How should you position a resident for a safe side-lying position?

• A. Align spine, support head and limbs with pillows, maintain neutral neck and body alignment
• B. Twist spine
• C. Remove all pillows
• D. Place resident in prone position

Answer: (A)

Safe side-lying involves keeping the spine in a straight, neutral line and using pillows to support the head, neck, and limbs so the resident is stable and comfortable. Position the head on a pillow to keep the neck aligned with the spine, and place pillows to support the shoulder, the top knee (often with a pillow between the knees), and the underarm or back as needed. This setup prevents twisting the spine, relieves pressure on bony prominences, protects the airway, and reduces strain on the shoulders and hips. The goal is a relaxed, stable side-lying position without any misalignment.

Twisting the spine, removing all pillows, or placing the resident face down would disrupt alignment, increase risk of pressure injuries, and compromise comfort and safety, so those options aren’t appropriate.