Knee osteoarthritis is a major cause of impaired physical mobility in the elderly, especially in facilities such as Japanese nursing homes, with a high prevalence due to aging and obesity. This study aims to describe nursing care for impaired physical mobility in Mrs. M (88 years old) through Range of Motion (ROM) exercises. Using a descriptive single case study design at Ruojin Home Iryou Houjin Aiwakai Ikeda En, Japan (July 2025), the elderly population with knee OA with a single purposive sample (Mrs. M). Instruments included Gordon sheet, NRS pain, MMT, goniometer, observation, and interviews; analysis through narrative nursing process and pre-post chart. The results showed a decrease in pain NRS 2-3 to mild, improvement in antalgic gait, and tolerance to walk 5m x3 without excessive rest after 3 days of passive ROM plus mobilization, although MMT remained 3/5. Conclusion: ROM intervention is effective in improving daily function but requires a longer duration for significant improvement.
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