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Arrival Day

The Walker Tips Wear Out Quietly: Check the Glides, Wheels, and Brakes on Arrival Day and Each Week After

Find out who owns the walker, then check the rubber tips, wheels, brakes, and height pins before the first trip from the car and once a week after that.

· After the Hospital STL desk

A walker works only when its feet grip the floor. The rubber tips, the wheels, the brakes, and the height pins are the parts that wear, and they wear slowly enough that most families stop looking. This piece is about keeping the walker working. It is not about choosing the size or the model.

Local option: New Plan Care gives families in the St. Louis area in-home help so a parent can stay home: companionship, help with bathing and dressing, meals, and overnight care. Call (314) 405-0887.

First, find out whether the walker is yours

Look at the paperwork from the supplier or the discharge packet. A rented walker belongs to the supplier, and the rental terms say who repairs, replaces, or picks it up. A purchased walker is yours, and the repair question is yours too. Write the supplier's phone number on the discharge folder. If you cannot tell which kind you have, ask the supplier before the first trip home.

On arrival day: the five checks

Before your parent uses the walker on the path from the car, check these in order.

One, the tips. Look at the rubber feet on the back legs, or at the ends of the legs if there are no feet. Make sure each one is seated all the way. Look for cracks, flat spots, and metal showing through worn rubber. A tip worn through to metal is done.

Two, the wheels, if the walker has them. Spin each one by hand. Look for flat spots, wobble, and hair or string wrapped around the axle. Cut the debris away with scissors and wipe the wheel clean.

Three, the brakes. Squeeze each lever and watch the pad or cable. Both sides should grip. If a brake feels loose or does not grip when squeezed, stop and call the supplier.

Four, the height pins. Each leg should lock with the pin fully through the hole. Look at both sides. The two sides should match. A pin that does not seat fully means a leg that can slip.

Five, the screws and bolts. Check them with the tool the supplier gives you, or with a matching wrench. Snug them. Do not overtighten plastic parts.

Each week after that

Once a week, repeat the five checks. Floors vary, and tips wear faster on some surfaces than others. Pick one day and keep to it. A phone note or the back of the discharge folder is enough for a log.

Replace a worn tip with the same size and style the supplier sells for that walker. Do not tape over a worn tip, and do not use a random rubber cap from a hardware store. Keep the old tip until the new one is seated, so you can compare them.

When to stop using it and call

Stop using the walker and call the supplier if a tip is worn through, a wheel wobbles or will not roll, a brake does not hold, or a pin does not lock. Keep the walker out of the path until it is fixed. If your parent's walking changes, or they feel unsteady with the walker, call the clinician who is following them. That is a medical question, and it belongs with that clinician, not with a household checklist.

The checks follow the walker maker's printed manual, which controls over anything written here. The fall-prevention background comes from the National Council on Aging's fall prevention materials. For questions about who covers and owns rented equipment, the supplier's written terms and the Medicare equipment rules they reference control.