Performing Passive Range of Motion Exercises

Summary

This video script outlines a caregiver's guide to performing passive range of motion exercises for patients. It emphasizes the importance of verifying healthcare provider's orders, maintaining hygiene, and respecting patient privacy. The script details how to move each joint gently and supports the extremity being exercised. It covers various joints, including pivotal, ball and socket, hinge, condyloid, saddle, and gliding, and explains how to perform exercises for each. The script also mentions the use of a goniometer to measure joint flexibility and concludes with reminders to respect the patient's physical limits and document the outcomes.

Takeaways

• 🧼 Always perform hand hygiene and ensure privacy before starting the exercises.
• 🏥 Verify healthcare provider's orders and introduce yourself to the patient, using correct identification.
• 🤝 Support the joint being exercised properly to prevent injury.
• 🚶‍♀️ Work through the body from head to toe, exposing only the necessary limb.
• 🔁 Repeat each movement five times, but demonstrate 2-3 in the video for brevity.
• 📏 Use a goniometer to measure and track improvements in joint flexibility.
• 🤲 Understand the different types of joints: pivotal, ball and socket, hinge, condyloid, saddle, and gliding.
• 🧤 Wear clean gloves if necessary, especially for patients with wounds or on isolation.
• 🛌 Position the patient comfortably, preferably sitting or lying down.
• 🚫 Do not exercise joints beyond the point of resistance, fatigue, or pain.
• 📝 Document the patient's comfort and any expected or unexpected outcomes after the exercises.

Q & A

What is the purpose of passive range of motion exercises?

Passive range of motion exercises are performed by a caregiver to help maintain a patient's independence and mobility.

What should a caregiver do before starting passive range of motion exercises?

Before starting, the caregiver should verify the healthcare provider's orders, perform hand hygiene, ensure privacy, and introduce themselves to the patient.

How should the patient be identified during the exercise session?

The patient should be identified using their full name and date of birth, for example, 'Your name is Vickie Beals, your date of birth is 12/11/54.'

What are some guidelines to follow when performing passive range of motion exercises?

Guidelines include exposing only the limb being exercised, moving each joint slowly and gently, supporting the joint, working from head to toe, not exercising beyond resistance or to the point of pain, repeating each movement 5 times, and measuring joint motion as needed.

What are the major types of joints mentioned in the script?

The major types of joints are pivotal, ball and socket, hinge, condyloid, saddle, and gliding joints.

Why is it important to wear clean gloves during the exercises?

Clean gloves should be worn if necessary, such as when the patient has a draining wound, an open skin lesion, or if the patient is on isolation precautions.

How should the patient be positioned for the exercises?

The patient should be positioned comfortably, preferably sitting or lying down in bed.

What is the significance of measuring joint motion with a goniometer?

A goniometer is used to measure joint range of motion and track improvements in flexibility as rehabilitation progresses.

Can you describe the steps for performing passive range of motion exercises for the shoulder?

For the shoulder, perform flexion by raising the arm forward, extension by returning the arm to the side, abduction by raising the arm to the side and overhead, and internal and external rotation by moving the arm with the elbow flexed.

What is the goal of performing range of motion exercises for the patient?

The goal is to increase the angle or range of motion for the joint, which aids in rehabilitation and improving the patient's flexibility.

How should the patient be made comfortable after the exercises are completed?

After the exercises, the caregiver should ensure the patient is comfortable, perform hand hygiene, and document the outcomes of the session.