What rule is followed when assisting a person with dressing and undressing?

Activity 6 assesses a claimant’s ability to put on and take off un-adapted clothing that is suitable for the situation. This may include the need for fastenings, such as zips or buttons and considers the ability to put on/take off socks and shoes. As with all the other activities, a claimant is to be assessed as satisfying a descriptor only if they can do so reliably.

Descriptors

The descriptors for Activity 6 are -

  1. Can dress and undress unaided. 0 points
  2. Needs to use an aid or appliance to be able to dress or undress. 2 points
  3. Needs either - (i) prompting to be able to dress, undress or determine appropriate circumstances for remaining clothed; or (ii) prompting or assistance to be able to select appropriate clothing. 2 points
  4. Needs assistance to be able to dress or undress their lower body. 2 points
  5. Needs assistance to be able to dress or undress their upper body. 4 points
  6. Cannot dress or undress at all. 8 points

Source: Part 2 of Schedule 1 to the Social Security (Personal Independence Payment) Regulations 2013 (SI.No.377/2013), and Part 2 of Schedule 1 to SR.No.217/2016 in Northern Ireland.

NB - in Scotland, adult disability payment is replacing personal independence payment and the descriptors are found in Part 2 of Schedule 1 to the Disability Assistance for Working Age People (Scotland) Regulations 2022 (SSI.No.54/2022).


Definitions

Terms used in the PIP descriptors are defined in regulations and, in relation to Activity 6, are -

  • “aid or appliance” - (a) means any device which improves, provides or replaces [the claimant's] impaired physical or mental function; and (b) includes a prosthesis; 
  • “assistance” means physical intervention by another person and does not include speech;
  • “dress and undress” includes put on and take off socks and shoes;
  • “prompting” means reminding, encouraging or explaining by another person; 
  • “unaided” means without - (a) the use of an aid or appliance; or (b) supervision, prompting or assistance. 

Source: Regulation 2 of and Part 1 of Schedule 1 to the Social Security (Personal Independence Payment) Regulations 2013 (SI.No.377/2013), and regulation 2 of and Part 1 of Schedule 1 to SR.No.217/2016 in Northern Ireland.

See also DWP guidance on Activity 6 in of the Personal Independence Payment assessment guide for assessment providers.

NB - in Scotland, adult disability payment is replacing personal independence payment and the definitions are found in regulation 2 of and Part 1 of Schedule 1 to the Disability Assistance for Working Age People (Scotland) Regulations 2022 (SSI.No.54/2022). See also Social Security Scotland guidance in Daily living component activity 6 for ADP – dressing and undressing.


Case law

Commentary:​ In [2015] UKUT 572 (AAC) Judge Mark ruled that a bed could be an aid for the purposes of getting dressed. However, in [2016] UKUT 197 AAC, Judge Jacobs disagreed finding that, whilst an item did not have to be specifically designed as an aid, it nevertheless must be sufficiently 'connected' to the activity to count as an aid for the purposes of PIP; in this case sitting on a bed was a common way of getting dressed and it was therefore not an aid. In [2016] UKUT 501 (AAC), Judge Markus prefers the ‘connection argument’, holding that sitting was a ‘usual and normal’ way to dress and that standing was not a necessary function of dressing or undressing.

Suitable alternative clothing may be considered when assessing the functions of dressing, so that slip-on shoes may be acceptable for someone who cannot bend to do up laces [2016] UKUT 542 (AAC), or a cardigan for someone who cannot raise their arms to put on a pullover [2016] UKUT 309 (AAC) (reported as [2016] AACR 10). However, Judge Jacobs in the latter case warns that tribunals should not define away multiple functional problems by identifying multiple alternatives - which would result in a claimant only being assessed to wear loose elasticated clothing with no fastenings - as this would restrict the functional test to only part of the activity of dressing. | Add commentary or suggest an edit.

        Ted Hose and Jobst Stockings are elastic stockings that are usually worn by elders who have circulation problems. The stockings help the blood to circulate through the legs and back to the heart by squeezing slightly in the veins of the legs. They are also referred to as anti-embolism stocking or hose. The care recipient will often need assistance with applying and removing these stockings. Elastic stockings are difficult to put on initially, but, with practice, you will master the technique.

When assisting with dressing and undressing what rule should you follow quizlet?

Dress the patient in underwear and pants. Dress the patient in shoes. A patient should be dressed starting with the weak side first. A patient should be undressed ending with the weak side last.

What is the procedure for undressing a patient?

Gently lift the individuals head and shoulders and gather the top and bottom of the garment together at the individual's neck. Undo buttons, zippers, ties or snaps • Working with the individual's strongest side first, gently remove the arm from the garment by sliding the garment down the arm. Repeat with the other arm.

What order should you use when dressing a resident?

We will use the acronym “U.S.A. First” to remember how to dress a resident with a weak arm. U = Undress, S = Strong, A = Arm. So Undress Strong Arm First. If you undress the strong arm first, the soiled clothing will slide easily off the weaker arm, without a lot of motion required.

When helping a client to dress Which item of clothing would you put on first?

Help patients look their best by selecting their clothing for them. Patients are generally not worried about modesty when staff is helping them dress. When dressing a patient, put clothing on the patient's strong side first.