New NPUAP Position Statement: Hand Check Method to Monitor Bottoming Out

The National Pressure Ulcer Advisory Panel (NPUAP) has released a new position statement entitled Hand Check Method: Is it an Effective Method to Monitor for Bottoming Out? This position statement concludes that no evidenced-based research could be found to validate the practice of using the hand checks method.

With the advances in therapeutic support surfaces and mattress replacement systems, methods to monitor “bottoming out” have not kept pace with these new support surface technologies and the hand checks method is not an effective or safe assessment on these support surfaces. The gap in the evidence indicates that additional research is needed to provide a bedside method to determine when a support surface has bottomed out.

To view this white paper and others authored by the NPUAP please visit

Posted in Clinical