When positioning a bedbound resident, which technique BEST protects the heels from pressure injury?
Explanation
Heels have minimal subcutaneous tissue and high pressure injury risk. The standard of care is to FLOAT the heels by placing a pillow lengthwise under the lower legs from below the knee to above the ankle, with heels completely off the surface. A pillow under the Achilles (d) still allows heel contact. Tight stockings (a) may impair circulation and require a physician order. Vigorous massage (b) is contraindicated — it can shear fragile capillaries and worsen tissue damage. 42 CFR §483.25(b) requires prevention of pressure ulcers when avoidable.
Law Reference: 42 CFR §483.25(b)This topic, taught in full in the Certified Nursing Assistant (CNA) guide. CNA — Complete Study Guide (2026) — PDF + EPUB, $19.99 · 14-day refund →
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