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.

Perform hand hygiene.
Have the patient select an outfit to wear and gather those clothing items. Ensure those clothing items are clean and appropriate for the weather.
Explain the procedure to the patient and provide privacy.
Remove the patient’s shirt by undressing the stronger arm first. Then, gently slide the shirt off the patient’s weaker arm.
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.
Continue undressing and dressing the patient in the same fashion for all garments worn.
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.
Assist the patient in fastening any zippers and buttons and align clothing into its proper position.
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.
Perform hand hygiene.
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

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.

Tympanic Membrane Temperature with Electronic Thermometer

A tympanic membrane thermometer uses an infrared sensor to measure the temperature of the tympanic membrane (ear drum). This type of thermometer is considered an accurate and reliable predictor of a patient’s core temperature because the tympanic membrane’s blood supply is sourced from the carotid artery, which is the same artery that carries blood to the hypothalamus in the brain.

Putting on Personal Protective Equipment

Personal protective equipment is worn to protect the mouth, nose, eyes, clothing, and skin from unwanted pathogens. In the health care setting, a patient’s condition often prompts the use of personal protective equipment; however, a health care worker is able to wear personal protective equipment whenever he or she deems it is necessary (e.g., during procedures with the potential for excessive contact with bodily fluids).

Measuring the Apical Pulse

The apical pulse rate is the most accurate non-invasive measurement of heart rate because it is measured directly over the apex of the heart. Apical pulse is preferred in cases when the radial pulse is difficult to palpate, when the pulse is irregular, greater than 100 beats per minute, or less than 60 beats per minute when measured by other means (electronic, radial, etc.).

Orthopneic Position

Patients with respiratory illnesses such as chronic obstructive pulmonary disease (COPD) find ways to help themselves breathe more easily. This can include sleeping with extra pillows to keep them propped up or leaning forward to ease the work of breathing. The orthopneic position is one forward-leaning position used to help patients breathe comfortably when they are having difficulty.

Moving the Resident from a Bed to a Stretcher or Gurney

Moving a patient from a bed to a stretcher can pose huge safety risks to both the patient and to the health care workers completing the transfer. Always use the appropriate amount of people to complete a transfer, which may vary according to the patient’s weight and/or the facility’s policy. In some cases, a mechanical lift may be needed.