Skill Checklists for Taylor's Clinical Nursing Skills: A Nursing Process Approach

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Copyright © 2011 by Wolters Kluwer Health | Lippincott Williams & Wilkins. Skill Checklists for Taylor's Clinical Nursing Skills:

SKILL 9-6

Providing Range-of-Motion Exercises (Continued)

Comments

12. Raise the arm at the side until the upper arm is in line with
    the shoulder. Bend the elbow at a 90-degree angle and
    move the forearm upward and downward, then return the
    arm to the side.


13. Bend the elbow and move the lower arm and hand upward
    toward the shoulder. Return the lower arm and hand to
    the original position while straightening the elbow.


14. Rotate the lower arm and hand so the palm is up. Rotate
    the lower arm and hand so the palm of the hand is down.


15. Move the hand downward toward the inner aspect of the
    forearm. Return the hand to a neutral position even with
    the forearm. Then move the dorsal portion of the hand
    backward as far as possible.


16. Bend the fingers to make a fist, and then straighten them
    out. Spread the fingers apart and return them back
    together. Touch the thumb to each finger on the hand.


17. Extend the leg and lift it upward. Return the leg to the
    original position beside the other leg.


18. Lift the leg laterally away from the patient’s body. Return
    the leg back toward the other leg and try to extend it
    beyond the midline.


19. Turn the foot and leg toward the other leg to rotate it
    internally. Turn the foot and leg outward away from the
    other leg to rotate it externally.


20. Bend the leg and bring the heel toward the back of the leg.
    Return the leg to a straight position.


21. At the ankle, move the foot up and back until the toes are
    upright. Move the foot with the toes pointing downward.


22. Turn the sole of the foot toward the midline. Turn the sole
    of the foot outward.


23. Curl the toes downward, and then straighten them out.
    Spread the toes apart and bring them together.


24. Repeat these exercises on the other side of the body.
    Encourage the patient to do as many of these exercises
    by him- or herself as possible.
    25.When finished, make sure the patient is comfortable, with
    the side rails up and the bed in the lowest position.


25. Remove gloves and any other PPE, if used. Perform hand
    hygiene.

ExcellentSatisfactoryNeeds Practice