pn 103. range of motion -any body action involving the muscles and joints in natural directional...

Range of Motion,Safety Reminder devices &Activities of Daily Living

PN 103

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)

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


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


Joint Range of Motion Exercises -Neck and Cervical Spine -Flexion -Extension -Hyperextension -Lateral flexion -Rotation


Shoulder -Flexion -Extension -Hyperextension -Abduction -Adduction -Internal rotation -External rotation -Circumduction


Elbow -Flexion -Extension -Hyperextension Forearm -Supination -Pronation


Wrist -Flexion -Extension -Hyperextension -Radial flexion -Ulnar flexion


Fingers Thumb -Flexion -

Opposition -Extension -Hyperextension -Abduction -Adduction


Hip -Flexion -Extension -Hyperextension -Abduction -Adduction -Internal rotation -External rotation -Circumduction


Knee -Flexion -Extension Ankle -Dorsiflexion -Plantar flexion Foot -Inversion -Eversion


Toes -Flexion -Extension -Abduction -Adduction


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1665570/


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 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

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 DevicesApplying safety reminder devices- wrist restraint

Safety Reminder DevicesPediatric Elbow Restraint


Posey Vest

Safety Reminder DevicesAmbulating with a Gait belt

Click icon to add picture

Quick release knot

Swaddling

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http://mcom.alexanderstreet.com/view/1665681/play/true/









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

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


• 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


• 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


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


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


pn 103. range of motion -any body action involving the muscles and joints in natural directional...

Documents

swaddling slide

gait belt slide

quick release knot slide

groups of activities

grooming activities

staff safety reminder

elbow flexion

wrist flexion