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Self Care Deficit: Dressing and Grooming

Self Care Deficit: Dressing and Grooming

(_)Actual (_) Potential

Related To:
[Check those that apply]
(_) Neuromuscular impaitment:___________________________
(_) Impaired visual actuity
(_) Immobility
(_) Weakness
(_) Decreased level of consciousness
(_) Other:___________________________________________
___________________________________________________
___________________________________________________

 

As evidenced by:
[Check those that apply]
Major:
(
Must be present)
(_) Impaired ability to put on or take off clothing.
(_) Unable to obtain or replace article of clothing.
(_) Unable to fasten clothing.
(_) Unable to groom self satisfactorily

 

Date &
Sign.
Plan and Outcome
[Check those that apply]
Target
Date:
Nursing Interventions
[Check those that apply]
Date
Achieved:
  The patient will:

(_) Demonstrate increased ability to dress/groom self.

(_) Demonstrate ability to cope with the necessity of having someone else assist him/her in performing the task.

(_) Demonstrate ability to learn how to use adaptive devices to facilitate optimal independence in the task of dressing/grooming.

(_) Other:

  (_) Allow sufficient time for dressing and undressing, since the task may be tiring, painful, and difficult.

(_) Promote independence in dressing through continual and unaided practice.

(_) Choose clothing that is loose fitting, with wide sleeves and pant legs, and front fasteners.

(_) Lay clothes out in the order in which they will be needed to dress.

(_) Avoid placing clothing to blind side if patient has field cut, until patient is visually accommodated to surroundings; encourage patient to turn head to scan entire visual field.

(_) Consult/refer to PT/OT for teaching application of prosthetics.

(_) Provide dressing aids as necessary (dressing stick, swedish reacher, zipper pull, button-hook, long handled shoehorn, shoe fasteners adapted with elastic laces, velcro closures, flip back tongues).

(_) Plan for person to learn and demonstrate one part of an activity before progressing further.

(_) Make consistent dressing/grooming routine to provide a structured program to decrease confusion.

(_) Other:________________
________________________
________________________
________________________

 

 

__________________________
Patient/Significant other signature

 

__________________________
RN signature