During a back rub, how should you communicate with the resident?

• A. Explain the steps only after finishing.
• B. Speak softly and check for comfort and permission before continuing.
• C. Ignore resident requests during the rub.
• D. Rush through the rub without pause.

Answer: (B)

Keep communication in a calm, respectful way to maintain comfort and the resident’s sense of control. Start by softly describing what you’ll do and ask for permission before continuing after each step. Check in frequently about comfort with the pressure, temperature, and pace, and invite options like lighter or firmer touch. If the resident expresses any discomfort or pain, pause, adjust, and proceed only when they’re comfortable. This patient-centered approach supports safety and dignity. Explaining steps only after finishing, ignoring requests, or rushing through would reduce comfort and safety, so those approaches aren’t appropriate.