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.

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Perineal Care of the Female Resident

Perineal care should be performed during a bath, after using the bedpan, and/or after incontinence. Proper technique is important for maintaining hygiene, preventing infection, and avoiding skin breakdown. Because of the close proximity between a woman’s urethra, vagina, and anus, it is essential to only wipe in a front to back motion. Wiping in the opposite direction is associated with a greater risk for developing a urinary tract infection.

Perineal Care of the Male Resident

Perineal care should be performed during a bath, after using the bedpan, and/or after incontinence. Special care should be used when performing perineal care on an uncircumcised male. Failure to retract and wash the area under the foreskin can result in infection. Failure to return the foreskin to its normal position can result in paraphimosis.

Making an Occupied Bed

If a patient is bedridden or on bedrest, the bed linens will need to be changed while the patient is in the bed. For safety reasons, the nurse’s aid should avoid making an occupied bed if the patient is able to get out of bed. Bed linens should be changed according to the facility’s policy or anytime they are wet or soiled.

Rectal Temperature with Electronic Thermometer

A rectal temperature provides the most accurate core body temperature reading compared to other non-invasive methods. This makes a rectal temperature desirable; however, this procedure comes with more patient discomfort and more safety risks (bowel perforation, mucosal damage, and/or vagus nerve stimulation) than the other temperature measurement methods.

Using a Gait / Transfer Belt to Assist the Resident to Ambulate

Walking (aka, ambulating) helps residents maintain mobility and independence, and prevents complications. However, ambulation must be done safely so that the resident does not have a fall or injury. A gait or transfer belt, when properly used, can increase resident safety. Gait belts can vary between facilities, so make sure you know how to use the one in your facility.