Under what condition can hot and cold packs be applied?

The application of hot and cold packs is best conducted under direct supervision to ensure that safety guidelines are adhered to and that the patient's condition is closely monitored. This supervision helps to prevent potential skin injuries or adverse reactions from improper application, such as burns from excessive heat or frostbite from extreme cold.

When a licensed chiropractic assistant is overseeing the use of these therapeutic modalities, they can evaluate the patient's response and make any necessary adjustments. This practice reinforces patient safety and enhances the treatment's effectiveness as the assistant can provide immediate assistance if complications arise. It also ensures compliance with professional standards and the legal requirements surrounding the provision of therapeutic interventions in a clinical setting. Other conditions, such as written approval or patient requests, do not establish the same level of oversight and safety as direct supervision does.