Answer choices
- A Wheelchair cushion
- B Afternoon snack
- C Restraints
- D Hand roll
Correct answer: C. Restraints
Clinical Rationale
Restraints require a primary health care provider's order.
Restraints are considered a restrictive intervention and therefore necessitate a formal order from a primary health care provider to ensure they are used appropriately and only when necessary for patient safety or to prevent harm.
A) Wheelchair cushion
Wheelchair cushions are typically considered assistive devices that can be prescribed or recommended by healthcare professionals but do not require a primary health care provider's order for general use. Patients or caregivers can often acquire them directly based on need for comfort or pressure relief.
B) Afternoon snack
Provision of an afternoon snack generally falls under routine dietary practices and does not need a specific order from a primary health care provider. Snacks are usually offered based on established meal plans or dietary guidelines rather than requiring direct authorization.
D) Hand roll
Hand rolls, which are often used for positioning or to prevent contractures, may be recommended by occupational or physical therapists. However, they do not necessarily require a primary health care provider's order for implementation, as they are typically part of standard care practices for patient comfort and mobility support.
Conclusion
In healthcare settings, certain interventions require more oversight due to their potential impact on patient safety, such as restraints. These necessitate a primary health care provider's order to ensure ethical and appropriate use. In contrast, items like wheelchair cushions, afternoon snacks, and hand rolls are generally managed within standard care protocols and do not require formal orders, highlighting the importance of oversight in restrictive interventions.