Susan M. Kennerly, Ph.D., RN, WCC and Tracey L. Yap, Ph.D., RN, WCC, FAAN
Manual turning of patients has many benefits beyond pressure injury prevention. It is the first step in early mobilization of bedbound patients to prevent cardiovascular and musculoskeletal effects of immobility, such as a change in muscle and/or bone mass and a reduction in plasma volume. Manual turning also helps prevent gravitational equilibrium, which eventually makes it more difficult for the patient to tolerate position changes. Turning is a key component in prevention of pneumonia and post-operative fever and has been shown to lead to fewer ICU days and better patient outcomes.