How often should residents be repositioned to prevent pressure ulcers?

Repositioning residents at least every two hours is a vital practice to prevent pressure ulcers, also known as bedsores. These injuries occur when there is prolonged pressure on the skin, often affecting areas over bony prominences, such as heels, elbows, and the sacrum. By regularly changing a resident's position, you can relieve this pressure, promoting blood circulation to the areas that are at risk. This is particularly important for individuals who have limited mobility or spending a significant amount of time in bed or seated.

The two-hour timeframe is based on best practices in long-term care and recommendations from healthcare professionals. Maintaining this schedule helps to minimize the risk of skin impairment and ensures residents remain comfortable, which is essential for their overall well-being. Furthermore, consistent repositioning allows for thorough skin assessments, helping identify any early signs of skin breakdown.

In contrast, repositioning once a day or every four hours may not provide adequate relief from pressure. Allowing residents to reposition themselves only if they request it overlooks the preventive measures necessary for those who might be unable to communicate their needs or may not recognize the importance of moving. Thus, implementing the two-hour repositioning strategy is crucial in the LTC setting to protect residents from the significant complications associated with pressure ulcers