How should you help a resident ambulate with a walker?

• A. Have the resident push the walker from behind
• B. Walk beside the resident without supporting trunk
• C. Ensure walker is correctly sized, place it in front, stand on the weaker side, hold trunk, and advance step by step
• D. Have the walker behind the resident to catch them if they fall

Answer: (C)

Safe ambulation with a walker relies on proper fit, placement, and guarding so the person can participate in the activity while you provide controlled support. The best approach is to first ensure the walker is the right size for the resident—adjusted so the handles are near wrist height when the arms are relaxed—so they can push comfortably without leaning or slumping. Position the walker in front of the resident rather than behind, giving them a stable surface to push against as they move. Stand on the weaker side to guard, and keep a hand on the trunk or gait belt to help control balance and guide the movement. Then advance step by step: have them push the walker forward, take a step with the weaker leg toward the walker, and then bring the stronger leg forward. This sequence maintains stability and reduces fall risk, while still promoting independence.

Pushing from behind removes the resident’s control and can lead to rushing or losing balance. Walking beside without guarding leaves them without the necessary support to prevent a fall. Having the walker behind to catch them gives insufficient time to react and increases risk.