Before PROM
Verbally instruct your client to:
- indicate the first sign of pain/discomfort/restriction
TIP - indicate areas of pain, discomfort or restriction
- keep body part to be assessed, relaxed
During PROM
- take client to end of ROM (with regard to discomfort / pain / restriction)
- stop at first sign of discomfort or pain
- ascertain where there is pain/discomfort
- avoid holding the client in a painful position
- perform all PROM slowly and safely
- ensure body parts are supported securely throughout movements
- ensure client remains fully draped (where applicable)
- perform all PROM bilaterally
After PROM
- summarize the findings from bilateral PROM
- cross reference with AROM findings
- communicate the findings to your client
- record all findings, including pain, discomfort and extent of restriction