Chapter 26: "Dressing and Undressing" (pp. 390-399)

Chapter 26: Dressing and Undressing

(pp. 390-399)

CNAs assist pts with dressing needs because:

• Clothing affects comfort and body image

• ​Ability to dress/undress oneself promotes dignity & independence

Garment -> an item of clothing

Under-garment -> worn next to the skin, under clothing (e.g. bras, boxers)

• Affected by age, gender, culture, comfort, season, & personal preference​

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(pp. 390-391)

Changing Garments

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Garments are often changed in the morning and at bedtime; Garments are also changed:

• After bathing

• When wet/soiled

• On admission & discharge

Hospital Patients

• Wear pt gowns that open in back

• Opening in front for some procedures and exams (Ch. 37)

Nursing Center Residents

• Wear street clothes during day

• Wear sleepwear at bedtime​

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(pp. 390-391)

Multiple Choice

In long-term care (LTC), __________.

• patient gowns are worn

• sleepwear is worn during the day

• garments are changed qod ("every other day")

• street clothes are worn during the day

Multiple Choice

For spilled coffee on a person's shirt, the CNA should __________.

• give the person a sweater to cover the spill

• dry the person's shirt with a towel

• change the person's shirt at bedtime

• change the person's shirt right away

Some persons dress and undress themselves

• CNA allows person to do as much as is safely possible

• Promotes independence​

​Others need assistance dressing and undressing

• Affected (weak) Side -> side of body with weakness r/t illness or injury

• Unaffected (strong) Side -> side of body opposite the affected side

(pp. 391-396)

​Dressing and Undressing

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Health problems can cause weakness or affect function on 1 side of the body

• E.g. stroke; hip fx

• CNA must know about weak areas when assisting with dressing/undressing

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​Adaptive (assistive) devices may be used

• See Figure 26-1: Dressing Aids​

​(pp. 391-396)

(pp. 391-396)

Multiple Choice

When dressing a person with dementia, the CNA will __________.

• choose clothing with buttons

• give more than 1 direction at a time

• offer many clothing options

• follow the person's routine

(pp. 391-396)

(pp. 391-396)

(pp. 391-396)

(pp. 391-396)

(pp. 391-396)

(pp. 391-396)

(pp. 391-396)

Pt gowns are designed for comfort and to allow for tx

• See Figure 26-12: Patient Gowns

• IV Therapy Gown

  • Opens along sleeves & closes with ties, snaps, or velcro​

• Standard Pt Gown

  • Does not open along sleeves

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(pp. 396-398)

Changing Patient Gowns

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Multiple Choice

An IV therapy gown __________.

• opens at the sleeves

• does not have sleeves

• must be changed by the nurse

• provides less privacy than a standard gown

For pts with injury or paralysis:​

​

1. Remove gown from unaffected ("strong") arm first

2. Support affected ("weak") arm while removing pt's gown

3. Put the clean gown on affected ("weak") arm first, and THEN...

4. Put clean gown on unaffected ("strong") arm​

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(pp. 396-398)

Multiple Choice

When dressing the person, the CNA will __________.

• support the arm or leg

• choose clothing for the person

• do as much for the person as is possible

• move the person quickly in order to complete the task faster

Multiple Choice

Garments are applied __________.

• to the affected (weak) side first

• to the unaffected (strong) side first

• to either side first

• in the same way in which they are removed

(pp. 396-398)

Multiple Choice

Garments are removed __________.

• from the affected (weak) side first

• from the unaffected (strong) side first

• from either side first

• in the same way in which they are applied

Multiple Choice

When changing the gown on a person with an IV, the CNA will __________.

• keep the IV bag below the person's arm

• stop the IV pump in order to change the person's gown

• have the nurse check the flow rate after s/he is finished

• disconnect the IV in order to change the person's gown