The techniques in this section cover movements related to moving or repositioning a client when they are in a bed. Prior to using any technique, there should be a risk assessment that includes the client’s current mobility and any other factors that affect the safety of the planned movement of the client and carer. 

It is important to preserve the pressure‑relieving properties of mattresses by minimising unnecessary layers underneath the client, such as surplus bedding. Air mattresses are designed for bed linen to be loose fitting and often have clips to stop linen moving around. 

There are a number of ways to help eliminate or reduce the amount of client handling. If repositioning in bed is needed, here are some things to consider: 

• The easiest way to reposition a client in bed, if they are able, is to get them up and off the bed, move along the bed and get back in 

• Profiling beds reduce the repositioning of clients in bed because these beds can be adjusted easily. Use the knee brace position. It can reduce the likelihood of the client sliding down the bed 

• Position the client in an appropriate bed to avoid the need for frequent handling 

• Use pillows to support and prop the client and to help stop them becoming uncomfortable 

• Encourage the client to move up the bed by ‘hip hitching 

Turning

Sitting

Movement using Slide Sheets