How to assist a client to turn and reposition.

Question 1

What is crucial to remember when you feel resistance/tightness when moving a client?

Answer 1

To immediately stop moving them.

Question 2

What is another really important thing to remember when moving a client?

Answer 2

That you always need to ask for consent and explain what you are doing before you move your client.

Question 3

What are the steps you must take when turning and re-positioning a client? (this is specifically for the beginning process of moving a consumer)

Answer 3

1. Ask the consumer to assist with bending their knees or crossing their leg farthest from you over the other leg, as shown in the corresponding illustration.
2. Place one hand on the client’s shoulder and one hand on the hip, as shown in the corresponding illustration.
3. Gently roll the client towards you “on the count of three.” TIP Always remove the pillow from under a client’s head before rolling them to the side (gently lift up head and slide out pillow)
4. Ask the consumer how they feel and if they feel safe.

Question 4

What are the steps for re-positioning the client?

Answer 4

5. Support the client with one hand on the shoulder and use your free hand to put a pillow or supportive device behind their back. TEST TIP The pillow must be rolled and tucked behind the back.
6. Allow the consumer to roll back onto the pillow with no pressure on the hip.
7. Use one hand to assist the client in lifting their head and place a pillow under the consumer’s head.
8. Ensure the client is not lying on their arm and that it rests comfortably, with a small pillow under the arm (between the shoulder and the bed) they need their hands flat and knees bent
9. Place a pillow on the client’s chest and have them hug it.
10. Bend the client’s top knee forward and place a pillow or supportive device between the client’s legs, making sure the pressure points are not against each other (top knee should be in a flexed position) as shown in the corresponding illustration (carefully lift, don’t grab

Question 5

Checking the consumer’s safety for the turn and repositioning skill.

Answer 5

11. Does the client feel any pressure on any certain part of their body? *If yes, then continue to adjust their position *If no, then don’t adjust their body
12. Make sure the client is not too close to the edge of the bed
13. Ask the client if they want the bed covering replaced
14. Ensure the client is in proper body alignment and check their position.

Question 6

Always remember to…

Answer 6

Count your supplies as you go.

Question 7

What do you do after you finish the turn and reposition skill?

Answer 7

1. Remove your gloves and wash your hands
2. Ask the client if there is anything you can get them, such as *cell phone *glass of water *tv remote
3. State the state exam common care practice ending care script.

Question 8

What supplies do you need for the turn and reposition skill?

Answer 8

*gloves *4-5 pillows or padded devices (wedges, foam, blankets)

Question 9

What do you do before you start the turn and reposition skill?

Answer 9

1. State the state exam common care practice beginning script
2. Gather the supplies and put them on a clean surface
3. Wash your hands
4. Put on gloves
5. Ensure the consumer has proper body alignment and check their position
6. Ask the client if you may remove the bed coverings
7. Assist the consumer in removing any pillows