Which technique uses pillows to cushion bony prominences and support bed positions?

• A. Laying bed with pillows on bony prominences
• B. Lying flat without support
• C. Sitting up in bed without pillows
• D. Hanging feet over bed edge

Answer: (A)

Padding bony prominences with pillows while positioning a patient is a key technique for preventing pressure injuries and maintaining proper alignment. Placing pillows on areas where the body presses against a surface—such as the heels, sacrum, elbows, hips, or between the knees—distributes pressure more evenly, reduces shear forces, and protects fragile skin from direct contact and friction. This cushioning helps keep joints in a comfortable, stable position and supports rest or sleep without concentrating pressure on tender points.

Choosing this method over lying flat without support avoids creating unrelieved pressure on key areas, while avoiding pillows when sitting up or dangling the feet removes the cushioning effect and can worsen misalignment or circulation issues. So, using pillows to cushion bony prominences and support bed positions is the best approach for safer, more comfortable positioning.