Musculoskeletal Management - Excelsior CPNE Study Guide pg 214 - 223

Assess the affected area of the designated extremity for:

• abnormalities - atrophy or contractions
• mobility - active or passive - bed, chair, ambulating
• pain with movement

Direct the patient to move the joints of the designated extremity through active range of motion (AROM) by one of the following:

• abduction and adduction
• flexion and extention

Perform passive range of motion (PROM):

• support the weight of the extremity at the joint
• moving the joints of the designated extremity as above, smoothly, rhythmically

Apply supportive or therapeutic devices : such as CPM, Brace, TEDS, Immobilizers, Sequential Hose (SCD)

Apply heat or cold when assigned :

• protect the skin surface by use of a barrier
• apply to the appropriate area
• proper temperature maintain for at least 20 minutes unless otherwise ordered

Maintains traction:

• verify the correct weight
• make sure ropes are unobstructed
• make sure the weights are free
• make sure good alignment
• counter traction

Record all observations, actions and responses.