PATIENT_____________________________________

DATE

PROBLEM

GOAL

TO DATE

INTERVENTIONS

RESP

DISC

Dressing Lower Body

Self Care Deficit

related to

Cognitive Deficits

Weakness

Impaired vision

Impaired mobility

Lack of fine motor skills

As evidenced by:

Unable to make appropriate choices of attire

Impaired ability to put on / take off clothing

Unable to reach lower extremities

Able to dress lower body without assistance if clothing and shoes are laid out or handed to the patient

Someone must help the patient put on undergarments, slacks, socks or nylons, and shoes

Patient depends entirely upon another person to dress lower body

Patient will be dressed appropriately, well groomed, and comfortable

Patient will assist with dressing and grooming by raising legs

Patient will demonstrate ability to dress lower body

Assess patient’s ability to Dress Lower Body (with or without dressing aids) including undergarments, slacks, socks or nylons, shoes

OT / PT evaluation as indicated

Assess need for and provide assistive devices such as long reacher, velcro, shoe horn

Needs assistance from the primary caregiver:

Several times during day and night

Several times during day

Once daily

Three or more times per week

One to two times per week

Less often than weekly

Instruct caregivers to:

Encourage patient to participate in dressing, and praise accomplishments

Assist only as necessary

Give patient choices of attire

Allow sufficient time for dressing and undressing

Break tasks down into manageable segments

Keep most frequently used items within reach

Provide loose fitting clothing with easy fasteners

Monitor for any changes in dressing ability