1. The patient starts in an upright sitting position, with legs extended. 2. The patient's head is turned 45 degrees to the affected side. 3. The patient is quickly lain back with their head hanging slightly off the edge of the bed, maintaining the 45-degree turn. 4. After waiting for 30 seconds to 2 minutes, the head is turned 90 degrees to the opposite side. 5. The patient then rolls onto their side, keeping their head at a 45-degree angle downward. 6. Finally, the patient is brought back to a sitting position.
Each position is held for about 30 seconds or until vertigo symptoms subside. It's important to ensure the patient's safety throughout the process to prevent falls or injuries.