The client has rheumatoid arthritis, is prone to skin breakdown, and is also somewhat immobile because of arthritic discomfort. Which of the following interventions is the best one for this cli-ent's skin integrity?
a. Having the client sit up in a chair for four-hour intervals
b. Keeping the head of the bed in a high-Fowler's position to increase circulation
c. Keeping a written schedule of turning and positioning
d. Encouraging the client to perform pelvic muscle training exercises several times a day
C
The frequency of repositioning should be individualized for the client; however, clients should be repositioned at least every two hours. The Registered Nurses Associated of Ontario (RNAO) recommends that a written turning and positioning schedule be used.
Clients able to sit in a chair should be limited to sitting for two hours or less.
Elevating the head of the bed to 30 degrees or less will decrease the chance of pressure ulcer de-velopment from shearing forces.
Pelvic muscle training may help prevent incontinence, but it is not the best intervention for maintaining the client's skin integrity.
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