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Range of Motion Exercises - Shoulder

Step 1 Knock before entering the room. Identify and greet resident. Explain procedure. Perform hand hygiene. Provide for privacy. Ask for consent.
Step 2 * Raise side rails. Raise the bed to the best level for good body mechanics.
Step 3 Lower the side rail on the side you are working.
Step 4 Position the resident supine and in good alignment.
Step 5 Support the resident’s wrist with one hand and the elbow with the other.
Step 6 Flexion: raise the arm straight in front and over the head.
Step 7 Extension: bring the arm down to the side.
Step 8 Abduction: move the straight arm away from the side of the body.
Step 9 Adduction: move the straight arm to the side of the body.
Step 10 Internal Rotation: bend the elbow. Place it at the same level as the shoulder. Move the forearm down toward the body.
Step 11 External Rotation: move the forearm toward the head.
Step 12 Repeat flexion, extension, abduction, adduction, internal rotation, and external rotation 5-6 times.
Step 13 * Raise the side rail.
Step 14 Go to the other side and lower the side rail.
Step 15 Repeat the steps for exercising the other shoulder. (may verbalize)
Step 16 Make sure the resident is comfortable.
Step 17 Cover the resident with top linens. Remove the bath blanket. Provide for comfort.
Step 18 * Raise side rail. Lower bed. Lower side rails. Attach signal light within resident’s reach.
Step 19 Perform hand hygiene and report & record observations.
Created by: na3