When turning a resident to a supported side-lying position, which step helps create a proper roll of the patient?

• A. Move the patient to the side closest to you, opposite side they will be turned onto.
• B. Place one long side of a pillow under patient, and tuck the other long side under them to create a roll.
• C. Do not use a pillow.
• D. Place a blanket between the legs and skip the pillow.

Answer: (A)

Controlled turning relies on starting the movement with the resident toward you on the near side so you can guide the roll safely toward the opposite side. When you move the patient to the side closest to you, you gain immediate control of the upper body—shoulder, head, and hips—and you can lead the body smoothly into the new position without twisting or letting them slip. This setup helps keep the spine aligned and reduces stress on the neck, back, and joints, which is essential for a safe, comfortable side-lying position. It also allows you to apply steady, coordinated support with your arms and to position cushions or blankets appropriately to maintain alignment once the resident is rolled.

Using a pillow to support the head and proper cushions for the side and knees are important parts of the overall technique, but the crucial first step for creating a proper roll is positioning yourself and the resident so you can control the movement from the near side toward the opposite side. Skipping head support or misplacing supports can lead to poor alignment or increased risk of injury, and trying to create the roll without approaching from the near side makes the movement harder to control and safer handling of the resident.