Long-Term Care

REHABILITATION

LTC Nursing Assistant Trainer, December 21, 2005

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Rehabilitation is two-fold: physical and psychosocial. This week's tip will discuss the physical; and next week will look at the psychosocial.

Physical rehab includes range-of-motion exercises, which can help a resident retain joint flexibility if performed two or three times a day. Residents can perform range-of-motion exercises by themselves or combined with other activites, such as bathing or dressing. CNAs assisting in these activities should hold the working joint to provide support.

If the joint is tender, hold the muscle area next to the joint being exercised, and stop any exercise that causes residents pain or discomfort. When residents perform the exercises, CNAs should document the following information:

* The type of exercises (active, assistive, passive)

* The joints exercised

* Any increase or decrease in joint movement

* Any sign of distress or muscle spasm



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