Which step correctly describes moving an independent resident up in bed?

• A. Stand by bed with feet apart facing resident
• B. Place arm under resident's shoulders & thighs
• C. On count, shift the body weight to help resident move toward head of bed while resident pushes with feet
• D. Move toward self

Answer: (C)

Coordinated effort with good body mechanics makes this move safe and effective. When the resident is independent, they should contribute by bending their knees and pushing with their feet, while you guide and support rather than lifting. On a count, shift your weight to help them slide toward the head of the bed as they push with their feet. This technique uses gravity to aid the motion, reduces skin friction, and protects your back by avoiding lifting. It also keeps the resident aligned and preserves their autonomy.

Standing with feet apart offers balance but doesn’t describe how to move the resident. Placing an arm under the resident’s shoulders and thighs implies lifting, which increases risk of injury and skin damage. Moving toward yourself describes no action to advance the resident.