Positioning, Draping, and ROM Week 3

What is posture?

The position our bodies take in response to gravity

Which term means lying down?

Recumbent

Which is an advantage of ideal posture?

Less muscle fatigue

Poor posture may cause:

Increased joint and muscle loading

Which is a goal of positioning?

Align, protect, support, provide access, and promote comfort

Why is proper joint alignment important during positioning?

To prevent stretching or contracture of soft tissue

What is the purpose of supporting body parts?

To maintain comfort, position, and stability

Which is a possible consequence of poor posture?

Compromised circulation and respiration

What is static posture?

Maintaining a position without significant movement

What is dynamic posture?

Maintaining posture while moving

When positioning a client lying on their back, where does the slide recommend placing a pillow?

Under the head, not the shoulders

When lying on the side, where does the slide recommend placing pillows?

Between the knees

Why should the natural curves of the back be supported?

To maintain appropriate support and alignment

Which is a pressure-area risk factor during positioning?

Prolonged pressure over a bony prominence

Which bony landmark is specifically highlighted in the slides in relation to sitting?

Ischial tuberosity

What should be considered when choosing a supporting surface?

Both A and B

What does genu varum describe?

Bowlegs

What does genu valgum describe?

Knock-knees

What does genu recurvatum describe?

Knee hyperextension

What is one reason positioning is important before, during, and after treatment?

To protect the client from harm

What is a primary reason for draping a client?

To maintain dignity, modesty, and warmth

In the STEM principles, what does E stand for?

Expose only the area being treated

What does T stand for in STEM?

Treatment

Which is the best example of maintaining modesty?

Covering all areas not needed for treatment

Which principle means protecting the client's clothing and skin from becoming soiled?

Skin and clothing protection

What does respecting client preference mean?

Considering the client's preferences when appropriate and safe

Which principle focuses on protecting personal information and coverage?

Privacy

Which principle is most directly related to respecting the client as a person?

Dignity

What is the purpose of landmarking?

To identify reference points and locate structures

Which instruction is given in the slides for landmarking?

Visualize and verbalize what you are locating

Which landmark is found at the shoulder?

Acromion

Which landmark is found at the elbow?

Olecranon

Which landmark is located on the pelvis?

ASIS

Which landmark is found at the knee?

Patella

Which landmark is associated with the heel?

Calcaneus

Which landmark is located on the forearm near the wrist?

Radial styloid process

Which landmark is located on the scapula?

Inferior angle

Which landmark is located on the femur near the hip?

Greater trochanter

What does ROM stand for?

Range of motion

How do the slides define ROM?

The fullest amount of movement that occurs at a joint

Which is a benefit of ROM activity?

Joint flexibility

ROM exercises can help reduce the potential for:

Joint contractures

How does movement of synovial fluid benefit a joint?

It provides nutrients to articular cartilage

Which system can benefit from ROM activity through assistance with circulation and vascular drainage?

Cardiopulmonary system

Which is another benefit of ROM listed in the slides?

Promoting kinesthetic awareness

What does AROM stand for?

Active range of motion

During AROM, the client:

Performs the movement independently using their own muscle action

Which is an indication for AROM?

The client is cognitively and physically capable of performing it

What does AAROM stand for?

Active-assisted range of motion

During AAROM, movement is performed by:

The client actively with help from a clinician or apparatus

When might AAROM be appropriate?

When weakness or a need for guidance is present

What is auto-assisted ROM?

Movement assisted by another body part or equipment

Which is a definition of PROM?

Movement that is not due to the client's own muscle action

Which situation may indicate PROM?

The client cannot move the body part, such as with paralysis

PROM may be used to:

All of the above

Which type of ROM uses the client's own muscle action without help?

AROM

Which type of exercise may use an apparatus or assistance from another person while the client actively participates?

AAROM

Which type of ROM can be assisted by using another part of the client's body?

Auto-assisted ROM

A client is unable to actively move their arm, and passive movement is allowed. Which type of ROM may be appropriate?

PROM

A client can move their arm but needs help to complete the movement correctly. Which type of ROM best matches this situation?

AAROM