Long-Term Care

TURNING, MOVING, AND POSITIONING

LTC Nursing Assistant Trainer, November 30, 2005

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Most of us take for granted our ability to change our body position. Many of our patients, however, need assistance in turning, moving, and repositioning themselves in bed. When CNAs turn and move their patients, they should follow these general rules before and during the process:

* Provide skin care to pressure areas before and after a position change

* Exercise extremities of immobile patients by doing range-of-motion exercises

* During the process, maintain the position of the unattended siderail as ordered

* Protect all tubing

* Provide the most support to the heaviest part of the patient's body

* Move the patient in a smooth manner

* Check that the bed linens are clean, dry, and smooth to prevent the risk of decubitus ulcers <li>Avoid placing one body part directly on top of another



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