Positioning

Correct positioning is very important; we need to ensure good positioning is maintained over a full 24-hour period. The team can advise on good positioning in the chair or bed, which may sometimes include assessment and provision of specialist equipment.

Situation

Why positioning is important

Limited movement or reduced feeling

Some people may not be able to change position easily or notice discomfort. Good positioning helps reduce pressure on vulnerable areas, supports blood flow, eases pain and muscle stiffness, and helps prevent joints becoming stiff.

Memory or thinking difficulties

The person may not recognise they are uncomfortable or need to move. Supportive positioning helps keep them safe, comfortable, and dignified. Regular position changes should also be encouraged.

Feeling restless or unsupported

The right position can improve comfort and stability, helping the person feel more secure and relaxed.

Personal care in bed

Proper positioning helps staff or carers provide personal care safely, while maintaining comfort, dignity, and skin health.

Swelling in the arms or legs

Supporting and gently raising limbs can help improve circulation and reduce swelling.

Pain or spasms 

Good positioning can relieve pain, reduce muscle spasms and tremor, and promote comfort.

 

Pressure care

It is important that you change position regularly throughout the day, to reduce the risk of developing any pressure ulcers. For further information, please see this leaflet: Prevention of Pressure Ulcers

Here are some things to think about:

Chair

  • Seat should be the right height, depth and width.
    Feet should be well supported.
  • Aim to support a central midline so you are not leaning. This can be done with pillows or rolled towels, or with more specialist support built into the chair.
  • Pressure relief should be considered for patients who cannot, or do not, reposition regularly. If this applies to you or the person you care for, please contact us. The team can assess needs and prescribe suitable equipment.
  • A recliner or tilt-in-space chair can be considered if you tend to slip forwards. 

Bed

  • Aim to support joints and limbs in a neutral position.
  • Consider using pillows to support arms, legs or trunk. This can help to prevent contractures and make personal care easier.
  • Be mindful of pressure relief.
  • Specialist sleep systems or positional wedges may be provided if there are complex positioning needs.