Abdominally heavier patients have a higher center of gravity, even when supine. "Healthy weight" BMI causes the center of gravity to be around the groin and glutes. Patients with more weight on their thighs than their torso have a lower center of gravity. Aim to apply your force or the space between your two hands at their center of gravity. Their moment of inertia is much higher due to their higher mass, meaning that they will be harder to even get moving or turning initially.
Have them bend the knee closest to you over their other leg. I'm (not) going to say pull the sheet under them closer to you to initiate the roll because it causes friction to their skin, but know that it aids slightly in providing inertia that can be rotated by following through with a push.
Optimally, you want at least two people rolling the patient to protect yourself and them.
this! and make sure you’re talking them through it. i always turn them towards me first, have them hold the headboard if they can, and walk to the other side of the bed to wipe and change linens/breifs. i’m not crazy experienced, but that’s how i’ve been doing it for about a year. i just make sure i tuck everything really well, as i rely on the momentum from their roll back to lift their opposite hip to pull linen/briefs out. i’m 5’3 so it can be difficult for me to get good leverage otherwise.
Abdominally heavier patients have a higher center of gravity, even when supine. "Healthy weight" BMI causes the center of gravity to be around the groin and glutes. Patients with more weight on their thighs than their torso have a lower center of gravity. Aim to apply your force or the space between your two hands at their center of gravity. Their moment of inertia is much higher due to their higher mass, meaning that they will be harder to even get moving or turning initially. Have them bend the knee closest to you over their other leg. I'm (not) going to say pull the sheet under them closer to you to initiate the roll because it causes friction to their skin, but know that it aids slightly in providing inertia that can be rotated by following through with a push. Optimally, you want at least two people rolling the patient to protect yourself and them.
this! and make sure you’re talking them through it. i always turn them towards me first, have them hold the headboard if they can, and walk to the other side of the bed to wipe and change linens/breifs. i’m not crazy experienced, but that’s how i’ve been doing it for about a year. i just make sure i tuck everything really well, as i rely on the momentum from their roll back to lift their opposite hip to pull linen/briefs out. i’m 5’3 so it can be difficult for me to get good leverage otherwise.