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Dressing and Undressing a Patient

Written by Hollie Finders, RN
Hollie Finders is a registered nurse with years of experience working in the health care field. She has degrees in both biochemistry and nursing. After working with patients of all ages, Hollie now specializes in pediatric intensive care nursing. Hollie’s LinkedIn

Procedure for Dressing and Undressing a Patient

Equipment needed: patient’s clothing.

  1. Perform hand hygiene.
  2. Have the patient select an outfit to wear and gather those clothing items. Ensure those clothing items are clean and appropriate for the weather.
  3. Explain the procedure to the patient and provide privacy.
  4. Remove the patient’s shirt by undressing the stronger arm first. Then, gently slide the shirt off the patient’s weaker arm.
  5. To dress the patient, perform steps in the opposite order. Assist the patient in dressing the weaker arm first and then proceed to the stronger side.
  6. Continue undressing and dressing the patient in the same fashion for all garments worn.
  7. If the patient is standing, have him or her sit down. Assist him or her in putting on non-skid footwear. Tie laces if shoes are worn.
  8. Assist the patient in fastening any zippers and buttons and align clothing into its proper position.
  9. Place the patient’s personal clothing in a safe place or in a laundry hamper if provided. Place facility gowns into a soiled laundry bag.
  10. Perform hand hygiene.
  11. Document the procedure in the patient’s chart and report any changes in the patient’s condition to the nurse.

Important Information About Dressing and Undressing

Patients who have suffered a stroke or have weakness or injury to one side of their body may struggle with dressing and undressing. In order to help these patients regain their strength and independence, it is important that the nurse’s aide only assist them as needed. The nurse’s aide may need to teach patients how to dress and undress safely with their limitations.

When assisting a patient in dressing and undressing, be sure to move the patient’s limbs gently and in a natural motion. Avoid overextending the patient’s joints, as doing so may result in injury. Limit the use of the patient’s weak extremity by dressing the affected side first and undressing the affected side last.

More Resources

Transferring the Resident from a Bed with a Mechanical Lift

A mechanical lift is used to transfer residents who cannot support their own weight. When used properly, mechanical lifts prevent injuries for both residents and health care workers. It is important that a nurse’s assistant be trained to use the mechanical lift before attempting to operate it. Most facilities require at least two health care workers to assist when using a mechanical lift.

Performing the Heimlich Maneuver

The Heimlich Maneuver, also known as abdominal thrusts, is used to remove an object that is blocking a resident’s airway and preventing air from reaching the lungs. It only takes four to six minutes for brain damage to occur from lack of oxygen, so prompt action is vital.

Nail Care (Fingers and Toes) for CNAs

Nail care of both the feet and the hands should be performed as part of the patient’s daily hygiene routine. The status of the patient’s nails can reflect their overall health. Nail issues can also lead to infection that can spread systemically (ex, ingrown nails or fungus). You should never clip a patient’s nails with nail clippers, and always review your institution’s policy about what nail care is allowed.

Measuring and Recording Output from a Urinary Drainage Bag

Accurate measurement of urination (aka, the output portion of intake and output) allows medical personnel to assess kidney and bladder function. Changes in output quantity or quality can reflect health status changes including new-onset infection or renal injury.

Using a Gait / Transfer Belt to Assist the Resident to Ambulate

Walking (aka, ambulating) helps residents maintain mobility and independence, and prevents complications. However, ambulation must be done safely so that the resident does not have a fall or injury. A gait or transfer belt, when properly used, can increase resident safety. Gait belts can vary between facilities, so make sure you know how to use the one in your facility.

Prone Position

Prone position is not used as commonly as other patient positions. This position allows for full extension of the hips and the knees and gives many bony prominences a break from continuous pressure. However, placing patients in prone position does not come without the risks of pressure ulcers.

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