Range of Motion, Safety Reminder devices & Activities of Daily Living

1. Range of Motion,Safety Reminder devices &Activities of Daily Living PN 103

2. Range of Motion (ROM) • Range of motion • -Any body action involving the muscles and joints • in natural directional movements • -Exercises can be performed by a physical • therapist, physical therapy assistant, nurse, or • delegated allied staff

3. Range of Motion (ROM) • Exercises are indicated for patients confined to bed for long periods of time • Exercises may be preformed passively by nurses of actively by the patient

4. Range of Motion (ROM) • The total amount of activity required to prevent physical disuse syndrome is only about 2 hours for every 24 hour period • Designated body joints are moved to the point of resistance or pain, using care to avoid injury

5. Range of Motion (ROM) • Joint Range of Motion Exercises • -Neck and Cervical Spine • -Flexion • -Extension • -Hyperextension • -Lateral flexion • -Rotation

6. Range of Motion (ROM) • Shoulder • -Flexion • -Extension • -Hyperextension • -Abduction • -Adduction • -Internal rotation • -External rotation • -Circumduction

7. Range of Motion (ROM) • Elbow • -Flexion • -Extension • -Hyperextension • Forearm • -Supination • -Pronation

8. Range of Motion (ROM) • Wrist • -Flexion • -Extension • -Hyperextension • -Radial flexion • -Ulnar flexion

9. Range of Motion (ROM) • Fingers Thumb • -Flexion -Opposition • -Extension • -Hyperextension • -Abduction • -Adduction

10. Range of Motion (ROM) • Hip • -Flexion • -Extension • -Hyperextension • -Abduction • -Adduction • -Internal rotation • -External rotation • -Circumduction

11. Range of Motion (ROM) • Knee • -Flexion • -Extension • Ankle • -Dorsiflexion • -Plantar flexion • Foot • -Inversion • -Eversion

12. Range of Motion (ROM) • Toes • -Flexion • -Extension • -Abduction • -Adduction

13. Range of Motion (ROM) • http://mcom.alexanderstreet.com/View/1665570/

14. Safety Reminder Devices • Safety reminder device (SRD) • Any one of numerous devices used to immobilize a patient or part of the patient’s body, such as arms or hands • Used for various reasons • Patient safety • Maintain treatment • Prevent wandering • Prevent or reduce the risk of falls • Restrict movement of an aggressive patient to protect other patients and staff

15. Safety Reminder Devices • Ethical and legal issues surround their use. • The focus is on using alternative strategies before SRDs are applied. • Patient safety or the safety of others must be the priority reason why an SRD is applied. • The use of SRDs can also result in increased restlessness, disorientation, agitation, anxiety, and a feeling of powerlessness. • Documentation about the need for the SRDs, the type of device used, and the patient response is crucial.

16. Safety Reminder Devices Applying safety reminder devices- wrist restraint

17. Safety Reminder Devices

18. Safety Reminder Devices Pediatric Elbow Restraint

19. Safety Reminder Devices Posey Vest

20. Safety Reminder Devices

21. Safety Reminder Devices Ambulating with a Gait belt

22. Quick release knot

23. Swaddling

24. Safety Reminder Devices • http://mcom.alexanderstreet.com/view/1665682/play/true/ • http://mcom.alexanderstreet.com/view/1665681/play/true/ • http://mcom.alexanderstreet.com/view/1665683/play/true/

25. Activities of Daily Living • There are two groups of daily living activities. • - activities of daily living • - instrumental activities of daily living • -basic, routine tasks • -bathing • -dressing • -eating • -using the toilet • -most people are able to perform on a daily basis • without assistance

26. Activities of Daily Living • The instrumental activities of daily living • -more complex tasks • -require a certain amount of physical dexterity • sound judgment and organizational skills. • A senior’s ability (or inability) to adequately perform both groups of activities is usually reflective of that person’s ability to live safely and independently

27. Activities of Daily Living • Basic Activities of Daily Living • Bathing: includes grooming activities such as shaving, and brushing teeth and hair • Dressing: choosing appropriate garments and being able to dress and undress, having no trouble with buttons, zippers or other fasteners • Eating: being able to feed oneself

28. Activities of Daily Living • Transferring: being able to walk, or, if not ambulatory, being able to transfer oneself from bed to wheelchair and back • Continence: being able to control one’s bowels and bladder, or manage one’s incontinence independently • Toileting: being able to use the toilet

29. Activities of Daily Living • Instrumental Activities of Daily Living • Using the telephone: being able to dial numbers, look up numbers, etc. • Managing medications: taking the appropriate medications and correct dosages on time • Preparing meals: making appropriate food choices and preparing meals safely

30. Activities of Daily Living • Maintaining the home: doing or arranging for housekeeping and laundry • Managing finances: budgeting, paying mortgage/rent and bills on time, etc. • Shopping: being able to shop for groceries and other small necessities, and transport purchases from store to home • Using transportation: being able to drive or use public transportation for appointments, shopping, etc