What is the first step in assisting a patient to move around in bed?

The first step in assisting a patient to move around in bed is to lift their head and shoulders. This action helps the patient to become more alert and makes it easier to reposition their body. By raising the head and shoulders, you facilitate communication with the patient, allowing you to assess their comfort and receive input on their mobility. Additionally, it sets the foundation for moving the rest of their body, as a stable upper body position is crucial for safely shifting them in bed.

Lifting the head and shoulders also allows the caregiver to properly gauge the patient's strength and coordination, which is essential before proceeding with further movements. This initial step supports the safety and dignity of the patient, helping them feel more in control during the repositioning process.

In contrast, lowering the bed is a necessary adjustment that may come later in the process for safety reasons, but it does not initiate the movement. The other options, such as putting pillows under their feet or turning them onto their stomach, may not be appropriate first steps, as they can complicate the process or even risk the patient's safety if not preceded by proper upper body support.