Figure 5-4. Example of Narrative Note.
CONTRAINDICATIONS TO RANGE OF MOTION EXERCISES
a. Heart and Respiratory Diseases. Range of motion exercises require energy
and tend to increase circulation. Increasing the level of energy expended or increasing
the demand for circulation is potentially hazardous to patients with heart and respiratory
b. Connective Tissue Disorders. Range of motion exercises put stress on the
soft tissues of the joint and on the bony structures. These exercises should not be
performed if the joints are swollen or inflamed or if there has been injury to the
musculoskeletal system in the vicinity of the joint.
Encourage the immobile patient to participate as fully as possible so that he feels
involved in the process. Always explain to the patient what you are about to do and
enlist his cooperation. To avoid strain, remember to maintain your own proper body
mechanics as you carry out the exercises for the patient. The overall nursing goal is to
promote the maximum degree of mobility for the patient who cannot engage in the
normal activities of daily living and prevent or reduce the effects of immobility.
Performing range of motion exercises can often save the patient a lengthy rehabilitation.