In addition to privacy, what should you do to protect the resident’s skin during a back rub?

• A. Expose the back and shoulders completely while the rest remains draped
• B. Use heating lamp on bare skin
• C. Massage only with bare hands directly on spine
• D. Apply lotion or oil to reduce friction and protect skin

Answer: (D)

Lubrication is essential to protect the resident’s skin during a back rub. Applying lotion or oil creates a smooth glide between your hands and the skin, which reduces friction and shear that can irritate or tear fragile, aging skin. A thin, even layer helps prevent hotspots and friction burns, making the massage more comfortable and safer. Use a small amount to avoid excessive slipperiness, warm the product if possible, and use gentle, steady strokes while keeping the resident properly draped to maintain privacy. If you notice redness, irritation, or discomfort, stop and check the skin.