SN instructed patient / Caregiver that clients with kidney disease should engage in activities that will improve their overall health. For example, exercise has been known to improve overall health, mental outlook, and control blood sugar. SN suggested that a good option would be to start a simple exercise program.
Perform stretching and relaxation exercises before getting out of bed. Use a tub seat and handheld showerhead when bathing when bathing. Rest before difficult tasks. Take frequent rest periods during the activity. Pace activities, and do not rush. Plan trips before going up and down stairs. Roll, push, or pull instead of lifting. Sit to perform an activity instead of standing, when possible. Hold objects close to you instead of away from your body. Use arm supports to perform an activity (i.e., resting elbows on table while shaving, brushing teeth, and eating). Limit activity on days of high air pollution.
Instructed in the importance of exercise. This avoids phlebitis, decubitus ulcer, pneumonia, fractures, depression, urinary complications, muscle weakness and atrophy and constipation.
Patient was instructed on passive exercises (ROM exercises), that are very important if patient is in bed or in wheelchair. ROM exercises help keep the joints and muscles as healthy as possible. Without this exercises, blood flow and flexibility (moving and bending) of the joints can decrease. Joints, such as the knees and elbows, could become stiff and locked without ROM exercises. Passive Rom helps keep joint areas flexible, but do not built muscles or make them stronger.
Patient was instructed on Passive exercises or ROM exercises. All exercises are done smoothly and gently. Never force, jerk or over-stretch a muscle. This can hurt the muscle or joint instead of helping. Move the joint slowly. This is especially important when having muscle spasms. ROM exercises should never cause pain or go beyond the normal movement of the joint. Stop them if the person feels pain.
Patient was instructed on passive range of motion exercises, also called ROM exercises. ROM exercises can be active o passive. Active ROM is done when a person can do the exercises by himself. Active-assisted ROM is done by a person and a helper. Passive ROM exercises are done for a person by a helper. The helper does the ROM because the person cannot do them by himself.
