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Questions and Answers
What is one primary benefit of ROM exercises?
What is one primary benefit of ROM exercises?
ROM exercises can help prevent complications in bedridden patients.
ROM exercises can help prevent complications in bedridden patients.
True
Why is it important for nurses to understand the different types of ROM exercises?
Why is it important for nurses to understand the different types of ROM exercises?
To tailor them to each patient's needs for optimal outcomes.
ROM exercises are essential for enhancing overall __________.
ROM exercises are essential for enhancing overall __________.
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Match the following authors to their contributions about ROM exercises:
Match the following authors to their contributions about ROM exercises:
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What is one of the main purposes of Range of Motion (ROM) exercises in nursing?
What is one of the main purposes of Range of Motion (ROM) exercises in nursing?
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Active Range of Motion (AROM) exercises require assistance from a caregiver.
Active Range of Motion (AROM) exercises require assistance from a caregiver.
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What does PROM stand for?
What does PROM stand for?
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ROM exercises can help prevent __________, which is the abnormal shortening of muscles or tendons due to immobility.
ROM exercises can help prevent __________, which is the abnormal shortening of muscles or tendons due to immobility.
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Match the type of ROM exercise with its definition:
Match the type of ROM exercise with its definition:
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Which of the following is NOT a benefit of ROM exercises?
Which of the following is NOT a benefit of ROM exercises?
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ROM exercises are primarily intended for patients who are bedridden or have limited mobility.
ROM exercises are primarily intended for patients who are bedridden or have limited mobility.
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Name one objective of ROM exercises.
Name one objective of ROM exercises.
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AAROM exercises are only indicated for completely immobile patients.
AAROM exercises are only indicated for completely immobile patients.
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Name one benefit of performing AAROM exercises.
Name one benefit of performing AAROM exercises.
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When performing ROM exercises, you should avoid __________ the joint.
When performing ROM exercises, you should avoid __________ the joint.
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Match the following principles to their correct descriptions:
Match the following principles to their correct descriptions:
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Which of the following is NOT a type of patient who may require AAROM exercises?
Which of the following is NOT a type of patient who may require AAROM exercises?
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ROM exercises can help reduce stiffness and pain in joints.
ROM exercises can help reduce stiffness and pain in joints.
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What should be done if a patient feels pain during ROM exercises?
What should be done if a patient feels pain during ROM exercises?
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Which type of exercise is recommended for a bedridden patient recovering from hip surgery?
Which type of exercise is recommended for a bedridden patient recovering from hip surgery?
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Active Range of Motion (AROM) exercises are suitable for all patients, regardless of their physical condition.
Active Range of Motion (AROM) exercises are suitable for all patients, regardless of their physical condition.
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What should be assessed in a patient's condition before performing range of motion exercises?
What should be assessed in a patient's condition before performing range of motion exercises?
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The type of range of motion exercise used by a stroke patient to regain strength is called _______.
The type of range of motion exercise used by a stroke patient to regain strength is called _______.
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Match the type of range of motion exercise with its description:
Match the type of range of motion exercise with its description:
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In what position should the patient's bed be raised during range of motion exercises?
In what position should the patient's bed be raised during range of motion exercises?
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After performing range of motion exercises, it is important to immediately document the procedure.
After performing range of motion exercises, it is important to immediately document the procedure.
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Name one type of joint motion that can be performed at the wrist.
Name one type of joint motion that can be performed at the wrist.
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The term for rotating the foot inward is called _______.
The term for rotating the foot inward is called _______.
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What must be done before beginning range of motion exercises?
What must be done before beginning range of motion exercises?
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Study Notes
Range of Motion (ROM) Exercises
- ROM exercises are used to move joints through their full range of motion.
- This presentation was given by Dr. Wafaa Mohamed Essayed, an Associate Professor of Medical Surgical Nursing, on November 24, 2024.
