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12.5.1: Procedure- Assisting with Dressing
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Some patients may be able to independently dress. For these patients, provide assistance only as needed. Home Health Aides/Personal Care Aides should encourage their patients to do as much as possible on their own. Other patients may need extensive assistance with dressing. In order to promote self-esteem and empower in patients, allow them to select the clothing they prefer.
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Explain the procedure to the patient.
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Wash and dry your hands. Don gloves as needed.
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Allow the patient to select clothing they wish to wear.
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Assemble clothing in the order it is to be put on. Clothing for the upper body should be put on before pants/skirts, which should be put on before socks and shoes.
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Ensure the patient’s clothing is clean and in good condition. Clothing should be appropriate to the weather.
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It may be helpful for the patient to wear clothing that is easier for them to put on independently. For example, pants without buttons or zippers can easily be pulled on; shirts with few buttons are easier to close; sneakers with Velcro versus laces and slip on shoes all may be helpful for patients who have difficulty with their fine motor coordination or finger dexterity.
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Encourage the patient to do as much self-dressing as possible. Assist if they become fatigued,frustrated or are unable to perform the task.
For Patients Who Are Weak, Frail, or Paralyzed
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Move the patient to the center of the bed. Use proper body mechanics. Raise the bed to waist level.
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Remove clothing one piece at a time and replace with clean clothing before moving on to the next clothing item. For example, remove and replace the upper body clothing prior to moving on to uncovering the lower body. This provides privacy and warmth for the patient.
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Position and cover the patient for comfort. Return bed to a safe height. Ensure side rails are up.
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Remove your gloves. Wash and dry your hands.
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Document completion of the task and record any changes in condition or behavior.