What is the most effective strategy to prevent skin breakdown in immobile patients?

Regularly changing the patient's position is the most effective strategy to prevent skin breakdown in immobile patients because it helps to alleviate pressure on the skin that can lead to pressure ulcers. When a patient remains in one position for an extended period, the continuous pressure on particular body areas restricts blood flow, making the skin and underlying tissues more susceptible to injury. By repositioning the patient every couple of hours, caregivers can significantly reduce this risk, enhance circulation, and ensure that no single area is subjected to pressure for too long.

While the other strategies contribute to skin integrity and comfort, they do not address the fundamental issue of pressure that causes skin breakdown as directly as repositioning. Using a special mattress might provide some relief by redistributing pressure, but it does not replace the necessity of regular movement. Applying moisturizing lotion can help maintain skin hydration, making it less likely to crack, but it doesn't prevent pressure from being applied to the skin. Increasing fluid intake is beneficial for overall skin health and hydration, but it does not directly prevent the localized pressure that leads to breakdown. Therefore, the primary focus on repositioning is key in effective immobile patient care.