Domain 4. Activity-rest
Class 5. Self-care
Diagnostic Code: 00109
Nanda label: Dressing self-care deficit
Diagnostic focus: Dressing self-care
Nursing diagnosis is used by health workers, such as nurses, to evaluate and assess the health condition of a patient. It helps them develop a comprehensive plan of care that a patient needs to move toward optimal health. A nursing diagnosis for dressing self-care deficit is an assessment based on a patient's inability to engage in self-care activities related to dressing themselves or grooming. This can occur in a variety of health situations, from physical disabilities or chronic illnesses to mental health conditions.
NANDA Nursing Diagnosis Definition
The NANDA-International Definition for Nursing diagnoses for dressing self-care deficit states that it is “the state in which an individual experiences difficulty in performing or requiring assistance to accomplish activities of daily living related to dressing (e.g., pants/shirt/shoes, socks/undergarments, cosmetics)”.
Defining Characteristics
The defining characteristics surrounding the nursing diagnosis of dressing self-care deficit may include subjective and objective factors.
Subjective Factors:
- Verbalizes need help are dressing
- Perceives self as dependent on others
- Perceives dress as uncomfortable, difficult, or intimidating
Objective Factors:
- Needs assistance to put on clothing
- Unable to dress self due to disability or health concern
- Unable to remember process for variables such as buttons, zippers, pins, snaps, etc.
The related factors typically associated with dressing self-care deficit are weakened due to medical conditions, diseases or other physical impairments, neuromuscular dysfunction, or altered level of consciousness. In addition, fatigue, poor body image, cognitive impairment and/or lack of visual acuity may also play a role.
Associated Conditions
Associated conditions that may contribute to dressing self-care deficit include injuries, amputations, arthritis, stroke, head trauma, and dementia. Furthermore, psychological issues such as depression, anxiety, stress, or mental illness may be associated with the inability to dress and groom oneself.
Suggested Use
Nanda nursing diagnosis for dressing self-care deficit can be used to develop a plan of care for those who have difficulty in this area. It can be used to assess and monitor the patient’s progress as they work towards regaining independence in regards to dressing and grooming.
Suggested Alternative NANDA Nursing Diagnosis
Alternative NANDA nursing diagnoses that share some similarities to dressing self-care deficit include: self care deficit: bathing; grooming; feeding; and toileting.
Usage Tips
When working on NANDA nursing diagnosis for dressing self-care deficit, it is important to consider the patient’s overall health status and any underlying conditions, so as to create an appropriate plan of care. Consider the patient’s motivation for dressing, resources available to them (family, friends, caregivers), and level of independence when developing the plan.
NOC Outcomes
When using the NANDA nursing diagnosis for dressing self-care deficit, the following North American Nursing Diagnosis Association outcomes may be considered:
- Personal Care: Demonstrates ability to dress self independently
- Adaptation: Reports improved comfort with dressing
- Safety: Practices safe dressing techniques
- Mobility: Maintains ability to provide independent dressing
- Comfort: Identifies strategies to reduce discomfort associated with dressing
- Self-Care: Practices dressing self-care activities
These outcomes can help to guide care and measure the success of treatment.
Evaluation Objectives and Criteria
Evaluating the nursing diagnosis of dressing self-care deficit should include the following objectives and criteria:
- Patient is able to demonstrate understanding of safety measures associated with dressing
- Patient is able to perform dressing tasks with minimal assistance
- Patient reports feeling comfortable and confident with their self-care abilities
- Patient identifies and uses strategies for dressing comfortably and safely
- Patient has demonstrated comprehension of dressing techniques
NIC Interventions
The following interventions should be included when providing care for patients experiencing dressing self-care deficit problems:
- Assessment/Monitoring: Evaluate and monitor patient’s ability to dress himself/herself, evaluates effectiveness of patient’s current dressing techniques and suggest changes to these techniques if needed
- Education: Teach patient methods for dressing, including how to put on clothes, how to adjust clothing for comfort, and how to use assistive devices (e.g., buttons, zippers, etc.), if applicable
- Encouragement/Reinforcement: Praise patient for accomplishments and encourgae self-care
- Nursing Activities: Assist patient with dressing, as needed
- Security/Safety: Teach patient possible risks associated with undressing and dressing
Conclusion
Overall, dressing self-care deficit is a common nurse diagnosis that can occur as a result of a variety of factors. Nurses must take into account any underlying conditions, as well as the patient’s overall health status, to provide effective care. Proper assessment and monitoring should be done to ensure that the patient understands the safety measures associated with dressing and has achieved their desired goals.
FAQs
- What is nursing diagnosis for dressing self-care deficit?
Nursing diagnosis for dressing self-care deficit is an assessment based on a patient's inability to engage in self-care activities related to dressing themselves or grooming.
- What are the defining characteristics associated with nursing diagnosis for dressing self-care deficit?
The defining characteristics associated with nursing diagnosis for dressing self-care deficit may include subjective and objective factors such as verbalizing need for help with dressing, perceiving self as dependent on others, needing assistance to put on clothing, and being unable to remember process for variables such as buttons, zippers, pins, snaps, etc.
- What are some of the related factors associated with nursing diagnosis for dressing self-care deficit?
The related factors typically associated with dressing self-care deficit are weakened due to medical conditions, diseases or other physical impairments, neuromuscular dysfunction, or altered level of consciousness. In addition, fatigue, poor body image, cognitive impairment, and/or lack of visual acuity may also play a role.
- What are the NOC Outcomes of nursing diagnosis for dressing self-care deficit?
Some of the North American Nursing Diagnosis Association outcomes that can be considered for nursing diagnosis for dressing self-care deficit include Personal Care, Adaptation, Safety, Mobility, Comfort, and Self-Care.
- What are some of the nursing activities involved in nursing diagnosis for dressing self-care deficit?
Some of the nursing activities involved in nursing diagnosis for dressing self-care deficit include assessment and monitoring, education, encouragement and reinforcement, and security and safety.