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Range of Motion, Safety Reminder devices & Activities of Daily Living . PN 103. Range of Motion (ROM). Range of motion -Any body action involving the muscles and joints in natural directional movements -Exercises can be performed by a physical

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range of motion rom
Range of Motion (ROM)
  • Range of motion
  • -Any body action involving the muscles and joints
  • in natural directional movements
  • -Exercises can be performed by a physical
  • therapist, physical therapy assistant, nurse, or
  • delegated allied staff
range of motion rom1
Range of Motion (ROM)
  • Exercises are indicated for patients confined to bed for long periods of time
  • Exercises may be preformed passively by nurses of actively by the patient
range of motion rom2
Range of Motion (ROM)
  • The total amount of activity required to prevent physical disuse syndrome is only about 2 hours for every 24 hour period
  • Designated body joints are moved to the point of resistance or pain, using care to avoid injury
range of motion rom3
Range of Motion (ROM)
  • Joint Range of Motion Exercises
  • -Neck and Cervical Spine
  • -Flexion
  • -Extension
  • -Hyperextension
  • -Lateral flexion
  • -Rotation
range of motion rom4
Range of Motion (ROM)
  • Shoulder
  • -Flexion
  • -Extension
  • -Hyperextension
  • -Abduction
  • -Adduction
  • -Internal rotation
  • -External rotation
  • -Circumduction
range of motion rom5
Range of Motion (ROM)
  • Elbow
  • -Flexion
  • -Extension
  • -Hyperextension
  • Forearm
  • -Supination
  • -Pronation
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Range of Motion (ROM)
  • Wrist
  • -Flexion
  • -Extension
  • -Hyperextension
  • -Radial flexion
  • -Ulnar flexion
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Range of Motion (ROM)
  • Fingers Thumb
  • -Flexion -Opposition
  • -Extension
  • -Hyperextension
  • -Abduction
  • -Adduction
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Range of Motion (ROM)
  • Hip
  • -Flexion
  • -Extension
  • -Hyperextension
  • -Abduction
  • -Adduction
  • -Internal rotation
  • -External rotation
  • -Circumduction
range of motion rom9
Range of Motion (ROM)
  • Knee
  • -Flexion
  • -Extension
  • Ankle
  • -Dorsiflexion
  • -Plantar flexion
  • Foot
  • -Inversion
  • -Eversion
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Range of Motion (ROM)
  • Toes
  • -Flexion
  • -Extension
  • -Abduction
  • -Adduction
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Range of Motion (ROM)
  • http://mcom.alexanderstreet.com/View/1665570/
safety reminder devices
Safety Reminder Devices
  • Safety reminder device (SRD)
    • Any one of numerous devices used to immobilize a patient or part of the patient’s body, such as arms or hands
  • Used for various reasons
    • Patient safety
    • Maintain treatment
    • Prevent wandering
    • Prevent or reduce the risk of falls
    • Restrict movement of an aggressive patient to protect other patients and staff
safety reminder devices1
Safety Reminder Devices
  • Ethical and legal issues surround their use.
  • The focus is on using alternative strategies before SRDs are applied.
  • Patient safety or the safety of others must be the priority reason why an SRD is applied.
  • The use of SRDs can also result in increased restlessness, disorientation, agitation, anxiety, and a feeling of powerlessness.
  • Documentation about the need for the SRDs, the type of device used, and the patient response is crucial.
safety reminder devices2
Safety Reminder Devices

Applying safety reminder devices- wrist restraint

safety reminder devices4
Safety Reminder Devices

Pediatric Elbow Restraint

safety reminder devices7
Safety Reminder Devices

Ambulating with a Gait belt

safety reminder devices8
Safety Reminder Devices
  • http://mcom.alexanderstreet.com/view/1665682/play/true/
  • http://mcom.alexanderstreet.com/view/1665681/play/true/
  • http://mcom.alexanderstreet.com/view/1665683/play/true/
activities of daily living
Activities of Daily Living
  • There are two groups of daily living activities.
  • - activities of daily living
  • - instrumental activities of daily living
  • -basic, routine tasks
  • -bathing
  • -dressing
  • -eating
  • -using the toilet
  • -most people are able to perform on a daily basis
  • without assistance
activities of daily living1
Activities of Daily Living
  • The instrumental activities of daily living
  • -more complex tasks
  • -require a certain amount of physical dexterity
  • sound judgment and organizational skills.
  • A senior’s ability (or inability) to adequately perform both groups of activities is usually reflective of that person’s ability to live safely and independently
activities of daily living2
Activities of Daily Living
  • Basic Activities of Daily Living
  • Bathing: includes grooming activities such as shaving, and brushing teeth and hair
  • Dressing: choosing appropriate garments and being able to dress and undress, having no trouble with buttons, zippers or other fasteners
  • Eating: being able to feed oneself
activities of daily living3
Activities of Daily Living
  • Transferring: being able to walk, or, if not ambulatory, being able to transfer oneself from bed to wheelchair and back
  • Continence: being able to control one’s bowels and bladder, or manage one’s incontinence independently
  • Toileting: being able to use the toilet
activities of daily living4
Activities of Daily Living
  • Instrumental Activities of Daily Living
  • Using the telephone: being able to dial numbers, look up numbers, etc.
  • Managing medications: taking the appropriate medications and correct dosages on time
  • Preparing meals: making appropriate food choices and preparing meals safely
activities of daily living5
Activities of Daily Living
  • Maintaining the home: doing or arranging for housekeeping and laundry
  • Managing finances: budgeting, paying mortgage/rent and bills on time, etc.
  • Shopping: being able to shop for groceries and other small necessities, and transport purchases from store to home
  • Using transportation: being able to drive or use public transportation for appointments, shopping, etc