How often should a patient be repositioned to prevent pressure ulcers?

Repositioning a patient every two hours is generally recommended to prevent pressure ulcers, especially for those who are immobile or at high risk for skin breakdown. Frequent repositioning helps alleviate pressure on bony prominences where pressure ulcers are most likely to develop. By shifting weight and redistributing pressure, the blood supply to the skin and underlying tissues is improved, which is crucial for maintaining skin integrity.

This two-hour guideline aligns with best practices in nursing and healthcare to ensure that patients, particularly those who are bedridden or in a wheelchair, receive adequate care to protect their skin from the detrimental effects of prolonged pressure. It allows caregivers to monitor skin condition and provide necessary interventions promptly.

While more frequent repositioning, such as every hour, might seem beneficial, it may not be practical or comfortable for all patients. Similarly, less frequent repositioning, such as every four or five hours, can lead to increased risk of pressure ulcers, especially for those with additional risk factors like poor nutrition, moisture, or reduced mobility. Therefore, every two hours strikes a suitable balance between effective prevention and practical care.