Caregivers & Loved Ones How to Properly Position Bed Bound Patients By Angela Morrow, RN Angela Morrow, RN LinkedIn Angela Morrow, RN, BSN, CHPN, is a certified hospice and palliative care nurse. Learn about our editorial process Updated on March 04, 2021 Medically reviewed Verywell Health articles are reviewed by board-certified physicians and healthcare professionals. These medical reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more. by Isaac O. Opole, MD, PhD Medically reviewed by Isaac O. Opole, MD, PhD LinkedIn Isaac O. Opole, MD, PhD, is a board-certified internist and a current teaching professor of medicine at the University of Kansas. Learn about our Medical Expert Board Fact checked Verywell Health content is rigorously reviewed by a team of qualified and experienced fact checkers. Fact checkers review articles for factual accuracy, relevance, and timeliness. We rely on the most current and reputable sources, which are cited in the text and listed at the bottom of each article. Content is fact checked after it has been edited and before publication. Learn more. by James Lacy Fact checked by James Lacy LinkedIn James Lacy, MLS, is a fact-checker and researcher. James received a Master of Library Science degree from Dominican University. Learn about our editorial process Print Properly positioning someone in bed will not only make them more comfortable but can help prevent them from developing painful pressure ulcers, also known as pressure sores or bedsores. Here's how to position someone in a manner that is safe for them—and for you. FS Productions / Getty Images Make the Bed Properly Placing a sheet under the patient makes it easier to position them. A slide sheet, which is specifically designed for this purpose, is made from a material that slides easily along the fitted sheet. If you don't have one, you can make one from a regular top sheet, called a "drawsheet" when used in this capacity. Simply fold a twin-sized top sheet in half. To place the sheet correctly, follow these steps: Using the controls, raise the bed to a level that reduces the strain on your back.Make the bed flat.Roll the patient to one side, then place a half rolled-up slide sheet or draw sheet against the person's back.Roll the patient onto the sheet and spread the sheet out flat under the person.Make sure the head, shoulders, and hips are on the sheet. Get a Lift Buddy To move a patient as safely as possible, you'll need another able-bodied person who can help you lift and position the person. The buddy can be a spouse, a sibling, or a teen or an adult child. Just make sure this person is reliable and strong enough to carry out the task. Pulling the Patient Up in Bed The goal is to pull, not lift, the patient toward the head of the bed. Have each person stand on opposite sides of the bed. Then: Grab the slide sheet or draw sheet at the patient's upper back and hips on the side of the bed closest to you.Put one foot forward as you prepare to move the patient. Put your weight on your back leg.On the count of three, move the patient by shifting your weight to your front leg and pulling the sheet toward the head of the bed. You may need to do this more than once to get the person in the right position.If your loved one is going to remain on her back, raise the foot of the bed enough to bend the knees. In addition, you can place a pillow under the knees to prop the person up so she doesn't slide, which can create painful skin sores.Place another pillow under her ankles with her heels "floating" off the end of the pillow to alleviate pressure on the heels.Use pillows as needed to place under the person's head and arms for comfort. If he is unable to let you know if he is comfortable, you'll have to use your judgment. If something doesn't look comfortable, it probably isn't. Adjust as necessary until the person looks cozy and content. Never move patients up by grabbing them under their arms and pulling. This can injure their shoulders. Turning the Patient on Their Side To avoid bedsores, it's important to change the patient's position in the bed on a regular basis. Here's what to do: Stand on the opposite side of the bed. Reach over the person and grab the drawsheet on the opposite side. Gently pull the drawsheet towards you while your buddy gently pushes the person's hip and shoulder towards you. Place a pillow or a foam wedge under the drawsheet at the person's back. Position the pillow close against the back to help prop the person on her side. Place another pillow or a specially designed foam leg wedge between the person's knees. This extra bit of support will add to her comfort by keeping the spine in alignment and easing pressure on the bony areas of the knees and ankles. Use another pillow to prop the person's arms. This technique is done by sight. Nurses have found that most patients are comfortable with the arm on the side they are lying on, propped on a pillow to keep it from being compressed between the body and the bed. Alternate between the back, right side and left side every two hours while you're awake. Getting Help Ideally, a nurse or a physical therapist can train you in positioning a person safely. If you have questions about how to do it properly, or if you see signs of skin injury, contact a healthcare professional to reduce the risks to your loved one's comfort and well-being. Was this page helpful? Thanks for your feedback! Sign up for our Health Tip of the Day newsletter, and receive daily tips that will help you live your healthiest life. Sign Up You're in! Thank you, {{form.email}}, for signing up. There was an error. Please try again. What are your concerns? Other Inaccurate Hard to Understand Submit 3 Sources Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Gillespie BM, Chaboyer WP, McInnes E, Kent B, Whitty JA, Thalib L. Repositioning for pressure ulcer prevention in adults. Cochrane Wounds Group, ed. Cochrane Database of Systematic Reviews. Hospice of Cincinnati. Personal care needs of bed bound patients. MedlinePlus. Pulling a patient up in bed. Additional Reading Qaseem A, Mir TP, Starkey M, Denberg TD; Clinical Guidelines Committee of the American College of Physicians. Risk assessment and prevention of pressure ulcers: a clinical practice guideline from the American College of Physicians. Ann Intern Med. 2015;162(5):359-369. doi:10.7326/m14-1567