What are some guidelines to follow when performing range of motion with a patient?

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What are the rules for performing range of motion exercises?
What guideline will the nurse consider when performing range of motion exercises on a patient?
What principles should be observed at all times when performing ROM exercises?
Which of the following are basic guidelines when assisting a patient with passive range of motion?

Rules for ROM Exercises

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Rules for ROM Exercises

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Exercise in a sequential head to toe manner.

Exercise one joint at a time.

Expose only the limb to be exercised.

Whenever necessary, support the joint.

Move joints slowly, smoothly and gently.

Do not force a joint beyond its capacity.

Schedule exercises at specific times.

Compare same body parts for equality of movement.

Discontinue exercise immediately if there is discomfort, resistance or muscle spasm.

Range-of-Motion Exercises

CHILD AND FAMILY ASSESSMENT AND PREPARATION

Review the child’s history for contraindications to ROM exercises, determining limitations of joint movement and impact on function. In cases of joint inflammation, dislocation, or fracture, ROM exercises may be contraindicated.
Review the child’s medical record to determine whether a specific ROM exercise plan has been provided in the interdisciplinary patient orders.
Explain to the child and family the purpose and the plan of ROM exercises.
Initiate pain control measures if needed 30 minutes before beginning ROM exercises.
Provide antispasmodic medications, if ordered, 30 minutes before beginning ROM exercises.

Provide for privacy.
Schedule ROM activities to coincide with routine care. An ideal time to do the exercise is during morning care or bath time. Include the child and the family in planning for ROM activities (e.g., when and where to perform).
Dress the child in nonrestrictive loose-fitting clothing.
Assess vital signs to provide a baseline for comparison if changes occur during the procedure.
Determine the baseline activity and condition for the child.
Observe the equality of movement of each joint. The movement of the joints should be equal bilaterally.
Note the condition of the the child’s joint that will undergo ROM. The joint should be free of pain, spastic movement, deformity, and crepitation. There should be no limitation of movement.

TABLE 95-1 Range-of-Motion Terminology

Movement	Definition	Use
Circumduction	Movement of the joint in a full circle	Used in movement of the shoulder
Hyperextension	Movement of the joint in the direction of extension beyond a straight line	Used in movement of the arms, legs, hands, and wrists
Flexion	The bending of the joint in which the two adjacent parts move toward each other, thus reducing the angle of the joint between two parts. Decreasing the angle between two bones	Used in the shoulder, elbow, knee, and finger joints
Extension	Movement increasing angle between two adjoining bones	Used in the shoulder, elbow, knee, and finger joints
Internal rotation	Turning away from the midline	Used in movement of the head from side to side
Abduction	Movement away from the midline of the body	Used in movement of the legs, arms, and fingers
Adduction	Movement toward the midline of the body	Used in movement of extremities; legs, arms, and fingers
Pronation	Turning the forearm so that the palmar surface of the hand is facing downward	Used in movement of the hand and wrist
Supination	Turning the forearm so that the palmar surface of the hand is facing upward	Used in movement of the hand and wrist
Deviation	Abduction or adduction of the wrist	Used in movement of the wrist
Opposition	Placement of the palmar surface of the thumb so that it touches the base of the fingers	Used in movement of the hand

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Jul 9, 2020 | Posted by in NURSING | Comments Off on Range-of-Motion Exercises

What are the rules for performing range of motion exercises?

Put each joint needing exercise through the range of motion procedure a minimum of three times, and preferably five times. Avoid overexerting the patient; do not continue the exercises to the point that the patient develops fatigue. Some exercises may need to be delayed until the patient's condition improves.

What guideline will the nurse consider when performing range of motion exercises on a patient?

*Guidelines to follow when performing range of motion include returning the joint to a neutral position when finishing each exercise. The nurse should not perform range-of-motion exercises until the patient is fatigued because the exercises are not to exhaust or tax the individual.

What principles should be observed at all times when performing ROM exercises?

Perform exercises slowly and provide adequate support to each joint being exercised. When performing active-assisted or passive ROM exercises, support joint by holding DISTAL portion of extremety or using cupped hand to support joint. When resistance is noted within a joint, do not force joint motion.

Which of the following are basic guidelines when assisting a patient with passive range of motion?

Which of the following are basic guidelines when assisting a patient with passive range of motion? Exercises should be continued until the point of fatigue and pain. Exercises should be done frequently to lessen pain for the patient. Each joint is exercised to the point of resistance but not pain.

ROM nursing assessment