Restorative Care - ROM
Perform passive range of motion (ROM) exercises on the knee and ankle to maintain joint flexibility and prevent contractures.
Critical steps are identified only where the CareFlow study checklist marks them.
Perform hand hygiene
Critical step
Address resident by name and explain the procedure
Provide privacy
Check care plan for ordered exercises and any restrictions
Critical step
Position resident comfortably in supine position
Support the joint and limb being exercised at all times
Critical step
Move each joint slowly, gently, and smoothly through its range
Critical step
Never force a joint beyond its point of resistance or cause pain
Critical step
Stop exercise if resident reports pain or discomfort
Critical step
Knee: Support upper and lower leg, move through flexion and extension
Ankle: Support lower leg and foot, move through dorsiflexion, plantar flexion, and rotation
Repeat each exercise as ordered (typically 3-5 times per joint)
Observe resident's response throughout exercises
Position resident comfortably with call light within reach
Perform hand hygiene
Critical step
Report any abnormalities to nurse (pain, swelling, decreased range)
Requirements and evaluator wording can vary by state and testing program. Compare this study checklist with your current candidate handbook and instructor guidance.