In what situation should a CNA perform range of motion (ROM) exercises?

Performing range of motion (ROM) exercises is particularly beneficial in situations where a patient is bedridden or has limited mobility. These exercises help maintain joint flexibility, prevent stiffness, and promote circulation, which are essential for individuals who are unable to move freely or who are confined to bed. By engaging in ROM exercises, the CNA can help mitigate the risk of complications associated with immobility, such as contractures or skin breakdown.

In contrast, when the patient is fully mobile and independent, there may not be a need for ROM exercises, as their natural movements will maintain joint function and mobility. Performing these exercises only when specifically instructed by a doctor might limit the opportunities for preventive care, as nursing assistants are often trained to recognize when such interventions are beneficial. Additionally, while patient requests are valuable, they may not always reflect the clinical necessity for ROM exercises; the healthcare provider should assess and recommend these exercises based on the patient's condition.