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Dressing the patient .
Objective: To learn how to properly dress someone in the easiest way for both the patient and the caregiver.
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State Standard
19) Understand principles of and successfully perform skills related to personal care. Incorporate guidelines for residents’ rights and utilize rubrics from textbooks, National HOSA guidelines, or other clinical standards of practice for the following: Page 6 a. Principles of self-care versus full care b. Bathing/skin care/back rub c. Grooming/shaving/hair care/nail care d. Mouth care/denture care of conscious and comatose resident e. Dressing f. Transfers, positioning, turning in bed g. Bed making, occupied and unoccupied h. Care for resident when death is imminent
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Objectives
Students will be able to…
Identify reasons to dress the dependent patient
Demonstrate dressing and undressing a dependent or comatose patient in the most efficient manner
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4. Changing Gowns and Clothing
People who wear regular clothes dress in the morning and change into sleepwear for bed.
Gowns or pajamas are changed after the bath and when wet or soiled.
Incontinent persons may change more often.
Some persons need help.
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Dressing for warmth
Encourage appropriate dress depending upon the weather and activities planned for the day.
Remember, the elderly often have poor circulation, less body fat, and tend to be less active than younger people.
They may complain of feeling cold even if you are warm.
Sweaters and jackets are appropriate for many clients even in the summer because they may feel colder.
Clients who use a wheelchair or geri-chair may wish to have a blanket or lap robe over their legs to help them stay warm.
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Autonomy in dressing
Encourage the client to select his own clothing.
Complete dress depends upon the client’s wishes.
Some female clients wear a bra; others may prefer a camisole or undershirt.
Some male clients wear boxer shorts and some prefer briefs.
The important thing to remember is that the client should be dressed in the type of underwear he chooses.
If the client uses a disposable protective brief for incontinence, he may wear underwear over the brief if desired
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Shoes and stockings are important both for warmth and proper support.
Always put on client's shoes before he stands up.
This helps keeps him from slipping.
Monitor the independent client during dressing and assist as needed with buttons, zippers or hard-to-reach areas.
Provide assistive devices per service plan to allow the client increased independence when dressing
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If the client has a nonfunctioning weak side, dress the arm of the weak side first.
The client who is dependent can be completely dressed before he is transferred to a chair.
Remember the importance of allowing clients to do anything they can. However, if clients are ill or disabled, the CAN will be responsible for dressing them.
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Follow these rules:
Provide for privacy. Do not expose the person.
Encourage the person to do as much as possible.
Let the person choose what to wear.
Remove clothing from the strong or “good” side 1st
Put clothing on the weak side 1st.
Support the arm or leg when removing or putting on a garment.
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Don’t let this happen…
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Activity
We will now watch a video that demonstrates how to put on knee high stockings, and how to dress a patient.
You will need your skill rubrics
Now you will practice the following skills
Dressing a dependent patient
Undressing a dependent patient
Copyright © 2004 Mosby, Inc. All rights reserved.