Adaptive clothing is designed for people who have mobility issues, are confined to a bed or use a wheelchair.
People with disabilities due to disease or injury, physical limitations in range of motion or those who are aging naturally often will have trouble at some point in their lives getting dressed and undressed.
Clothing manufacturers normally design their products for able-bodied people who are more interested in the look of the item than the ease of wearing it. Normal clothing is not designed with the ability of the wearer to dress themselves taken in to account.
For those who have trouble bending, reaching and flexing their limbs due to age, dressing can be a stressful and difficult task. For those with limbs that can’t be controlled or don’t function at all the act of getting dressed can be impossible. For those who are confined to a wheelchair the task of getting pants or dresses on usually requires the help or one or more caregiver. (Photo above – Silvert’s Adaptive T Shirt)
Adaptive clothing is designed for people who have mobility issues, are confined to a bed or use a wheelchair.
Several companies have developed lines of clothing that are designed to be put on and removed while seated or lying down and to provide some measure of independence for the user who is able to dress themselves.
Among the products available for those who require clothing that is easy use are these:
Adaptive Shirts – completely open up, allowing the arms to slide into the garment sleeves without ever having to raise or lower arms, this also eliminates the struggle with small neck openings. The back overlap is then folded over and snapped into place. There is no split in the middle so everything is covered and is very discrete and many times you cannot even tell that it is an open back garment.
Adaptive Pants – completely open up in the back to allow you to get dressed while seated. Legs are inserted into the pant legs from a seated position and drawn up to the inner thigh. Caregivers simply snap the generous back overlap in place, providing complete coverage and discretion. Assisted disrobing is just as easy. The person has been effortlessly dressed by the caregiver from a seated position with no weight-bearing required.
Arthritis, lowered hand dexterity and partial paralysis can make buttons, small openings and laces impossible! Hidden velcro brand fasteners/easy touch closures in adaptive apparel can make garments and footwear comfortable and functional for the wearer. In addition, elasticized waists make it easy to pull on garments when challenged by lowered hand dexterity
Choose fabrics that can be washed repeatedly and still look nice. Fabrics that resist shrinkage in everyday washing are polyester or a combination of polyester and cotton.
When choosing a cotton garment make sure that it is 50% polyester / 50% cotton or 65% polyester / 35% cotton blend. The garment will then not require ironing and will have a low shrinkage factor.
To ensure that your wheelchair clothing remains in good condition and does not shrink, it should contain less than 30% rayon, silk, linen or wool content.
Disability Differences To Keep In Mind
If you have arthritis you want to keep your clothing loose fitting and with elastic waist bands. Choose clothing that opens in front and not clothing that pulls over your head. Choose clothing with large buttons or fasteners.
Individuals with Parkinson’s can have problems with balance, and fine motor, so clothing that pulls on over the head or feet make dressing easier. Tremors and difficulty with fine motor tasks make buttons, ties and zippers a challenge.
If your balance is unsteady lie in bed to dress your legs by rolling side to side in bed, or sit in a chair with arms and a back for safety and support.
Diabetics have special circulatory concerns as approximately 65% of diabetics have some form of nerve damage. This lack or decreased sensation leads to inability to feel pain, most often in the feet, which can lead to an increased risk for infection from cuts and scrapes if undetected. You want to decrease restrictions and wearing of tight socks and shoes.
Keep your loved one who has Alzheimer’s on a regular routine and do not rush or hurry them. Use easy and familiar clothing, do not try to add layers or be fashionable with accessories. Encourage independence, label their closet and drawers making it easy for them to find items; keep choices simple such as sweat suits or pant sets that pull on with elastic waists.
Depending upon the advancement of the disease you may need to lay out their clothing in the order in which they need to put it on or hand it to them one item at a time. Encourage a regular toileting routine to decrease embarrassing moments. Be sensitive to the possibility of incontinence and consider using briefs or pads for dignity and easier toileting.
Consider a back zipper jumpsuit for men or women who may tend to undress inappropriately.
Spinal Cord Injury
If you have partial or complete paralysis from spinal cord injury, multiple sclerosis or stroke you want to maintain as much independence in addition to keeping dressing as easy and successful as possible.
When you look good in your clothes you also feel good and your spirits are boosted. Keeping as active as possible encourages stronger muscles. Make dressing a success by using zippers that close in front or on the side, or easy pull on clothes for weak arm muscles.
Wheelchair clothing with back snap openings may help make assisted dressing easier for those with paralysis and for those confined to a wheelchair.
Some adaptive equipment can help make dressing safer and easier. Using a grabber or reacher to assist with putting your pants on is another option.
You can use a button hook or dressing stick if you have limited shoulder and hand movement or strength. Use zipper pulls for jackets or pants.
