Turning and repositioning a bedbound person
Turning and repositioning of a bedbound person should occur every 2-3 hours to prevent skin breakdown and to maintain general comfort.
Steps for Turning and Repositioning the Bedbound Person on their Side
- Discuss the process with the recipient before and during the process.
- Remove all pillows. If a hospital bed is in use, return the bed to a flat position and lower the sidebar closest to you.
- While keeping the arms and legs of the bedbound person as close to his/her body as possible, bring the pull sheet towards the bedmaker stopping 4-6 inches from the edge of the bed (the bedmaker must remain on this side of the bed throughout this process).
- Release the pull sheet.
- Place one hand under the nearest knee and other hand under the nearest shoulder.
- After bending the knee initiate the turning process by gently directing the knee to the opposite side of the bed while guiding the shoulder in the same direction.
- Using the pull sheet to maintain their side lying position, tuck pillows under the pull sheet to support the back and shoulders.
- Place pillows between knees, to support upper arm and under head for comfort.
- Pillows for repositioning should not be too fat, as it makes tucking difficult, and position will not be sustained.
- If siderails are not available, line up backs of heavier chairs along the sides of the bed to prevent falls.
- Involve the bedbound person in the process of turning and repositioning-- it will make it more enjoyable for them and easier for you.
Thanks to hawknurse for posting a great video.