How do you respond when a patient is resistant to using their CPM machine?

Find articles based on EBR to support your practice. Educate the patient on why this is important so they can make an informed decision about their own care, because they always have the right to refuse. You are limited to your job in educating the patient to the best of your ability….then document education and refusal with quotations included, and notify mds. Also, I haven’t seen a CPM machine in YEARS bc evidence didn’t support their effectiveness.

Tell them they will lose their range of motion and very quickly never to be recovered

Simply ask them if they want to be able to bend their Knee when getting into the Car going Home. Or they want to be stuck with a b Walker for Life

If patient refuses CPM machine then the nurse should educate the patient on how to use the CPM machine.If the nurse cannot adequately or effectively teach patient the importance of CPM machine ,the nurse should invite the physical therapist to assist.The reasons why some patients refuse CPM machine are as follows:
1.Knowledge deficit .

2.Pain ,patient is afraid that it will be more painful using the machine.

3.Intimidation: CPM machine can be intimidating.

I do not force the patient rather I kept educating and using lots of TLC.(Tender loving care) You better believe that it works.The nurse should never give up if patient continue to refuse.The nurse should notify the orthopedic surgeon.

If your patient had spinal anesthesia, I feel that it makes a huge difference to put the CPM on for the first time while they are still numb. If you do that, they can see their leg moving up and down, and they know that it can bend. Half of the post op anxiety is the fear of pain, not the actual pain itself.

They dnt use cpm machine now after sx

Educate, educate, educate, I can’t stress it enough. Educate your patients of the importance of their treatment and always get them involved so they feel like they have some control and say involving their plan of care.

So be calm and assess the patient condition and find the best appropriate for his condition by giving him special advice on how to treat him with best possible care

I didn’t realize those were still being used!
Back in the day when I worked ortho - it was looked at as an pathway to success. It shouldn’t be painful, keeps the joint loose for therapy. Let them own their success in the process. Educate and praise. You can always have the surgeon or NP address it.
Good luck!