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