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AIM: Why are range of motion exercises so important?. DO NOW Break up into 2 groups. Select the writer, writer stand in front of board Wait for instructions. We read about Rehab/Restorative Care : Let’s See how many ROM movements you can remember!
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AIM: Why are range of motion exercises so important? DO NOW • Break up into 2 groups. • Select the writer, writer stand in front of board • Wait for instructions
We read about Rehab/Restorative Care : • Let’s See how many ROM movements you can remember! • “Writer” you will write info from team members on the board. • Everyone MUST provide input…but be quiet , don’t let other team steal your answers • There will be prizes !!!! • Are you ready????
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? • The goal of range of motion is to decrease contractures and improve strength. • Always ensure independence, privacy , and dignity.
NEVER PERFORM ROM: • if the resident is in pain • if you see swelling or redness • Be patient, sensitive, observe, provide comfort, go slowly • NYS Skill Testing will be either: • Passive ROM of Shoulder • Passive ROM to elbow and wrist • Passive ROM to Hip, Knee, Ankle • Each will be timed 4-5 min • You will be observed for all indirect care skills • You will have to provide 3 reps on correct side
ROM Skill Music/Movement Shoulder • Extension • Flexion • Abduction • Adduction Elbow • Flexion • Extension Wrist • Flexion • hyperextension
ROM Skill Music/Movement • Hip • Flexion • Extension • Knee • Flexion • Extension • Ankle • Dorsiflexion • Plantar flexion
NYS Certification Test Check: WAIT TO ANSWER…shhhhh You should dress the resident: • Weak part of the body first • Unaffected part of body first • Weak part of body last • None of the above
The correct answer is • A • Always dress the weak part of the body first. • Discuss…..why?????
Let’s try one more, then move on… Dorsiflexion is • When the foot is bent toward sole • When the palm is turned downward • When the foot is bent toward leg • When the palm is turned upward
The correct answer is • C. • When the foot is bent toward the leg • 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 ALERT • This Alert is to remind you that the information and photos that we are about to evaluate and discuss are protected under HIPAA…. • What does this mean??????????????????
Clinical Focus Discussion • Ambulation • Use of Hoyer • Wheel chair operation • Hand rolls/contractures • Range of motion as an activity • Special Care Needs for specific residents • Parkinson’s, stroke • Adaptive equipment
Lesson Review then Bedside Practice with Partners. • How does Range of Motion Exercise Benefit the resident? • Review Terms and Practice ROM Skills: • Abduction, Adduction • Flexion, Extension • Dorsiflexion, plantar flexion
What’s Next? • Keep reviewing skill packets and written test prep • Practice • 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 • Lending Library- sign out a supply for at home practice • Come to class anytime- I will have a bed and supplies reserved for you!
