How often should an immobilized resident be turned and repositioned?

Repositioning an immobilized resident every two hours is crucial for several reasons, primarily to prevent pressure ulcers, which can develop when there is prolonged pressure on the skin. The two-hour interval is considered a standard practice in nursing care, allowing adequate time for blood circulation to be restored to areas that may have been under pressure.

Frequent turning not only helps maintain skin integrity but also promotes comfort, enhances respiratory function, and aids in the prevention of contractures and other complications associated with immobility. It also provides an opportunity to assess the skin and overall condition of the resident during each repositioning.

While turning every hour might seem beneficial, it may not be practical in all care settings and can contribute to staff fatigue or burnout, potentially reducing overall care quality. Conversely, turning every four hours or just once a shift may increase the risk of pressure injuries and does not adhere to the best practice for maintaining the health and well-being of immobilized individuals.