RANGE OF MOTION FOR A RESIDENT’S SHOULDER

1) Perform hand hygiene.

a. Cover all surfaces of the hands with hand sanitizer.

b. Rub hands together to dry.

2) Explain the procedure to be performed to the resident.

3) Raise the bed between mid-thigh and waist level.

4) Provide privacy for the resident; pull the privacy curtain.

5) Position the resident supine (bed flat).

6) Leave the resident in good body alignment.

7) Place one hand under the resident’s elbow and the other hand under the resident’s wrist.

8) Raise the resident’s arm up and over the resident’s head. (flexion)

9) Bring the resident’s arm back down to the resident’s side. (extension)

10) Complete flexion and extension of the resident’s shoulder at least three times.

11) Continue correctly supporting joints by placing one hand under the resident’s elbow and the other under the resident’s wrist.

12) Move the resident’s entire arm out away from the resident’s body. (abduction)

13) Return the resident’s arm to the resident’s side. (adduction)

14) Complete abduction and adduction of the resident’s shoulder at least three times.

15) The candidate must ask at least once if they are causing any pain or discomfort.

16) Do not force any joint beyond the point of free movement.

17) Leave the resident in a comfortable position.

18) Lower bed.

19) Open the privacy curtain.

20) Maintain respectful, courteous interpersonal interactions at all times.

21) Place the call light or signaling device within easy reach of the resident.

22) Perform hand hygiene.

a. Cover all surfaces of the hands with hand sanitizer.

b. Rub hands together to dry.