Latihan ROM pada Pasien Stroke

Summary

The transcript describes a detailed process of conducting mobility exercises for patients, focusing on joint range of motion (ROM) to improve muscle flexibility, circulation, and overall bodily function. It covers the different types of ROM exercises, such as active and passive movements, and specific joint movements like abduction, pronation, and supination. The healthcare professional demonstrates and explains the exercises step-by-step, ensuring patient comfort and safety. The session concludes with a reminder to maintain patient well-being and offers assistance if needed. The atmosphere is professional and caring, emphasizing patient recovery.

Takeaways

• 😀 Mobilization exercises help maintain and improve joint range of motion (ROM) for patients, ensuring they regain or preserve joint functionality.
• 😀 Active ROM exercises involve the patient using their muscles to move joints, which strengthens muscles and improves flexibility.
• 😀 Passive ROM exercises are performed by healthcare professionals for patients who are unable to move their joints by themselves due to weakness or sedation.
• 😀 Different joint movements are explained, including flexion, extension, abduction, adduction, pronation, and supination, each affecting specific areas of the body.
• 😀 Regular pain checks are crucial to ensure that the patient is not experiencing discomfort during the exercises, ensuring their safety and comfort.
• 😀 Proper positioning of the patient during exercises is key to achieving the full range of movement while preventing strain or injury.
• 😀 The exercises aim to improve circulation, relax muscles, and prevent the loss of muscle and joint function, particularly in post-surgery or immobilized patients.
• 😀 The healthcare professional provides ongoing verbal guidance and reassurance to the patient throughout the mobilization process.
• 😀 The patient is assisted in adjusting positions (e.g., shifting to a side or moving limbs), ensuring exercises are performed safely and effectively.
• 😀 Each type of ROM exercise (active and passive) is tailored to the patient's current physical capabilities and rehabilitation needs.
• 😀 At the end of the session, the healthcare professional checks the patient's comfort, ensures exercises are completed, and provides a calming, supportive environment to promote recovery.

Q & A

What is the purpose of mobilization exercises mentioned in the transcript?

The purpose of mobilization exercises is to maintain or improve joint range of motion, relax muscles, improve circulation, and maintain normal body functions, preventing the loss of muscle strength and joint flexibility.

What are the two types of Range of Motion (ROM) exercises described?

The two types of Range of Motion exercises are active ROM, where the patient moves their joints using their own energy, and passive ROM, where a caregiver moves the patient's joints with the energy from the caregiver.

Why is ROM important for patients, especially those in semi-coma or unconscious?

ROM is important to maintain joint flexibility and muscle strength, particularly for patients in semi-coma or unconscious states, as they are unable to perform movements on their own. Passive ROM helps in maintaining their physical function.

What types of joint movements are included in the mobilization exercises?

The joint movements include flexion (decreasing the angle of the joint), extension (increasing the angle), hyperextension (further extension beyond the normal range), abduction (moving away from the body's midline), adduction (moving toward the body's midline), and rotation (turning the joint, including external and internal rotation).

What is the role of a caregiver or nurse in ROM exercises?

The caregiver or nurse assists in performing passive ROM exercises on the patient, especially for those who cannot perform movements on their own. They ensure the patient's joints maintain flexibility and strength, and help in preventing muscle atrophy.

What are the contraindications for mobilization exercises mentioned in the transcript?

Contraindications include patients who have unhealed injuries, those undergoing surgery, or patients with conditions that prevent safe movement, such as certain infectious diseases or fractures.

What precautions should be taken while performing ROM exercises?

Precautions include avoiding excessive force that could cause injury, ensuring the patient’s comfort, and monitoring for any signs of pain or discomfort. It's also important to maintain proper hand hygiene to prevent infections.

What are the benefits of ROM exercises in improving circulation?

ROM exercises improve circulation by promoting blood flow to the muscles and joints, which helps prevent clot formation, reduces swelling, and enhances overall tissue health.

What communication methods are used to ensure patient comfort during the exercises?

The caregiver communicates continuously with the patient, checking for any pain or discomfort, offering reassurance, and asking for feedback to ensure the exercises are being performed properly and the patient remains comfortable.

How does the caregiver ensure proper patient positioning during the exercises?

The caregiver adjusts the patient's body and limbs to appropriate positions, such as having the patient lie on their back or side to facilitate joint movement, ensuring comfort and safety throughout the procedure.