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Range of Motion
Hip ROM
flexion, extension and lateral & external rotation Adduction & Abduction
Hip ROM 1
Hip ROM 2
Hip ROM 4
Hip ROM 4
Rotation
Extension
Flexion
The ROM is
Limitations
Walking Sables
Swelling, tenderness & pain are among factors that limit ROM.
Body Movement
Movement, as in the
case of these dancers, involves voluntary and involuntary movement.
Body Movement
Disruption of
Asymmetrical Movement
This type of
movement may be a CNS disorder but is most often a CVA. Examples include drooping on one side of the body and a foot-dragging gait.
1. 2. 3. 4.
Dressing
Personal Hygiene
Eating
Body Alignment
Correct Lifting
When turning, rotate your whole body, not just your back.
Factors That Affect Body Alignment and Mobility 1. Developmental---Age of Client 2. Physical HealthChornic or Acute
Disease 3. Musculoskeletal: Congenital or acquired abnormalities 4. Nervous System: CVA 5. Cardiovascular: orthostatic hypotension, increased cardiac workload, thrombosis
Metabolic Functioning 8. Integumentary: Impaired Skin Integrity 9. Urinary: Urinary stasis, renal calculi, UTI 10.Mental Health: Physical Processes Slow With Depression All of These Effect.
LIFESTYLE
Clients in Bed
Evaluate Comfort After Positioning for
Alignment Reposition q2h Use Repositioning for effective ROM Use Supportive Devises for Positioning
Positioning Clients
Fowlers Positions
Close to High Fowlers Semi-Fowlers
Supine position
dependant hip and shoulder. Use supportive foam blocks or pillows for support
Sims Position
Weight supported by
anterior aspects of humerus, clavicle and ileum. These pressure points are different from other positions, i.e. supine, thereby preserving skin integrity.
Prone Position
This prone position
can be used to prevent contractures in knees and hips. Prone position counter indicated with spinal cord clients.
Prone Position 2
Airway, airway,
Prone Position 3
Use support to
Turning a Patient
Determine what patient can do, find
assistance if it is needed. Position height of bed for nurses comfort. Position patient supine on far side of bed. Patient arms across chest, far leg over near one. Tighten girdles, flex knees.
ROM Goals
A goal of ROM is to
keep patient in the best physical shape possible. Another goal is to increase joint mobility and to increase circulation to the affected part.
Passive ROM
Active-Assistive ROM
The nurse provides minimal support as the patient moves through ROM.
Active ROM
The patient moves independently through a full ROM for each joint.
Only active ROM increases muscle tone, mass, strength and improves cardiac and pulmonary functioning.
Care Plan
ROM should be included in the patients care plan unless counter indicated. Move each joint to the point of resistance, NOT pain.
Inspiration:
Where is nursing going to take you? --OR-Where are you going to take nursing?
Seeing Wonders