Assisting with Passive Range of Motion-Upper Extremities for ARC Testing

Equipment: Bath blanket or sheet

Procedure:

1.) Knock on door and listen for residents response.

2.) Wash hands before contact with resident.

3.) Address resident by name and introduce self.

4.) Explain procedure to resident speaking clearly, slowly, and directly, maintaining face-to-face contact whenever possible.

5.) Provide for residents privacy during procedure with curtain, screen, or door.

6.) Adjust bed to safe working height; lock wheels.

7.) Instruct client to inform CNA if experiencing pain during exercise.

8.) Support residents arm at elbow and wrist while performing range of motion for shoulder.

9.) Raise residents straightened arm from side position forward to above head and return arm to side of body (flexion/extension) (REPEAT AT LEAST 3 TIMES).

10.) Raise arm to side position above head and return arm to side of body (abduction/adduction) (REPEAT AT LEAST 3 TIMES).

11.) While supporting the limb in two places, move joint gently, slowly, and smoothly through the range of motion to the point of resistance, discontinuing exercise if pain occurs.

12.) Place signaling device within residents reach.

13.) Leave bed in lowest position.  Remove privacy measures.

14.) Wash hands.

15.) Report any changes in resident to nurse.  Document procedure according to facility guidelines.