What is PROM and how should you perform it?

• A. PROM involves moving a resident's joints through gentle range of motion by the caregiver; support the limb and avoid forcing movement or causing pain.
• B. PROM is active exercises the resident does without assistance.
• C. PROM uses electrical stimulation to aid movement.
• D. PROM involves massaging the joints with oil.

Answer: (C)

PROM stands for Passive Range of Motion. It is done when the resident cannot move a joint on their own, so the caregiver moves the joint through its normal range with gentle, smooth motions. To do it safely, support the limb above and below the joint and keep the joint aligned. Move slowly and never push beyond the point of resistance or into pain. If the resident reports pain, or if you feel noticeable resistance, stop and reassess. PROM is not active exercise the resident does by themselves, not electrical stimulation, and not massage. The goal is to maintain joint flexibility, prevent contractures, and promote circulation, using careful, gradual movements for each joint as ordered. After finishing, return the limb to a comfortable resting position and monitor for any signs of discomfort or skin issues.