ORDERED TO:

REDUCE PHYSICAL ACTIVITY

REDUCE PAIN

ENCOURAGE REST

REGAIN STRENGTH

PROMOTE HEALING

MAY BE ON:

COMPLETE (STRICT) BED REST

BEDREST WITH BATHROOM PRIVILEDGES (BRP)

CONTRACTURES

CAUSED BY ABNORMAL SHORTENING OF A MUSCLE

MUSCLE IS FIXED IN POSITION, IS DEFORMED, AND CAN NOT BE

MOVED

THE PERSON IS PERMANENTLY DEFORMED

ATROPHY

DECREASE IN THE SIZE OR THE WASTING AWAY OF

MUSCLE TISSUE

ORTHOSTATIC HYPOTENSION

ABNORMALLY LOW BLOOD PRESSURE WHEN THE PERSON STANDS UP TO SUDDENLY

WHEN YOU STAND TOO QUICKLY, THE BLOOD PRESSURE DROPS.

THE PERSON MAY FEEL DIZZY, WEAK, HAVE SPOTS BEFORE THE EYES

HAND ROLLS PREVENT CONTRACTURES OF THE FINGERS AND WRIST

WHAT CAN YOU USE IF YOU DO NOT HAVE A HAND ROLL?

FOOTBOARD

PLACED SO THE SOLES OF THE FEET ARE FLAT AGAINST IT

BED CRADLE

KEEPS THE WEIGHT OF THE TOP LINEN OFF THE FEET AND TOES

THE FOOT IS BENT DOWN

PLANTAR FLEXION

TROCHANTER ROLL

PREVENTS THE HIP AND LEG FROM ROTATING OUTWARD

HIP ABDUCTION WEDGE

KEEPS THE PERSON’S LEGS ABDUCTED

SPLINT

KEEPS THE ELBOWS,WRISTS,THUMBS,

FINGERS, ANKLES, OR KNEES IN NORMAL

POSITION

THE MOVEMENT OF A JOINT TO THE EXTENT POSSIBLE WITHOUT CAUSING PAIN

MOVE THE JOINT THROUGH THEIR COMPLETE RANGE OF MOTION

DONE AT LEAST TWICE A DAY

WILL BE ORDERED BY DOCTOR OR NURSE

ACTIVE RANGE-OF-MOTION EXERCISES - DONE BY THE PERSON

PASSIVE RANGE-OF-MOTION EXERCISES - ANOTHER PERSON MOVES THE JOINT

ACTIVE-ASSISTIVE RANGE OF MOTION EXERCISES - THE PERSON DOES SOME OF THE MOVEMENT WITH HELP FROM ANOTHER

PERSON

ABDUCTION - MOVING A BODY PART AWAY FROM THE MIDLINE OF THE BODY

ADDUCTION - MOVING A BODY PART TOWARD THE MIDLINE OF THE BODY

EXTENSION - STRAIGHTENING A BODY PART

FLEXION - BENDING A BODY PART

ROTATION - TURNING THE JOINT

INTERNAL ROTATION - TURNING THE JOINT INWARD

EXTERNAL ROTATION - TURNING THE JOINT OUTWARD

PLANTAR FLEXION - BENDING THE FOOT DOWN AT THE ANKLE

PRONATION - TURNING THE JOINT DOWNWARD

SUPINATION - TURNING THE JOINT UPWARD

WHEN DELEGATED RANGE-OF-MOTION EXERCISES YOU WILL NEED THIS INFORMATION TO SAFELY COMPLETE THE TASK

WILL YOU PERFORM ACTIVE, PASSIVE, OR ACTIVE ASSIST RANGE-OF-MOTION

WHICH JOINT WILL YOU BE EXERCISING

HOW OFTEN WILL YOU BE DOING THE EXERCISE

HOW MANY TIMES WILL YOU REPEAT EACH EXERCISE

RECORD THE FOLLOWING:

* THE TIME YOU PERFORMED THE EXERCISES

* THE JOINTS THAT WERE EXERCISED

* THE NUMBER OF TIMES THE EXERCISES WERE PERFORMED ON EACH JOINT

* ANY COMPLAINTS OF PAIN OR STIFFNESS

* TO WHAT DEGREE DID THE PATIENT ASSIST

EXERCISE ONLY THE JOINTS THE NURSE TELLS YOU TO EXERCISE

EXPOSE ONLY THE BODY PART BEING EXERCISED

USE GOOD BODY MECHANICS

SUPPORT THE PART BEING EXERCISED

MOVE THE JOINT SLOWLY, SMOOTHLY, AND GENTLY

DO NOT FORCE A JOINT BEYOND ITS PRESENT RANGE OR MOTION OR TO THE POINT OF PAIN

REPEAT EACH EXERCISE 5 TIMES PER JOINT

KNOW THE FACILITY POLICY IN REGARDS TO RANGE OF MOTION EXERCISES FOR THE NECK

AMBULATION IS THE ACT OF WALKING

SOME PEOPLE ARE WEAK AND UNSTEADY

CHECK THE CARE PLAN TO SEE WHAT ASSISTANCE IS NEEDED

ALWAYS USE A GAIT BELT

KNOW THE PERSON’S LIMITATIONS

* HOW FAR CAN THEY WALK

* ANY PARALYSIS OR WEAKNESS IN LEGS

* ANY ASSISTIVE DEVICE (CANE, WALKER, CRUTCHES)

