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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)
http://mcom.alexanderstreet.com/View/
1665570/
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
Click icon to add picture
Quick release knot
Swaddling
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http://mcom.alexanderstreet.com/view/1665681/play/true/
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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