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What is the sighted-guide technique and how should a nurse implement it when assisting a partially sighted patient?

The sighted-guide technique involves the nurse standing slightly in front and to one side of a partially sighted patient, offering an elbow for the patient to hold. The nurse guides the patient while describing the environment, such as obstacles or changes in elevation, to facilitate safe navigation.

To implement the sighted-guide technique, the nurse should position themselves slightly ahead and to one side of the patient, allowing the patient to hold onto the back of the nurse's arm. As they walk, the nurse should provide verbal descriptions of the surroundings, such as indicating when they are approaching doorways or steps, and help the patient locate seating by guiding their hand to the back of a chair. This technique not only aids in mobility but also helps orient the patient to their environment, reducing anxiety and promoting independence.

Key points

  • The nurse stands slightly in front and to one side of the patient.
  • The patient holds the back of the nurse's arm for guidance.
  • The nurse describes the environment to orient the patient.
  • Verbal cues include information about obstacles and changes in elevation.
  • The technique promotes safety and independence for the patient.
Source:Medical-Surgical Nursing in Canada by Sharon L. Lewis Shannon Ruff Dirksen Margaret M. Heitkemper Linda Bucher· Nursing Management Infectious and Inflammatory Disorders of the Urinary System· p. 1552–1559
Cover of Medical-Surgical Nursing in Canada by Sharon L. Lewis Shannon Ruff Dirksen Margaret M. Heitkemper Linda Bucher

Medical-Surgical Nursing in Canada by Sharon L. Lewis Shannon Ruff Dirksen Margaret M. Heitkemper Linda Bucher

Sharon L. Lewis & Shannon Ruff Dirksen & Margaret M. Heitkemper & Linda Bucher

FOURTH CANADIAN EDITION

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