Move and Position

4.1 and 4.2
Correct state of affairsing in bed or precede
People at risk of developing embrace ulcers should be repositioned throughout the day. When lying in bed, a 30 form tilt volition minimise pressure on atrophied prominences. Using a knee break and removing any(prenominal) slings or slide sheets will also protect from shear and friction.
When session in a chair, the chair needs to support the entire length of the users thighs and keep the hips, knees and ankles at chasten angles. Armrests are required for user repositioning and transfers.
Changing position or lifting the body
Pressure should be relieved from any part of the body at regular internals especially everywhere bony prominences. Areas at risk include - when lying on the back: shoulder blades, elbows, back of the head, buttocks and heels; when lying on the side: shoulder, ear, hips, thighs and ankles; when sitting in a chair: buttocks, elbows and heels.
Removing pressure completely allows time for the blood to flow normally to that field so that skin cell oxygen takes can be restored. If a person cannot change positions independently he/she will need to be repositioned or moved by a carer. It is important to use correct manual handling techniques when repositioning. The intervals at which repositioning should occur depends on the persons take aim of risk.



A turning chart or clock may assist carers to establish an effective turning regime.
Regular inspection of the skin
An initial inspection of a new patient or client should occur immediately on entrance money to hospital or when a new care team is in place. A standardised assessment such as the Waterlow scale should be used for this initial assessment.
The skin should accordingly be inspected frequently depending on the persons level of risk. Areas of risk should be inspected for:
persistent redness which does not melt after removal of pressure;

discoloration or a change in texture of the skin;

warmth or swelling over a bony prominence;


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