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

Range of Motion (ROM)

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)

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

Range of Motion (ROM)

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

Range of Motion (ROM)

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

Range of Motion (ROM)

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

Range of Motion (ROM)

Fingers Thumb -Flexion -

Opposition -Extension -Hyperextension -Abduction -Adduction

Range of Motion (ROM)

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

Range of Motion (ROM)

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

Range of Motion (ROM)

Toes -Flexion -Extension -Abduction -Adduction

Range of Motion (ROM)

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Range of Motion (ROM)

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 Devices

Safety Reminder DevicesApplying safety reminder devices- wrist restraint

Safety Reminder Devices

Safety Reminder DevicesPediatric Elbow Restraint

Safety Reminder Devices

Posey Vest

Safety Reminder Devices

Safety Reminder DevicesAmbulating with a Gait belt

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Quick release knot

Swaddling

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Safety Reminder Devices

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

Activities of Daily Living

• 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

• 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

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

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

Activities of Daily Living