PN 103
Range of Motion (ROM)
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 Range of motion
 -Any body action involving the muscles and joints
 in natural directional movements
 -Exercises can be performed by a physical
 therapist, physical therapy assistant, nurse, or
 delegated allied staff
Range of Motion (ROM)
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 Exercises are indicated for patients confined to bed
for long periods of time
 Exercises may be preformed passively by nurses of
actively by the patient
Range of Motion (ROM)
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 The total amount of activity required to prevent
physical disuse syndrome is only about 2 hours for
every 24 hour period
 Designated body joints are moved to the point of
resistance or pain, using care to avoid injury
Range of Motion (ROM)
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 Joint Range of Motion Exercises
 -Neck and Cervical Spine
 -Flexion
 -Extension
 -Hyperextension
 -Lateral flexion
 -Rotation
Range of Motion (ROM)
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 Shoulder
 -Flexion
 -Extension
 -Hyperextension
 -Abduction
 -Adduction
 -Internal rotation
 -External rotation
 -Circumduction
Range of Motion (ROM)
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 Elbow
 -Flexion
 -Extension
 -Hyperextension
 Forearm
 -Supination
 -Pronation
Range of Motion (ROM)
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 Wrist
 -Flexion
 -Extension
 -Hyperextension
 -Radial flexion
 -Ulnar flexion
Range of Motion (ROM)
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 Fingers
 -Flexion
 -Extension
 -Hyperextension
 -Abduction
 -Adduction
Thumb
-Opposition
Range of Motion (ROM)
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 Hip
 -Flexion
 -Extension
 -Hyperextension
 -Abduction
 -Adduction
 -Internal rotation
 -External rotation
 -Circumduction
Range of Motion (ROM)
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 Knee
 -Flexion
 -Extension
 Ankle
 -Dorsiflexion
 -Plantar flexion
 Foot
 -Inversion
 -Eversion
Range of Motion (ROM)
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 Toes
 -Flexion
 -Extension
 -Abduction
 -Adduction
Range of Motion (ROM)
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Safety Reminder Devices
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 Safety reminder device (SRD)
 Any one of numerous devices used to immobilize a patient
or part of the patient’s body, such as arms or hands
 Used for various reasons
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Patient safety
Maintain treatment
Prevent wandering
Prevent or reduce the risk of falls
Restrict movement of an aggressive patient to protect other
patients and staff
Safety Reminder Devices
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 Ethical and legal issues surround their use.
 The focus is on using alternative strategies before SRDs
are applied.
 Patient safety or the safety of others must be the priority
reason why an SRD is applied.
 The use of SRDs can also result in increased restlessness,
disorientation, agitation, anxiety, and a feeling of
powerlessness.
 Documentation about the need for the SRDs, the type of
device used, and the patient response is crucial.
Safety Reminder Devices
Applying safety reminder devices- wrist restraint
Safety Reminder Devices
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Safety Reminder Devices
Pediatric Elbow Restraint
Safety Reminder Devices
Posey Vest
Safety Reminder Devices
Safety Reminder Devices
Ambulating with a Gait belt
Quick release knot
Swaddling
Safety Reminder Devices
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Activities of Daily Living
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There are two groups of daily living activities.
- activities of daily living
- instrumental activities of daily living
-basic, routine tasks
-bathing
-dressing
-eating
-using the toilet
-most people are able to perform on a daily basis
without assistance
Activities of Daily Living
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 The instrumental activities of daily living
 -more complex tasks
 -require a certain amount of physical dexterity
 sound judgment and organizational skills.
 A senior’s ability (or inability) to adequately perform
both groups of activities is usually reflective of that
person’s ability to live safely and independently
Activities of Daily Living
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• Basic Activities of Daily Living
• Bathing: includes grooming activities such as
shaving, and brushing teeth and hair
• Dressing: choosing appropriate garments and being
able to dress and undress, having no trouble with
buttons, zippers or other fasteners
• Eating: being able to feed oneself
Activities of Daily Living
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• Transferring: being able to walk, or, if not
ambulatory, being able to transfer oneself from bed
to wheelchair and back
• Continence: being able to control one’s bowels and
bladder, or manage one’s incontinence
independently
• Toileting: being able to use the toilet
Activities of Daily Living
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Instrumental Activities of Daily
Living
 Using the telephone: being able to dial numbers,
look up numbers, etc.
 Managing medications: taking the appropriate
medications and correct dosages on time
 Preparing meals: making appropriate food choices
and preparing meals safely
Activities of Daily Living
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 Maintaining the home: doing or arranging for
housekeeping and laundry
 Managing finances: budgeting, paying
mortgage/rent and bills on time, etc.
 Shopping: being able to shop for groceries and other
small necessities, and transport purchases from store
to home
 Using transportation: being able to drive or use
public transportation for appointments, shopping,
etc