I have had the unlovely experience of being turned Q 2 hrs., back when I had my first C-section and they didn't let you up until 24 hours after you delivered. I hated it---I usually only lie on my back, and the nurses insisted on turning me on my side where all I could do was stare at a window or the hallway for two hours. For some reason, my spinal took too long to wear off, and as a smoker with asthma, I was at higher risk for pneumonia than the average new mom. So they turned me, a helpless feeling if I ever had one......and to this day, I think about that whenever deciding if a patient/resident has to be turned.
Frankly, if their skin is intact and there is support for every surface without causing pressure, I usually forgo Q 2 hr. repositioning and let them sleep
. If incontinence is an issue, they definitely need to be checked and changed frequently, but I don't like to use briefs at night AT ALL. Part of the reason there is so much skin breakdown in nursing facilities is the fact that the human body was never intended to be kept in hot plastic panties 24/7, yet most residents are kept in them night and day for convenience. It's enough to make my blood boil....unless there is a specific reason to do otherwise, it's usually better for one's skin to "go commando" in bed at night.
That's my story, and I'm stickin' to it.