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  1. what are the benefits to physical activity?
    • increased engery
    • improved sleep
    • better appetite
    • less pain
    • improved self esteem
  2. 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
  3. 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
  4. what is a factor that might cause a patient to fear an activity of ROM?
  5. what are signs and sysmptoms of orthostatic hypotension?
    • dizziness
    • light headness
    • nausea
    • tachycardia
    • pallor
    • fainting
  6. what is othostatic hypotension?
    a decrease in blood pressure when standing or lying.
  7. what are ways to prevent orthostatic hypotension?
    • exercise calfs muscles
    • sit on the edge of a bed for 1 min before standing
  8. For geri patients what is a factor that can prevent fractures?
  9. what is ROM?
    amount of movement that a person has at each joint.
  10. 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
  11. when is the best time to do ROM with a patient?
    during feeding time or bathe time
  12. 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.
  13. Can ROM activited be delegated to a NAP?
  14. What type of patients could a NAP not be delgated to do ROM on?
    patient with a spinal cord injury or orthopedic trauma
  15. 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
  16. 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
  17. 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
  18. 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.
  19. 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
  20. why is passive ROM performed?
    • 1. promotes maximal stretching of all muscles group
    • 2. promotes joint flexibility
  21. why is active assistive ROM performed?
    • 1. increase active movement on strong side
    • 2. maintains joint flexibility on weak side
Card Set
sow test
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