aim: why are range of motion exercises so important?

AIM: Why are range of motion exercises so important?

DO NOWOBreak up into 2 groups.

OSelect the writer, writer stand in front of board

OWait for instructions

We read about Rehab/Restorative Care :

OLet’s See how many ROM movements you can remember!

O“Writer” you will write info from team members on the board.

OEveryone MUST provide input…but be quiet , don’t let other team steal your answers

OThere will be prizes !!!!

OAre you ready????

OAnd the winner is………………

What is Range of Motion (ROM)?

-exercises that put a joint through its full arc of motion.

The two types to remember:

Active (AROM) performed by resident him or herself

Passive(PROM) performed with assistance of staff member. ( what we do when we do our ROM skill)

What are the goals of ROM?

O The goal of range of motion is to decrease contractures and improve strength.

O Always ensure independence, privacy , and dignity.

O NEVER PERFORM ROM:O if the resident is in painO if you see swelling or redness

O Be patient, sensitive, observe, provide comfort, go slowly

O NYS Skill Testing will be either:O Passive ROM of Shoulder O Passive ROM to elbow and wristO Passive ROM to Hip, Knee, Ankle

O Each will be timed 4-5 minO You will be observed for all indirect care skills O You will have to provide 3 reps on correct side

ROM Skill Music/Movement

ShoulderO ExtensionO FlexionO AbductionO Adduction

ElbowO FlexionO Extension

WristO FlexionO hyperextension

ROM Skill Music/Movement

O HipO FlexionO Extension

O KneeO FlexionO Extension

O AnkleO DorsiflexionO Plantar flexion

NYS Certification Test Check:

WAIT TO ANSWER…shhhhhYou should dress the resident:a.Weak part of the body firstb.Unaffected part of body firstc.Weak part of body lastd.None of the above

The correct answer is

OA OAlways dress the weak part

of the body first.ODiscuss…..why?????

Let’s try one more, then move on…

Dorsiflexion is a.When the foot is bent toward sole b.When the palm is turned downwardc.When the foot is bent toward legd.When the palm is turned upward

The correct answer isO C. O When the foot is bent toward the leg

O When doing dorsiflexion on the foot, where and how should the nurse aide’s hands be placed?

Discuss……….

CLASSROOM TO CLINICAL

CLINICAL CASE STUDY

HIPAA ALERTO This Alert is to remind you that

the information and photos that we are about to evaluate and discuss are protected under HIPAA….

O What does this mean??????????????????

Clinical Focus DiscussionO Ambulation O Use of Hoyer

O Wheel chair operationO Hand rolls/contractures

O Range of motion as an activityO Special Care Needs for specific

residentsO Parkinson’s, stroke

O Adaptive equipment

O Lesson Review then Bedside Practice with Partners.

O How does Range of Motion Exercise Benefit the resident?

O Review Terms and Practice ROM Skills:

O Abduction, AdductionO Flexion, ExtensionO Dorsiflexion, plantar flexion

What’s Next?O Keep reviewing skill packets and written

test prepO PracticeO After-school practice and extra help this

week : Friday 4/26/13 from 3:15p-5? If you need me to stay longer I can

O Lending Library- sign out a supply for at home practice

O Come to class anytime- I will have a bed and supplies reserved for you!

You are almost at your goal!

Lets Practice!!!