Contractures
This type of ROM exercise is performed by the nurse when a patient is too weak to move their own joints.
What is passive ROM?
This type of ROM exercise is used for patients who independently perform ADLs but are immobilized or limited in activity.
What is active ROM?
Nurses must recognize that patients with primary osteoporosis are at high risk for this type of accelerated bone loss when immobilized.
What is disuse osteoporosis?
When performing passive ROM exercises, support the limb at these two locations relative to the joint to prevent injury.
What is above and below the joint?
This patient population with advanced lung or heart disease has very little energy and thus does not move around much.
Who are patients with advanced lung disease (COPD) or heart disease (CHF)?
This common contracture leaves the foot permanently fixed in plantar flexion, making ambulation difficult because the patient cannot lift their toes off the ground.
What is foot drop?
This type of exercise involves generating tension between two opposing sets of muscles, like trying to flex the lower arm while using the opposite hand to extend it.
What are isometric exercises?
Decreased bone density leads to these three conditions in sequence.
What are brittle bones, osteoporosis, and fracture?
Even this simple action of moving a bed bound patient has beneficial effects on mobility.
What is transferring a patient from bed to chair?
Patients with this neurological condition may only be able to move around with a wheelchair due to progressive mobility limitations.
What is advanced multiple sclerosis?
ROM exercises should be performed this many times per day to maintain connective tissue within joints.
What is three or four times a day?
Walking this many minutes per day has been proven beneficial to health.
What is 30 minutes?
Decreased activity leads to decreased bone formation, which then leads to this condition.
What is osteoporosis?
These assistive devices should be brought from home to ensure safe ambulation (name at least two).
What are sturdy footwear, eyeglasses, walkers, and canes?
These two types of injuries result in body parts that are significantly decreased or even immobile.
What are spinal cord injury and brain damage from stroke?
This is the primary purpose of performing ROM exercises regularly.
What is to maintain connective tissue within the joint and ensure every joint retains its function and mobility?
Strength training improves the ability to perform these daily tasks needed to maintain functional independence.
What are activities of daily living (ADLs)?
The gold standard diagnostic test for assessing bone mineral density.
What is a DEXA (Dual-Energy X-ray Absorptionmetry) Scan?
When a patient is too weak for nursing-assisted ambulation, the nurse should seek this referral.
What is a physical therapy (PT) referral?
Patients with this joint-related condition tend to be less mobile because movement causes pain.
What is arthritis?
Before implementing ROM exercises with a noncommunicative older adult, the nurse must assess for this.
What is pain?
An example of this exercise is instructing the patient to push into the bed with their hands and attempt to lift their hips while sitting up.
What is an isometric exercise?
These activities promote mobility and can help preserve bone health (name at least three).
What are: dancing, gardening, home maintenance, swimming, walking, water arobics, strength training, physical therapy exercises
All patients should be considered for assisted ambulation unless they have these types of underlying conditions (name at least two).
What are:
This type of patient may be on bed rest for several weeks, placing them at significant risk for complications of immobility.
Who is a multiple-trauma patient?