ROM Question

Nursing Students CNA/MA

Published

Specializes in CNA: LTC.

Hi Everyone,

I had just one question regarding ROM exercises.

After watching the video for this skill, I noticed that while the Instructor performed ROM for the upper extremities, he supported her shoulder and wrist while displaying adduction/abduction. I thought the elbow was to be supported?

I question this because the CD-ROM that accompanied my textbook does not display as such, and the WI Skills Testing steps do not indicate this either.

One week to go before my class starts!

Thanks for any help!

Mike

Specializes in CNA.

Hi michael you are right the elbow is supposed to be supported. because if it's not it puts more strain on the elbow. basically you can just cradle the arm with on of your arms, supporting the elbow to the wrist.

hopefully that makes sense.

but anyways, I wish you luck.

Jarelle, CNA

You're right...the elbow is supposed to be supported. In our class, the instructor has us pick out all of the errors in the textbook pictures and in the videos we watch. It's amazing to me how many errors there are! In our textbook, about 1/3 of the pictures for ROM are wrong.

Specializes in CNA: LTC.

Thanks for the replies!

I spent the latter half of this afternoon studying ROM, and it makes much more sense than just watching a video and simulating the movements with another person (especially in the first stages of learning). While I tend to be a strong "visual" learner, I did not rely on the textbook illustrations, except in which to identify the movements for self-testing. The reason I chose to do this is because my CD-ROM and textbook illustrations were a little confusing, specifically the ones indicating pronation and supination.

Also, to all of you experienced CNAs out there, how common is it to practice ROM on the head?

Thanks again! Have a great night.

Mike

My instructor say ROM on the head and neck is for the RN or PT to do only. my book says that CNA's should do it but my instructor says otherwise. In my opinion, i would stay away from head an neck bc there is a lot of damage that can happen if you are not careful

Specializes in CNA: LTC.

I have just one more question regarding ROM if anyone would like to answer based on their own experiences, specifically when being tested.

While reviewing the states's skill testing list, the portion for shoulder ROM does not list external/internal rotation. Has anyone else tested in their state and noticed that this was not required?

Thanks for any assistance!

Mike

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