If a resident is unable to position him or herself, are any of the following observed?  

• Lack of arm/shoulder support 

• Head lolling to one side, awkward angle 

• Hyperflexion of the neck 

• Leaning to the side without support to maintain an upright position 

• Lack of needed torso or head support 

• Uncomfortable Geri-chair positioning, sliding down in the chair 

• Wheelchair too big or too small (seat too long/short, seat too high/low) 

• Dangling legs and feet that do not comfortably reach the floor and/or without needed foot pedals in place 

• Sagging mattress while lying in bed 

• Bed sheets tucked tightly over toes holding feet in plantar flexion 

• Legs and/or feet hanging off the end of a too short mattress