Fundamental Nursing II
Range-of-Motion Exercises check list (upper limbs)
:Student's name:--------------------- Examiner’s name
-----------------------
----------------------:Group:--------------------- Date
Steps Scores
Step’s Student remarks
score ’s score
1- Hand washing
1
2- Explain the procedure and purpose to the patient.
1
3- Assessment
Review medical history & determine specific
limitations to joint mobility. 1
Assess patient's level of consciousness and physical
ability & determine the type of range-of-motion
exercises. 1
Assess for redness, tenderness, pain, swelling, or
deformities around joints ( which indicates joint
problem that contraindicates ROM exercise) 1
4-Keep the patient's privacy
- Close the door or pull curtains around the bed.
- Uncover only the limb to be exercised. 1
1
5- Positioning the patient in good body alignment (while in
supine or standing positions).
-Position patient on back with head as flat as possible
- Stand with a normal anatomical position
1
6- Keep good body mechanics. 1
7-Perform exercise slowly and gently.
2
8-Exercise the joints systematically. 1
A- Shoulder joint; - Mention the type of joint
- Perform the movements of joint
1
B- Elbow joint; - Mention the type of joint 8
- Perform the movements of joint
1
C- Forearm joint; - Mention the type of joint 2
- Perform the movements of joint
1
|1
Fundamental Nursing II
D- Wrist joint; - Mention the type of joint 8
- Perform the movements of joint
1
E- Metacarple phalengeal joint; 2
-Mention the type of joint
- Perform the movements of joint
1
F- Finger joint; - Mention the type of joint 4
- Perform the movements of joint
1
G- Thumb joint; - Mention the type of joint 4
- Perform the movements of joint
1
9-Provide support by holding areas. Proximal and distal to 4
the joint.
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.
13- Repeat each exercise from 3-5 times. 2
14- Hand washing
15- Record the ROM in nursing care record 2
- Record the type of ROM
- Record if any limitation, pain , stiffness of 2
joints 1
16-Report any abnormalities if present.
1
1
1
Total score 60
Comment:----------------------------------------------------
---------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------
Instructor’s signature:------------------------- student signature-------------------
|2
