do bones move muscles, or do muscles move bones? 4. Are healthcare workers required to wear back belts when assisting patients, or is each healthcare worker allowed to decide for himself or herself? 5. Why is it important to anticipate the needs of patients during ambulation? 6. What possible safety risks and hazards might occur when assisting with ambulation? 7. How can family members assist patients with ambulation? Procedure 13.1 Assisting with Ambulation (continued) Wards Forest Media, LLC Figure 13.10 A B