Card Set Information
what are the benefits to physical activity?
improved self esteem
3 elements essential for mobility?
1. ability to move based on adequate muscle strength, control, coordination, and range of motion
2.motivation to move
3. absence of barriers in the environment
what are reasons a patient would be on bed rest?
1. to reduce pain
2. to get rest and recovery
3. decrease oxygen requirements of the body
what is a factor that might cause a patient to fear an activity of ROM?
what are signs and sysmptoms of orthostatic hypotension?
what is othostatic hypotension?
a decrease in blood pressure when standing or lying.
what are ways to prevent orthostatic hypotension?
exercise calfs muscles
sit on the edge of a bed for 1 min before standing
For geri patients what is a factor that can prevent fractures?
what is ROM?
amount of movement that a person has at each joint.
what are the 3 different types of ROM?
1.active-patient able to do ROM independtly
2.passive-nurse has to perform the motions
3.active-assisted-patient may be able to do it independtly but may need a little help from nurse
when is the best time to do ROM with a patient?
during feeding time or bathe time
True/False. Nurse should consult with the patient to develope a schedule to do ROM.
True. its easier on the patient and nurse to know exactly when they will be engaging in ROM activites.
Can ROM activited be delegated to a NAP?
What type of patients could a NAP not be delgated to do ROM on?
patient with a spinal cord injury or orthopedic trauma
What should be instructed by the nurse to the NAP?
1. how to do the skill and which joints should be done active and which should be passive.
2. what to observe and report back ie. pain, fatigue
what are the steps to do before performing ROM?
1. review patients chart, physician order's, medical diagnosis
2. obatin basline data for joints function (limitations in joints when doing ADL's)
3.Explain procedure and rationels for ROM.
4. Assess patients level of pain
5. hand hygeine and gloves if wounds are present
6. postion to a comfortable postioin
What is necessary when performing ROM?
1. Move joint smoothly, slowly, and rhythmically
2.support joint when it is being used (above, below, or cupped)
3. work from head to toe/anterior to posterior
4.repeat 5 times
5. assess for any signs of pain during
which side should be done first affected side or unaffected side and why?
unaffected/ because if a patient is put through strenous pain they wont countinue and it will take longer on the affected side.
Why is active ROM performed?
1. maintain or increase muscle strength and endurance
2. prevent deterioration of joint capsules, ankylosis, and contractures
3. maintain cardiorespiratory function
why is passive ROM performed?
1. promotes maximal stretching of all muscles group
2. promotes joint flexibility
why is active assistive ROM performed?
1. increase active movement on strong side
2. maintains joint flexibility on weak side