Low-risk AT for dressing
Welcome to our quick guide on low-risk assistive technology (AT) solutions for stress-free dressing, part of our AT for everyday living series. This resource explores simple, off-the-shelf products that can help older adults dress independently while providing practical insights for care professionals to implement these tools effectively.
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In this resource, you will discover simple low-risk assistive technology (AT) products to help older adults dress themselves independently.
It might not seem like it because we do it every day, but dressing oneself can have an enormous impact on a person’s overall health and resilience – maintaining their balance, cognitive skills, sense of dignity, and other essential aspects of wellness.
Low-risk AT, refers to assistive products that:
- Can usually be purchased ‘off the shelf’
- Have low potential for causing harm
- Can be implemented and used with minimal training or professional expertise
Low-risk AT can be considered a reablement strategy, as it provides practical support for older adults to regain or maintain their confidence and capacity to do things for themselves.
In this resource, we will also explore other reablement strategies that could be implemented alongside AT to help your clients put on their own clothing. We have broadly defined these reablement strategies in the following three categories:
- Build capacity: This strategy focuses on enhancing the skills and abilities a person needs to perform daily tasks more independently and confidently.
- Modify the task: This strategy involves adjusting the way a task is performed to make it easier or safer for a person.
- Consider other supports: This strategy emphasises the use of additional resources, such as those offered by community organisations, to help maximise a person’s potential for independence without relying on continued support.
By incorporating these dressing aids alongside other reablement strategies, you could support your client to achieve greater independence in activities that are important to them.
At the end of this resource, we will also link to some information on where to find these assistive devices, how to incorporate them into your care planning, and general tips for promoting healthy aging and independence.
Jump to a section of interest
Managing buttons and zips
Putting on and removing lower body clothing
Managing socks and stockings
Managing shoes and shoelaces
Maximise the benefits of this AT with these reablement strategies:
In addition to using AT, it’s important to focus on building your client’s capacity to dress independently. Consider implementing these reablement strategies to enhance their overall dressing skills and promote their long-term independence:
· Refer your client to an occupational therapist or other relevant allied health professional for assessment and advice on improving strength, increasing joint flexibility, and managing pain.
· Support your client to participate in everyday activities and exercise programs that can help keep them and their hands healthy. The benefits of exercise and tips for keeping hands healthy can be explored at LiveUp. If a consumer wants to commence an exercise program, they should consult their service coordinator for guidance.To complement the use of AT and further simplify the dressing process, consider implementing these reablement strategies to modify the task:
· Keep shirts buttoned up and slip them over the head
· Replace buttons with Velcro tabs for easier fastening
· Choose loose-fitting clothing items and/or those without buttons
· Improve lighting in the environment so the person can see the buttons more clearlyWhile assistive technology (AT) and other reablement strategies can significantly enhance a person’s ability to dress themselves, others may benefit from additional support.
For instance, you could discuss with your coordinator about connecting your client with health-focused organisations, such as the Arthritis Foundation, that can offer tailored advice and resources for specific conditions affecting dressing.
You can also refer your client to LiveUp, a free healthy ageing guide that offers additional information and demonstrations on how to effectively use low-risk AT to make getting dressed easier.Here are 2 video demonstrations designed to help you use a button hook tool correctly:
· How to Use A Button Hook | YouTube
· How To Unbutton Shirt With Button Hook | YouTube
Maximise the benefits of this AT with these reablement strategies:
Here are a few things to consider before recommending the use of a dressing stick:
· The large hooks on one end are for pulling clothes up or pushing off pants, socks, and shoes.
· The small hook on the other end is for pulling up zips
· Instead of a small hook, some dressing sticks may have a rubber thimble that can also be used for pulling up or removing clothes.
· Moderate grip strength is needed to hold and use this product.
The long-handled reacher requires more coordination and effort, as the user must maintain their grip on the trigger while pulling clothing up.· Consider the person’s potential. Ask yourself, ‘Can this person improve their abilities over time so they may not need this equipment in the future?’
· Consider referring the person to a physiotherapist or other relevant allied health professional for advice on how to improve their joint flexibility, hand strength, and/or pain management.
