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)

Range of Motion (ROM)

Safety reminder device (SRD) Any one of numerous devices used to immobilize a patient or part of the patients 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

Applying safety reminder devices- wrist restraint

Safety Reminder Devices

Pediatric Elbow Restraint

Safety Reminder Devices Posey Vest

Safety Reminder Devices

Ambulating with a Gait belt

Quick release knot

Swaddling

ay/true/ ay/true/ ay/true/ ay/true/ ay/true/ 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 seniors ability (or inability) to adequately perform both groups of activities is usually reflective of that persons 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 ones bowels and bladder, or manage ones 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