What is the first precaution before performing PROM for the shoulder?

What is the first precaution before performing PROM for the shoulder?

• A. Warn about possible pain
• B. Gloves on
• C. Supports under elbow + wrist = 3x upwards
• D. Supports under elbow + wrist = 3x abduction

Answer: (A)

The first precaution is to warn the patient about possible pain. Giving advance notice about what they might feel helps them understand what will happen, gives consent to proceed, and invites them to tell you if discomfort increases. This safety step lets the patient stay engaged and allows you to monitor their pain response and stop immediately if needed. After this, you would proceed with appropriate support and technique (such as stabilizing the arm under the elbow and wrist and moving within the patient’s comfort range). The other options touch on hygiene or specific positioning, but they aren’t the initial safety step before starting PROM.

The first precaution is to warn the patient about possible pain. Giving advance notice about what they might feel helps them understand what will happen, gives consent to proceed, and invites them to tell you if discomfort increases. This safety step lets the patient stay engaged and allows you to monitor their pain response and stop immediately if needed. After this, you would proceed with appropriate support and technique (such as stabilizing the arm under the elbow and wrist and moving within the patient’s comfort range). The other options touch on hygiene or specific positioning, but they aren’t the initial safety step before starting PROM.