· Strong, flexible hands are vital for dressing independently. Tips for keeping hands healthy can be explored at LiveUp.
LiveUp is a free healthy ageing guide that also offers additional information and demonstrations on how to effectively use low-risk AT to make getting dressed easier.· Elevate the foot with a footstool for easier reach.
· Choose loose-fitting, elastic-waisted pants for easier removal.
· Put skirts on over the head instead of stepping into them.
Maximise the benefits of this AT with these reablement strategies:
Here are a few things to consider before recommending the use of a sock aid:
· Socks aids come in a variety of designs to meet different needs. It is essential to ask questions about your client’s specific needs, such as their level of mobility and hand dexterity, before deciding which sock aid to recommend for their situation.
· Sock aids require moderate to good hand strength, depending on the style. Rigid designs may need more strength for loading the sock.
· Most people need instruction or training to use sock and stocking aids effectively, and they may require several sessions.· Consider the person’s potential. Ask yourself, ‘Can the person improve their abilities over time so they may not need this equipment in the future?’
· Considering referring the person to a physiotherapist or other relevant allied health professional for advice on how to improve their joint flexibility, hand strength, and/or pain management.
· Strong, flexible hands are vital for dressing independently. Tips for keeping hands healthy can be explored at LiveUp.
LiveUp is a free healthy ageing guide that also offers additional information and demonstrations on how to effectively use low-risk AT to make getting dressed easier.· Use a footstool to raise the height of the foot and reduce bending. The person may be able to put on or take off socks without an aid by using a footstool to elevate the foot.
· Socks that are ‘non-binding,’ have ‘comfort tops’ without elastic, or are ‘loose fit’ are less restrictive and easier to put on and take off. These options may reduce the need for assistive equipment.
· Wear rubber gloves when putting on compression stockings to improve the grip on the fabric.
Maximise the benefits of this AT with these reablement strategies:
Before deciding which assistive device to recommend to your client, it’s important to consider the specific reasons why they may be finding it difficult to manage their shoes and shoelaces:
· Can they not reach their feet?
· Can they not see the fasteners?
· Do they have poor coordination of their hands or fingers?
Understanding these factors could help you determine which product may best suit their needs.· Consider the person’s potential. Ask yourself, ‘Can the person improve their abilities over time so they may not need this equipment in the future?’
· Consider referring the person to a physiotherapist or other relevant allied health professional for advice on how to improve their joint flexibility, hand strength, and/or pain management
· Strong, flexible hands are vital for dressing independently. Tips for keeping hands healthy can be explored at LiveUp.
LiveUp is a free healthy ageing guide that also offers additional information and demonstrations on how to effectively use low-risk AT to make getting dressed easier.· When putting on shoes or tying/untying shoelaces, elevate the foot on a footstool. This can help the person reach their feet more easily while reducing strain on their back and legs.
· You could direct the person to a specialty shoe store that has fitting specialists, and a range of specialty shoes designed to cater to individual foot needs. These stores provide personalised assistance and can help ensure your client finds the right footwear for their comfort and support.
· If your client’s difficulty with managing shoes is related to deformities (e.g., bunions), foot pain, or wounds or fragile skin, you should report this to your client coordinator. Your client coordinator can then refer your client to a podiatrist or doctor as appropriate.
Useful resources
Reablement Essentials are practical guides researched and curated by our Sector Support and Development team. These guides can help you better understand key wellness and reablement concepts, communicate their value to your clients, and ultimately empower your clients to pursue happier, healthier, and more independent lives.
Next steps
Incorporating assistive technology (AT) and other reablement strategies for dressing can help your clients maintain their dignity, independence, and to age well.
If you’re interested in learning more about how to integrate assistive technology devices into your care planning, please email us at keepable@ilaustralia.org.au or submit the ‘Connect with Keep Able‘ form below.
We also offer bespoke presentations on wellness and reablement for teams looking to enhance their knowledge and skills – ask us about it!
Thank you for your continued dedication to delivering proactive, person-centred care and supporting your clients to pursue healthy ageing journeys.
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