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Passive range of motion (PROM) is a therapeutic exercise that involves moving a person's joints through a full range of motion without the person actively participating in the movement. It is typically used to improve joint flexibility, mobility, and function, and to prevent joint stiffness and contractures.
To perform PROM on each extremity, you will need to follow these steps:
- Gather the necessary equipment: You will need a PROM device or tool (such as a goniometer or a PROM board), as well as any other equipment that may be required, such as gloves or lubricant.
- Position the client: Position the client in a comfortable and supported position, with the limb you are working on easily accessible.
- Start with a warm-up: Begin by gently warming up the joint with some gentle movements or stretches. This will help to increase blood flow to the joint and make it more pliable.
- Perform the PROM: Using the PROM device or tool, move the joint through its full range of motion, starting at the limits of motion and gradually increasing the range as tolerated. Be sure to use a smooth and controlled motion, and avoid forcing or overstretching the joint.
- Monitor the client's response: As you perform the PROM, pay attention to the client's response. If the client experiences discomfort or pain, stop the PROM and adjust the position or range of motion as needed.
- Repeat the PROM on other extremities: Once you have completed the PROM on one extremity, repeat the process on the other extremities as needed.
In addition to performing PROM, it is important to monitor the client's electrolyte levels, suction saliva from the client's mouth as needed, and record the client's intake and output. These are important aspects of nursing care that help to maintain the client's overall health and well-being.
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