Outline
- Definition of ROM
- Objectives of ROM exercises
- Types of ROM exercises
Definition
- Range of motion describes the furthest extent joints can move in various directions.
Objectives
- Improve circulation in affected areas
- Restore joint function
- Promote joint mobility
- Prevent joint contractures
- Promote muscle strength
- Prevent muscle atrophy
Purpose in Nursing
- ROM exercises are crucial in preventing complications, like joint contractures, and enhancing circulation, especially in bedridden or immobile patients.
Objectives of ROM Exercises
- Improve joint mobility, enhancing flexibility and function of joints.
- Prevent contractures, abnormal shortening of muscles or tendons due to immobility, reducing the risk of contractures.
- Maintain muscle tone and strength, contributing overall to muscle and tissue health which helps maintain tone and prevent atrophy.
- Enhance circulation by promoting blood flow.
- Improve functional independence by improving mobility and helping patients retain daily living activities (ADLs).
Types of ROM Exercises
- There are three main types:
- Active Range of Motion (AROM): Patients perform the exercises on their own, moving joints through their full range of motion; useful for ambulatory patients.
- Passive Range of Motion (PROM): Caregiver or healthcare provider moves patient's joints through their full range of motion without any effort from the patient; indicated for patients with paralysis, weakness, or immobility.
- Active Assistive Range of Motion (AAROM): Patients move joints as much as possible with assistance from a healthcare provider or equipment; indicated for patients who can perform some movement but need additional help completing the motion fully.
Patients in Need of Exercise
- Individuals who are weak and inactive
- Elderly individuals
- Paralyzed individuals
Principles When Performing ROM
- Therapist should be in a proper position
- Place the patient in a comfortable position with proper body alignment and stabilization
- Free the region from linen, splints, and dressings
- Drape and cover the patient as needed
- Perform exercises smoothly and gently, avoid forcing, jerking, or over-stretching a muscle.
- Stop exercises if pain occurs. Exercises shouldn't cause pain or exceed a joint's normal range of motion.
- Repeat exercises 5-10 times, depending on the patient's condition and response
Techniques for Performing ROM Exercises
- Proper positioning of the patient
- Support the joint being moved
- Gently and slowly perform movements
- Promote smooth, controlled movements to achieve a full range of motion
- Frequency: 2-3 times daily or as recommended by healthcare providers.
- Precautions: avoid overstretching, monitor for pain and stop if pain occurs.
Benefits of ROM Exercises
- Prevention of complications: reduces the risks of joint contractures, muscle atrophy, deep vein thrombosis (DVT).
- Enhancement of functional ability: improving mobility, retaining independence, helping perform daily activities.
- Reduction of pain: can help reduce stiffness, pain in joints, helpful for arthritis or immobilization.
- Psychological benefits: Helps patients maintain control and improves mental well-being.
Case Scenarios
- Bedridden patient recovering from hip surgery may benefit from PROM exercises.
- Patient with stroke-related hemiparesis may need AAROM exercises.
- Elderly patient with osteoarthritis can use AROM exercises to maintain mobility and decrease discomfort.
Performing ROM Exercises
- Demonstrates various exercises using video links.
Post-Procedure
- Reposition patient for comfort
- Handwashing
- Documentation in nurse notes of:
- Joints exercised
- Type of exercise
- Range of movement
- Any joint abnormalities
- Resistance in performing exercises
- Patient complaints of pain
- Inflammation (redness, swelling, hotness, tenderness)
Conclusion
- ROM exercises are crucial for patient care; improving mobility, preventing complications, and enhancing well-being.
- Nurses must understand different exercise types and tailor exercises to individual patient needs for optimal outcomes.
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Description
This quiz covers the fundamental aspects of Range of Motion (ROM) exercises, as presented by Dr. Wafaa Mohamed Essayed. It includes definitions, objectives, and the significance of ROM exercises in nursing to enhance patient care and mobility. Test your knowledge on how these exercises improve circulation and joint function, while preventing complications like contractures.
