lOMoARcPSD|12452361
ACTIVE LEARNING TEMPLATE:
Nursing Skill
Ariel Hollon
STUDENT NAME _____________________________________
31
ROM
SKILL NAME____________________________________________________________________________
REVIEW MODULE CHAPTER ___________
Description of Skill
Properly providing range of motion to a client who is immobile to help promote circulation and
reduce risk of contractures.
Indications
Clients who cannot perform range of motion
and are immobile need PROMs for them to
increase quality of life and reduce risk of
further complications.
Outcomes/Evaluation
Providing the client with range of motion
exercises when they cannot perform them.
Reducing the risk of contractures.
Helping client gain strength in area if
recovering and improve motion and
circulation.
Assess skin for injuries, pain, and
tenderness.
Potential Complications
Stiffness and pain
ACTIVE LEARNING TEMPLATES
CONSIDERATIONS
Nursing Interventions (pre, intra, post)
Know what PROMs need to be performed and what the client can tolerate (if there are
any restriction). Hand hygiene. Explain what PROMs you are doing and educate on the
purpose. Always support the joints as you are performing PROMs.
Shoulder; Circumduction, external/internal rotation.
Elbow; flexion, extension, supination/pronation rotation.
Wrist; flexion, extension, hyperextension, radial flexion, ulnar flexion.
Hand/fingers; flexion, extension, hyperextension of fingers, abduction/adduction of fingers,
thumb flexion, extension, abduction, adduction, opposition.
Hip; flexion, extension, hyperextension, abduction, adduction, circumduction,
internal/external rotation.
If there is any pain stop what you are doing. If client is on pain medications offer them, if
appropriate, before doing PROMs so the client is comfortable.
Document everything that was performed and how it was performed including reasons for
not being able to complete any PROMs.
Client Education
Explain why you are doing this, duration of
activity with each area of PROM including
how many times for each movement,
frequency of performing activity. As you are
doing PROMs count as you go for verbal
communication to client.
Nursing Interventions
Never force movement, only go as far as
client can tolerate. Offer pain medication
prior to PROMs if appropriate for client
comfort during activity. If there are any
unexpected complications notify provider
and evaluate situation to adjust care plan if
necessary.
THERAPEUTIC PROCEDURE
A9