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