How often should someone in bed be repositioned?

If you are in bed, you should move or be moved about every 2 hours. Pair that with pressure-relieving equipment such as pillows, foam cushions, booties or mattress pads, chosen with a provider.

There is a figure for this. If you are in bed, you should move or be moved about every 2 hours.

About every 2 hours is the whole of the instruction. There’s no separate figure for different people, and no set answer for what to do if two hours isn’t possible — which, for a family caring for someone at home, is often the real question.

Repositioning is part of a larger instruction, which is to relieve the pressure on the area. The other half is equipment. Use pillows, foam cushions, booties, or mattress pads to reduce the pressure. Some pads are water- or air-filled to help support and cushion the area. What type you use depends on the wound and on whether the person is in bed or in a wheelchair. Talk with your provider about what choices would be best, including what shapes and types of material.

Two hours is the number for a bed. There’s a different one for a chair: if you are in a wheelchair, try to change your position every 15 minutes.

How the move is made matters as well as how often. Avoid further injury or friction by not slipping or sliding as you move positions, and try to avoid positions that put pressure on your sore. And do not massage the skin near or on the ulcer. This can cause more damage.

Repositioning is also not the whole of prevention. Check your skin for pressure sores every day, and ask your caregiver or someone you trust to check areas you cannot see.

What to watch for

Check your skin for pressure sores every day, and ask your caregiver or someone you trust to check areas you cannot see. If your pressure sore changes or a new one forms, tell your provider.

Stage I is a reddened, painful area on the skin that does not turn white when pressed. It’s a sign that a pressure ulcer may be forming. That is the stage at which a repositioning routine is worth revisiting.

Two things not to do while moving someone: do not massage the skin near or on the ulcer, because this can cause more damage, and avoid slipping or sliding as positions change.

Wound Wizard is general education and can’t assess a person or their situation. The clinician caring for them is the right person to ask about a schedule.

What we look at

  • Examining the skin over bony areas
  • Advising a repositioning schedule for this person
  • Recommending pressure-relieving equipment and materials
  • Reviewing how transfers and moves are being done

Sources

  1. How to care for pressure sores — MedlinePlus, U.S. National Library of Medicine https://www.medlineplus.gov/ency/patientinstructions/000740.htm