How a client is positioned in bed affects their comfort, breathing, skin, and safety. Knowing the common positions and when to use them is a core skill.
Common Positions
- Supine — lying flat on the back.
- Lateral — lying on the side, often with pillows for support.
- Fowler's — head of bed raised about 45–60 degrees; good for breathing and eating.
- Semi-Fowler's — head raised about 30 degrees.
- Prone — lying on the stomach (used less often).
Pressure Relief
- Reposition at least every 2 hours.
- Use pillows to support and offload bony areas.
- Keep heels off the bed when possible.
- Keep sheets smooth and dry.
Comfort and Safety
- Maintain good body alignment, like standing posture.
- Support the head, back, and limbs.
- Keep the call bell within reach.
- Use side rails only as ordered.
What to Report
Report redness over bony areas, discomfort in a position, or trouble breathing when lying flat.
🔑 Key Takeaways
- Know supine, lateral, Fowler's, semi-Fowler's.
- Fowler's aids breathing and eating.
- Reposition every 2 hours to relieve pressure.
- Maintain alignment and keep heels offloaded.