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Range of Motion Exercises - Wrist

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Step 1   Knock before entering the room. Identify and greet resident. Explain procedure. Perform hand hygiene. Provide for privacy. Ask for consent.  
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Step 2 *   Raise bed rail. Raise the bed to the best level for good body mechanics.  
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Step 3   Lower the side rail on the side you are working.  
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Step 4   Position the resident supine and in good alignment.  
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Step 5   Support the resident’s wrist with both of your hands.  
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Step 6   Flexion: bend the hand down.  
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Step 7   Extension: straighten the hand.  
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Step 8   Hyperextension: bend the hand back.  
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Step 9   Radial flexion: turn the hand toward the thumb.  
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Step 10   Ulnar flexion: turn the hand toward the little finger.  
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Step 11   Repeat flexion, extension, hyperextension, and radial and ulnar flexion 5 to 6 times. Repeat at least 3x then verbalize this step.  
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Step 12 *   Raise the side rail.  
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Step 13   Go to the other side and lower the side rail.  
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Step 14   Repeat steps for exercising the wrist. (may verbalize this step)  
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Step 15   Make sure the resident is comfortable.  
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Step 16 *   Raise side rail. Lower bed. Lower side rail. Attach signal light within resident’s reach.  
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Step 17   Perform hand hygiene and report & record observations.  
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Created by: na3
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