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Mobility & Transfers

When walking with a client who has a vision problem you should

From CNA Mobility Skill Questions pdf

Answer choices

  1. A take hold of the client's hand
  2. B have the client walk next to you, but not touching you
  3. C have the client hold your arm above the elbow
  4. D have the client use a walker

Correct answer: C. have the client hold your arm above the elbow

Clinical Rationale

Having the client hold your arm above the elbow is the most effective way to assist someone with a vision problem while walking.

This method allows the client to follow your movements closely, providing them with a stable point of contact and ensuring their safety as they navigate their surroundings.

A) Take hold of the client's hand

Taking hold of the client's hand may create discomfort or a feeling of dependency. It can also limit their ability to gauge their own path or surroundings, which is crucial for individuals with vision impairments. Additionally, holding hands can be less stable than a contact point on the arm.

B) Have the client walk next to you, but not touching you

Walking adjacent to you without physical contact may not provide adequate support or security for a client with vision problems. This distance can lead to confusion or misalignment, making it harder for the client to feel confident and safe in their movements.

D) Have the client use a walker

While a walker can provide stability, it may not always be necessary or appropriate depending on the client's level of mobility and independence. Some clients may struggle with using a walker or may not have one available, making this option less universally applicable compared to guiding them with your arm.

Conclusion

When assisting a client with a vision problem, having them hold your arm above the elbow offers the best combination of support and independence. This method fosters a sense of security while allowing the client to navigate more effectively. Other options may limit their confidence or mobility, making the arm-holding technique the most suitable choice for safe and effective assistance.

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