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iRubric: Teaching a patient to walk with CRUTCHES rubric

iRubric: Teaching a patient to walk with CRUTCHES rubric

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Teaching a patient to walk with CRUTCHES 
The student should be able to teach client how to use crutch effectively and efficiently
Rubric Code: R24WAXX
By buzekara
Ready to use
Public Rubric
Subject: Nursing  
Type: Assessment  
Grade Levels: Undergraduate

Powered by iRubric Assessment Dimension
  Poor

1 pts

Fair

1 pts

Good

2 pts

Teaching purpose
2 pts

Poor

Inform client you will be teaching crutches ambulation. Failed to perform up to requirement .
Fair

Inform client you will be teaching crutches ambulation. Performed activity but had issues in following protocol.
Good

Inform client you will be teaching crutches ambulation.
Performed the assessment with one or no errors
Assessment of the patient
2 pts

Poor

Assess client for strength, mobility, range of motion, visual acuity, perception, difficulties and balance.
Did not perform
Fair

Assess client for strength, mobility, range of motion, visual acuity, perception, difficulties and balance.
Missed more than 1
Good

Assess client for strength, mobility, range of motion, visual acuity, perception, difficulties and balance.
Missed one or none.
Performing Adjustment of Crutches
2 pts

Poor

Adjust crutches to fit the client. The crutches pad should fit 1.5 to 2 inches below the axilla. The hand grip should keep the elbows bent at 30 degrees flexion.
Did not perform.
Fair

Adjust crutches to fit the client. The crutches pad should fit 1.5 to 2 inches below the axilla. The hand grip should keep the elbows bent at 30 degrees flexion.
Did not explain to a patient how to do it.
Good

Adjust crutches to fit the client. The crutches pad should fit 1.5 to 2 inches below the axilla. The hand grip should keep the elbows bent at 30 degrees flexion.
Performed and educated the patient reasons behind the adjustment.
Instruction on position of crutches
2 pts

Poor

Instruct the client to position crutches lateral to and forward of feet. Demonstrate correct positioning.
Not performed
Fair

Instruct the client to position crutches lateral to and forward of feet. Demonstrate correct positioning.
Missing instruction or demonstration.
Good

Instruct the client to position crutches lateral to and forward of feet. Demonstrate correct positioning.
Assisting the patient to standing position .
2 pts

Poor

Assist the client to a standing position with crutches.
Did not perform
Fair

Assist the client to a standing position with crutches.
Missing instructions or demonstration.
Good

Assist the client to a standing position with crutches.
Four Point Gait
2 pts

Poor

Position crutches to the side and in front of each foot. (Tripod position) Move the right crutch forward 4 t0 6
inches. then Move the left foot forward even with
the right crutch. Move the left crutch forward 4 to 6
inches. Move the right foot forward, even with
the left crutch. Repeat the 4 point gait. NOT PERFORMED
Fair

Position crutches to the side and in front of each foot. (Tripod position) Move the right crutch forward 4 t0 6
inches. then Move the left foot forward even with
the right crutch. Move the left crutch forward 4 to 6
inches. Move the right foot forward, even with
the left crutch. Repeat the 4 point gait. MISSING more than one.
Good

Position crutches to the side and in front of each foot. (Tripod position) Move the right crutch forward 4 t0 6
inches. then Move the left foot forward even with
the right crutch. Move the left crutch forward 4 to 6
inches. Move the right foot forward, even with
the left crutch. Repeat the 4 point gait.
Three-Point Gait
2 pts

Poor

Advance both crutches and the weaker leg forward together. Move the stronger leg forward, even
with the crutches. Repeat the 3 point gait. NOT PERFORMED
Fair

Advance both crutches and the weaker leg forward together. Move the stronger leg forward, even
with the crutches. Repeat the 3 point gait. Missing some steps
Good

Advance both crutches and the weaker leg forward together. Move the stronger leg forward, even
with the crutches. Repeat the 3 point gait.
Two-Point Gait
2 pts

Poor

Move the right crutch and left leg forward together 4 to 6 inches then move the left crutch and right leg
forward together 4 to 6 inches. Repeat 2 point gait.
NOT PEFORMED
Fair

Move the right crutch and left leg forward together 4 to 6 inches then move the left crutch and right leg
forward together 4 to 6 inches. Repeat 2 point gait. Missing some parts .
Good

Move the right crutch and left leg forward together 4 to 6 inches then move the left crutch and right leg
forward together 4 to 6 inches. Repeat 2 point gait.
Swing to Gait/ Swing through Gait
2 pts

Poor

Move both crutches forward together 4 to 6 inches.
Move both legs forward, even with both crutches. (through crutches) Repeat the swing to gait.
NOT PEFORMED
Fair

Move both crutches forward together 4 to 6 inches.
Move both legs forward, even with both crutches. (through crutches) Repeat the swing to gait. Missing some parts.
Good

Move both crutches forward together 4 to 6 inches.
Move both legs forward, even with both crutches. (through crutches) Repeat the swing to gait.
Walking up stairs
2 pts

Poor

Instruct the client to position the crutches as if walking.
Move the strong leg on the first step
first. then followed by both crutches and weak
leg. Repeat the steps. NOT PERFORMED.
Fair

Instruct the client to position the crutches as if walking.
Move the strong leg on the first step
first. then followed by both crutches and weak
leg. Repeat the steps. Missing some parts.
Good

Instruct the client to position the crutches as if walking.
Move the strong leg on the first step
first. then followed by both crutches and weak
leg. Repeat the steps.
Walking down stairs
2 pts

Poor

Instruct the client to position the
crutches as if walking. Place the weight on the strong leg, then move the crutches down to the next
lower step followed by the weak leg.
Place total weight on hand grip and crutches
Followed by strong leg. Repeat the steps. NOT PERFORMED
Fair

Instruct the client to position the
crutches as if walking. Place the weight on the strong leg, then move the crutches down to the next
lower step followed by the weak leg.
Place total weight on hand grip and crutches
Followed by strong leg. Repeat the steps. MISSING some parts.
Good

Instruct the client to position the
crutches as if walking. Place the weight on the strong leg, then move the crutches down to the next
lower step followed by the weak leg.
Place total weight on hand grip and crutches
Followed by strong leg. Repeat the steps.




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