Fundamental Nursing II
Range-of-Motion Exercises check list (neck, spine & lower limb)
:Student's name:--------------------- Examiner’s name
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Group:---------------------
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Steps Scores
Step’s Student remarks
score ’s score
1- Hand washing
- Before procedure. 1
2- Explain the procedure and purpose to the patient. 1
3- Assessment
Review medical history & determine specific 1
limitations to joint mobility.
Assess patient's level of consciousness and physical
ability & determine the type of range-of-motion 1
exercises.
Assess for redness, tenderness, pain, swelling, or
deformities around joints ( which indicates joint 1
problem that contraindicates ROM exercise)
4-Keep the patient's privacy 1
- Close the door or pull curtains around the bed. 1
- Uncover only the limb to be exercised.
5- Positioning the patient in good body alignment (while in
supine or standing positions).
-Position patient on back with head as flat as possible 1
- Stand with a normal anatomical position 1
6- Keep good body mechanics. 1
7- Perform exercise slowly and gently. 1
8- Exercise the joints systematically.
A-Neck joint; - Mention the type of joint 1
- Perform the movements of joint 5
B- Spine joint; - Mention the type of joint 1
- Perform the movements of joint 5
1
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Fundamental Nursing II
C- Hip joint; - Mention the type of joint 8
- Perform the movements of joint
1
D- knee joint; - Mention the type of joint 2
- Perform the movements of joint
1
E- Ankle joint; - Mention the type of joint 4
- Perform the movements of joint
1
F- Toes joint; - Mention the type of joint 4
- Perform the movements of joint
2
9-Provide support by holding areas. Proximal and distal to
the joint. 2
10- Moves each joint through as full a range as possible
without causing pain. 2
11- Complete extent or movement of which a joint is
normally capable. 2
12- Give the patient a period of rest at the end of each
motion. 2
13- Repeat each exercise from 3-5 times.
14-. Hand washing. 1
- After procedure.
15- Record the ROM in nursing care record
- Record the type of ROM 1
- Record if any limitation, pain , stiffness of 1
joints
16-Report any abnormalities if present. 2
Total score 60
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Instructor’s signature:------------------------- student signature-------------------
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