Final answer:
You should start Range of Motion (ROM) exercises with the joints closest to the body and work outward, which corresponds to answer A. This ensures a systematic approach to maintaining or improving movement of all joints during a session. Exercises should not cause pain, and any discomfort encountered should not lead to completely skipping exercises but rather to adjusting them.
Step-by-step explanation:
When starting Range of Motion (ROM) exercises, it is generally best practice to start with the joints closest to the body and work outward. This means that the correct answer is A) Start with the joints closest to the body and work outward. Range of Motion exercises are designed to maintain or increase the flexibility, strength, and movement of various body parts. By starting centrally (e.g., shoulders or hips) and moving to more distal points of the extremities (e.g., hands or feet), there is a systematic approach that helps ensure all joints are addressed in a session.
It is not typically the case that you should always start with the right side before the left, or vice versa, as that is dependent on the individual's needs and the professional advice of their healthcare provider. Lastly, while comfort is a critical aspect of these exercises, and exercises should never cause pain, it is not advisable to entirely skip exercises for residents who find them uncomfortable. Instead, adjustments should be made to reduce discomfort while continuing to promote maximum mobility within the individual's limits.