A 14-year-old girl with a fractured leg is receiving instructions from the nurse on how to use crutches. The nurse should teach the client not to rest with the crutch pad pressing on the axilla.
Why should the nurse intervene?
The brachial nerve plexus that crosses the axilla may be compressed and damaged as a result of pressure from a crutch, which could result in irreversible nerve palsy. Teach kids to always support their weight at the hand grasp rather than rest with the crutch pad resting against their axilla.
As the rubber tip keeps the crutch from slipping, it is important to regularly inspect crutch tips to make sure they are still in good condition. Make sure the child is using crutches that are situated about 6 inches to the side of the foot when walking.
This distance provides a broad, evenly distributed basis for support. Parents are advised to remove items like little footstools, throw rugs, and toys from walking routes inside the house to prevent tripping children.
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