THE PERSON MUST WEAR NON-SKID SHOES

DANGLE THE PERSON FOR A FEW MINUTES BEFORE STANDING THEM UP

WALK TO THE SIDE AND SLIGHTLY BEHIND THE PERSON

STAND ON THE PERSON’S WEAK SIDE

THE PERSON SHOULD LOOK FORWARD, NOT AT THE FLOOR

ENCOURAGE THEM TO WALK NORMALLY

DO NOT TRY TO PREVENT THE FALL

YOU COULD HURT YOURSELF OR THE PATIENT BY DOING SO

IF A PERSON BEINGS TO FALL, STEP BACK AND EASE HIM TO THE FLOOR

THIS ALLOWS YOU TO CONTROL THE FALL

DO NOT ALLOW THE PERSON TO GET UP UNTIL CHECKED BY THE NURSE

CRUTCHES ARE USED WHEN THE PERSON CANNOT USE ONE LEG OR WHEN ONE LEG IS WEAK

MUST HAVE RUBBER TIPS ON THE BOTTOM

CHECK ALL BOLTS FOR TIGHTNESS

WEAR NON-SKID SHOES

MUST BE ADJUSTED CORRECTLY FOR PERSON’S HEIGHT

CANES ARE USED FOR WEAKNESS ON ONE SIDE OF THE BODY. THEY HELP PROVIDE BALANCE AND SUPPORT

CANES ARE HELD ON THE STRONG SIDE OF THE BODY

DIFFERENT CANES MEET DIFFERENT NEEDS OF THE PERSON

WALKING CANE

TRIPOD

QUAD

SUPPORT WEIGHT ON STRONG LEG AND MOVE CANE FORWARD ABOUT 6 - 10 INCHES

THE WEAK LEG IS ROUGHT FORWARD EVEN WITH THE CANE

SHIFT WEIGHT TO THE WEAK LEG AND THE CANE, MOVING THE STRONG LEG FORWARD AHEAD OF THE CANE

REPEAT MOTIONS TO MOVE AHEAD

A WALKER GIVES MORE SUPPORT THAN A CANE

THE WALKER IS PICKED UP AND MOVED ABOUT 6 TO 8 INCHES IN FRONT OF THE PERSON

THE PERSON MOVES THE WEAK LEG FORWARD

THEN MOVES THE STRONG LEG FORWARD

DO NOT LET THE PERSON DRAG THE WALKER ON THE FLOOR - IT MUST BE PICKED UP

MAY HAVE WHEELS ON THE WALKER TO ASSIST WITH MOVEMENT

MAY HAVE BASKETS OR TRAYS ATTACHED TO THE FRONT SO THEY MAY CARRY ITEMS WITH THEM

BRACES SUPPORT WEAK BODY PARTS

THEY PREVENT OR CORRECT DEFORMITIES OR PREVENT JOINT MOVEMENT

SKIN AND BONY PROMINENCES UNDER THE BRACE ARE KEPT CLEAN AND PROTECTED

REPORT ANY COMPLAINTS OF PAIN OR DISCOMFORT

THE NURSE OR CARE PLAN WILL TELL YOU WHEN TO APPLY THE BRACE

THE PROCESS OF RESTORING THE PERSON TO HIS OR HER HIGHEST POSSIBLE LEVEL OF FUNCTIONING

MUST LOOK AT THE “WHOLE” PERSON - PHYSICAL, PSYCOLOGICAL, SOCIAL, AND ECONOMIC

GOALS ARE DIFFERENT FOR EACH INDIVIDUAL

STRIVE TO MAKE PERSON AS INDEPENDENT AS POSSIBLE

REHABILITATION BEGINS WHEN PERSON IS FIRST ADMITTED TO HEALTH CARE FACILITY

NURSING CARE IS GIVEN TO PREVENT COMPLICATIONS THAT WILL IMPACT REHABILITATION EFFORTS

SELF-CARE IS A MAJOR GOAL

PERSON WILL PERFORM ACTIVITIES OF DAILY LIVING AS INDEPENDENTLY AS POSSIBLE

MAY NEED ASSISTIVE DEVICES

AN ARTIFICIAL REPLACEMENT FOR A MISSING BODY PART

THE PERSON IS MEASURED AND FITTED FOR THE PROSTHESIS

THE PERSON LEARNS HOW TO USE THE PROSTHESIS

SELF-ESTEEM MAY BE AFFECTED BY LOSS OF FUNCTION OR APPEARANCE

THE PERSON MAY FEEL WORTHLESS OR UNATTRACTIVE

THE PERSON MAY DENY THE DISABILITY

THEY MAY BE DEPRESSED, ANGRY, AND HOSTILE

THE PERSON MUST BE MOTIVATED TO IMPROVE OR REHABILITATION WILL NOT BE SUCCESSFUL

THE PERSON MUST ACCEPT HIS OR HER LIMITATIONS

THE FOCUS IS ON WHAT THE PERSON CAN DO - NOT ON WHAT THEY CANNOT DO

PROGRESS MAY BE SLOW SO SHOW POSITIVE ENCOURAGEMENT FOR ANY SMALL SUCCESS OR PROGRESS THE PATIENT SHOWS

MAINTAIN THE PERSON’S DAILY ROUTINE

GIVE GOOD NURSING CARE TO PREVENT COMPLICATIONS

REPORT ANY SIGNS OF COMPLICATIONS

APPLY ASSISTIVE DEVICES AS NEEDED

DO NOT GIVE SYMPATHY OR PITY THE PERSON

ENCOURAGE THE PERSON TO BE INDEPENDENT WHEN PERFORMING ADL’S

DO NOT HURRY THE PERSON. GIVE THEM TIME TO COMPLETE THE TASK

GIVE PRAISE FOR EVERY PROGRESS MADE, EVEN IF THE PROGRESS WAS SMALL

PROVIDE EMOTIONAL SUPPORT

BE UNDERSTANDING

BE FAMILIAR WITH EQUIPMENT AND ASSITIVE DEVICES

FOCUS ON WHAT THE PERSON CAN DO

ALLOW THE PERSON CHOICES WHEN APPROPRIATE