In the lateral (side-lying) position, which statement is correct?

• A. Raise the opposite side rail and lock the wheels.
• B. Flex the resident's distant arm from you next to the head, place the resident's arm nearest you across the chest.
• C. Use a positioning device-adding pillow under uppermost leg from knee to below foot.
• D. Adjust resident's arm and shoulder to avoid pressure.

Answer: (C)

In the side-lying position, the main goal is to keep the body properly aligned while relieving pressure on bony areas. Placing a pillow under the uppermost leg from the knee to below the foot is the best way to achieve that. This positioning device supports the top leg, keeps the pelvis and spine aligned, and reduces pressure on the hip and knee areas, which helps prevent skin breakdown and discomfort. It also prevents the upper leg from pulling against the lower leg, maintaining better overall alignment.

Other actions don’t address these pressure-relief needs as effectively. For example, merely adjusting the arms or crossing an arm across the chest can create awkward pressure points or restrict circulation. While ensuring rails and wheels are managed is important for safety, the primary comfort and alignment benefit in this scenario comes from supporting the upper leg with a pillow.