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Cajes HTP
Name of Patient: __________________________ Age: ___________ Gender: ________ Date: __August 14, 2023__
Chief Complaints: __________________________ Attending Physician: _______________________ Room Number: _________________
Diagnosis/Impression: ____________________________________________________________________________________________________
Description/ Overview: Active Range of Motion (ROM) exercises for the elderly are gentle, regulated motions that are intended to maintain or
improve joint flexibility, muscular strength, and general mobility. These exercises require the user to move their own joints through their full range
of motion on their own, without help. Active ROM exercises are good for older persons because they lower the likelihood of joint contractures and
improve functional independence.
General Objective: After this teaching session, the patient will be able to successfully distinguish the Active ROM exercises for elderly and apply it on their daily living.
Specific Objectives: 1. Cognitive After a 10-minute teaching session, the patient will be able to name at least 3 Active ROM exercises for elderly.
2. Psychomotor After a 15-minute demonstration, the patient will be able to successfully alter Active ROM exercises for elderly to suit
their condition.
3. Affective After a 5-minute discussion, the patient will display consistent interest in maintaining Active ROM exercises for elderly to
Learner’s Code:
__/__ Patient _____ Spouse _____ Father _____ Mother _____Caregiver Others:____________
Methods of Education:
__/_ Oral Discussion __/_ Demonstration _____ Written _ / _ Video _____ Translator _____ Group
Barriers to Learning:
_____ Communication Difficulties _____ Physical Impairment _____ Cognitive Impairment _____ None
_____ Sensory Impairment _____ Cultural/Religious _____ others/Complex _____Language _____Emotional
CHS/BSN-CURR -RLEFORM-002g
I. Unsa ang Range of Motion? Group discussion 10-minute Evaluation Method: Formative
- Ang Range of Motion (ROM) mao kini ang maximum na abilidad Assessment
sa imong kasukasuan (abaga,balakang,tuhod) na mo-bend, mo-
stretch, ug mulihok.
VII. Summary
Discussion 5-minute Question and Answer
- Exploring feelings and expressing concerns
Performance Learner Code:
_____ Verbalized Understanding _____ Demonstrate Ability _____Reinforcement Recommended _____ Did not understand
Evaluation:____________________________________________
Date/Time Performed: __________________________________________
REFERENCES:
1. 14 Exercises for Seniors to Improve Strength and Balance. (n.d.). Philips Lifeline. https://www.lifeline.ca/en/resources/14-seniors-to-improve-
strength-and-balance/
2. Anderson, J. (2017, March 17). 5 Exercises to Improve Mobility for Seniors. Intermountainhealthcare.org.
https://intermountainhealthcare.org/blogs/5-exercises-to-improve-mobility-for-seniors
3. Jenkins, L. (2005). Expanding range of motion improves aging clients’ quality of life and ability to function. In 50 The Journal on Active Aging.
https://www.humankinetics.com/acucustom/sitename/Documents/DocumentItem/rangeofmotion.pdf
4. Sears, B. (2011, November 11). What is Range of Motion? Verywell Health; Verywell Health. https://www.verywellhealth.com/overview-range-of-
motion-2696650
5. USA, H. (2019, September 19). How to Support a Healthy Range of Motion in Active Older Adults. HUR USA - for LIFELONG STRENGTH.
https://hurusa.com/how-to-support-a-healthy-range-of-motion-in-active-older-adults/
CHS/BSN-CURR -RLEFORM-002g
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EVALUATION TOOL: HEALTH TEACHING RUBRIC
Document Code No.
Teaching Plan Objectives were not clearly stated. Some objectives were not clearly stated. Health education plan was well written,
Teaching methods used were not appropriate Some teaching methods used were not appropriate and objectives were clearly stated.
for the type of materials, topics covered and for the type of materials, topics covered and Teaching Methods used were appropriate for
learners (according to age-group). learners (according to age-group). the type of materials, topics covered and
learners (according to age-group).
Presentation Instructional aids and materials were not Some instructional aids and materials were Instructional aids and materials were prepared
prepared and used appropriately. not prepared and used appropriately. and used appropriately.
Exceeded the time allotment of more Exceeded the time allotment of not more Engaging, organized, and observed time allotment
than 3 minutes than 3 minutes
Total ___/100