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Range of Motion: We depend on it! MAY 2010 What do we mean by range of motion? Joint movement Why do ROM exercises? Your role as a CNA Active or passive ROM exercises? Tips for helping with ROM exercises Document and report May 2010 Range of motion Nursing Assistant Monthly Copyright ? 2010 Delmar, Cengage Learning. All rights reserved. Also referred to as ROM, range of motion: Describes how far a joint can move in one or more directions The human body is designed for motion! Some joints are very mobile For example: the hip flexes and rotates Some joints are semi-mobile For example: joints in the backbone move just a bit Some joints are fixed For example: joints between bones of the skull The goal of range of motion exercises is to keep movable joints flexible. Stiff joints: Interfere with mobility Can cause pain Can lead to permanent disability Diminish quality of life Prevention is the best strategy. CNAs can help by: Encouraging residents to do things for themselves Incorporating ROM exercises into ADLs Inspiring residents to be as active as possible Check the nursing care plans or ask the nurse which residents need help with ROM exercises. Active range of motion The person does the exercise independently Assisted range of motion The person does the exercise with partial assistance Passive range of motion Someone else moves the extremity without the person’s assistance Be gentle Watch for signs of discomfort or pain For example: facial expression, agitation Never force a joint to move that causes the resident pain As much as possible, allow the resident to do the exercise without help, or with minimal assistance This helps to strengthen muscles Follow your facility’s policies about ROM exercises Check with the nurse if you are unsure of a resident’s ability or howto help with ROM exercises Be sure to let the nurse know if a resident seems to have painor has
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