watchers class

8/6/2019 Watchers Class

1/19

Capitol University College of Nursing

Related Learning Experience 40

WatchersWatchers

Class onClass onRange ofRange of

MotionMotion


2/19

MotionMotion ROM Exercises


3/19

What is ROM exercises?

Range of motion exercisesare physical activities

done in the purpose ofmaintaining normalrange of joint movement.

Range of motion exercisescomprise simple daily

activities.


4/19

Active Range of Motion

(ROM)vwhen the patient does the

exercises by himself or

herself.Passive Range of Motion

(ROM)vexercise performed by the

nurse or others withoutthe artici ation of the


5/19

Purpose of ROM exercise

1.Maintain joint Function

2.Restore joint Function


6/19

Benefits of ROM exercises

Improves Circulation

Enhances physical

performance

Reduces stiffness

Alleviates back pain


7/19

How to start?

Learn passive ROM exercises

from the person's caregiver.

Raise the person's bed to a

height that is comfortablefor you.

Make sure the wheels of the

bed or wheelchair arelocked before you start theexercises.

Do all ROM exercises


8/19

Make ROM exercises a part of

the person's daily routine. Follow the caregiver's orders.

Move the joint slowly. Stop ROM exercises if the

person feels pain.


9/19

Head and Neck exercises

How to start: Lay the person on his backwith his head as flat (no pillow) aspossible. Support the back of the person's

head with one of your hands. Support thechin with your other hand.

Move the chin down to rest on the chest.Return the head to a normal uprightposition. Tilt the head as far as possibletoward each shoulder.

Move the hand from side to side, bringing

the chin toward each shoulder.


10/19

Shoulder and Elbow exercises

How to start: Put one hand under theperson's elbow and hold his wrist withyour other hand. Keep the person'selbow straight, or bend the elbow

slightly if necessary.Start with the arm at the patients side and

lift the arm forward to above head.Return the arm to the starting position at

the side of the body.

With the arm at the patients side, movethe arm laterally to an upright position

above the head, and then return to theori inal osition. Move the arm across


11/19

Raise the arm at the side until the upperarm is in line with the shoulder. Bend thearm at a 90-degree angle and move theforearm upward and downward, thenreturn the arm to the side.

Bend the elbow and move the lower arm

and hand upward toward the shoulder.Return the lower arm and hand to theoriginal position while straightening theelbow.

Repeat the above exercises with theleft arm.


12/19

Forearm and wrist exercises

How to start: Start with the person's arms at hissides. Hold just below the person's wrist withone of your hands. Hold the person's hand withyour other hand.

Rotate the lower arm and hand so the palm is up.Rotate the lower arm and hand so the palm ofthe hand is down.

Move the hand downward toward the inner aspectof the forearm. Return the hand to a neutralposition even with the forearm. Then move thedorsal portion of the hand backward a far aspossible.

Repeat the above exercises with the left arm


13/19

Hand and Finger exercises

How to start: Hold the person's wrist tokeep it straight. Use your other handto do the hand and finger exercises.

Bend the fingers to make a fist, thenstraighten them out. Spread thefingers apart and return them back

together.Touch the thumb to each finger on

the hand.

Repeat the above exercises with the


14/19

Hip and knee exercises

How to start: Place the person's right legflat on the bed. Put one hand under theankle and your other hand under theknee. Straighten the leg and return it to a

flat position on the bed after eachexercise.

Extend the leg and lift upward. Return theleg to its original position beside the otherleg.

Lift the leg laterally away from the patientsbody. Return the leg back toward the

other leg and try to extend it beyond the


15/19

Turn the foot and leg toward the other legto rotate it internally. Turn the foot and

leg outward away from the other leg torotate it externally

Turn the foot and leg toward the other legto rotate it internally. Turn the foot and

leg outward away from the other leg torotate it externally.

Bend the leg and bring the heel towardthe back of the leg; then return the legto a straight position.

Repeat the above exercises with the

left leg.


16/19

Ankle and Toes exercises

How to start: Hold the right ankle withone hand. Put your other hand on thebottom of the foot.

Move the foot up and back until the toes areupright. Move the foot with the toespointing downward.

Turn the sole of the foot toward the midline.

Turn the sole of the foot outward. Curl the toes downward, then straighten them

out. Spread the toes apart and bring themtogether.


17/19

Repeat these exercise on theother side of the body.

Encourage the patient to do asmany of these exercises byhimself or herself as possible.

Repeating motions on the otherside provides exercise for theentire body.

When finished, make sure thepatient is comfortable, with theside rails up and the bed in thelowest osition.


18/19

When finished, make sure the patient iscomfortable, with the side rails up and

the bed in the lowest position.Proper positioning with raised side nails

and proper bed height provides forpatient comfort and safety.

Remove gloves if used and perform handhygiene. Document the exercisesperformed, any observations, and thepatients reaction to the activities.

Proper glove removal and hand hygieneprevent the spread of microorganism.Documentation promotes continuity of

care and communication.


19/19

Contraindications

Heart and Respiratory Diseases. Range of motionexercises require energy and tend to increasecirculation. Increasing the level of energyexpended or increasing the demand for

circulation is potentially hazardous to patientswith heart and respiratory diseases.

Connective Tissue Disorders. Range of motionexercises put stress on the soft tissues of the

joint and on the bony structures. Theseexercises should not be performed if the jointsare swollen or inflamed or if there has beeninjury to the musculoskeletal system in thevicinity of the joint.

watchers class

Documents