The patient is immobile and has been repositioned in bed using a drawsheet.When finished,the patient is in a supported Fowler's position with the head of the bed elevated 45 degrees.Also important for positioning this patient is to:

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Support calves with pillows.Heels should not be in contact with the bed to prevent prolonged pressure of mattress on heels.This sometimes is referred to as "floating" heels.
Rest head against mattress or on small pillow.This prevents flexion contractures of cervical vertebrae.A pillow behind the upper back would put the torso out of alignment.Position pillow at lower back to support lumbar vertebrae and decrease flexion of vertebrae.Use pillows to support arms and hands if patient does not have voluntary control or use of hands and arms.This prevents shoulder dislocation from effect of downward pull of unsupported arms,promotes circulation by preventing venous pooling,and prevents flexion contractures of arms and wrists.

The Patient Is Immobile and Has Been Repositioned in Bed