To put your socks and shoes on you can use a sock aid and long handled shoehorn; and elastic laces are available for your tie shoes.
Tips for Dressing Others
TIP #1: Start by dressing the person’s affected/weaker side first. When undressing, remove the unaffected side first.
TIP #2: Ask residents if they want help picking out their outfits or if they want you to do it. This provides them a sense of independence and choice. Provide a few options of outfits for them to choose from if they want to be involved.
TIP #3: When dressing a person in bed sit the head of the bed up. This gives their back muscles a chance to adjust to the upright position and gets their blood flowing. Put on their socks, pants, shoes, and so on. Aside from being easier on the resident, it will protect your back.
TIP #4: Not everyone is going to be happy to have help getting dressed. If you have a difficult resident, positive reinforcement, smiling, and a good attitude go a very long way.
TIP #5: Tell the person you’re dressing what is happening every step of the process, especially if the residents are confused. It keeps them in the loop, builds trust, and makes them more comfortable.
TIP #6: The most simple tip, but possibly the most important, be patient!
Wheelchair clothing for those with challenging physical abilities is available from several different companies. Adaptations include side zippers, elastic waist bands, back flaps , open back/snap shirts, sweaters, dresses, jackets, modified styles for those unable to stand include shortened tops and extra material for seated positions. Undergarments for dignity are also available.
Adaptive equipment is available to help make dressing safer and easier for individual performance.
Caregivers are able to dress those they care for with increased comfort and ease using the different styles of open back/shoulder snap clothing. Fasteners are strategically placed so as to not add increased pressure or skin problems.
If you experience difficulty getting in or out of your clothes, or you are a caregiver whose loved one requires assistance dressing, you will find that the right adaptive clothing can make life a lot easier.
Thoughts, questions, tips? Feel free to comment below.
Most of us dread the thought of moving a loved one into a skilled nursing facility, and this sentiment doesn’t change for those who are fortunate enough to have a selection of stellar facilities to choose from.
We know that we are giving up a certain amount of direct oversight, which can be hard even though we are well aware of our limitations as individual caregivers.
We also know deep down that this move is an admission that a loved one has passed a certain point in their health where returning home or resuming even a few aspects of self-care is no longer a possibility.
In other words, this transition is a direct dose of reality.
As with all changes in life, knowing what to expect ahead of time can be extremely helpful mentally and emotionally as well as practically. I asked Amy Laughlin, BA, AP-BC, ADC, an Activity Professional and Senior Living Educator based in Rock Hill, South Carolina, to work out a nursing home checklist.
Amy’s comprehensive list below explains our loved ones’ rights, questions to ask the facility you are considering, and how to best anticipate and prepare for their needs.
Skilled Nursing Facilities Federal Regulations
Federal regulations, which are overseen by the Centers for Medicare and Medicaid Services (CMS), require that skilled nursing facilities (SNFs) provide the following to all residents:
A room with a window to the outside for natural light and orientation to the time of day, weather and season;
A bed of appropriate size and height;
A clean, comfortable mattress;
Bedding, which is appropriate to the weather/climate; and
Furniture appropriate to the resident’s needs, including a separate closet or clothing storage spaces.
These regulations also require SNFs to provide a “safe, clean comfortable and homelike environment.” In other words, the goal is for these facilities to be less institutional and more homelike, so residents have the opportunity to bring many items and personal effects with them to help create a meaningful and individual living space.
Before Moving to a Skilled Nursing Facility
Look at the room carefully. How much floor space is there, and how much storage space will your loved one have? There must be enough room to maneuver a wheelchair or other mobility aid and for caregivers to safely transfer and care for your loved one.
Check to see if the facility will remove the provided nightstand, chest, or chair so that they can bring some personal pieces of furniture. If this is an option, make sure that none of their furniture encroaches on a roommate’s space or limits mobility within the room.
Ask questions about what the facility provides that is included in the fee.
The following are common questions that can reveal a great deal about what may need to be purchased or left at home. It can also expose services and items that come at an additional cost:
Are bedding and towels provided?
Is the laundering of linen included?
Does my loved one’s room have cable or a digital signal, and is it included in the monthly cost?
What about local and long distance telephone service?
Is there public and/or secure wifi access available?
Can personal laundry services be added for an additional fee?
Every SNF (Skilled Nursing Facility) is different. No family member wants to receive a terrible shock when they get the first bill and discover that all the services they thought were included were actually optional extras.
Nursing Home Packing List
What to Pack for Moving to a Skilled Nursing Facility
Aside from making the decision to move your loved one into a SNF, helping them pick and choose what to pack and what to purge is one of the most difficult parts of this transition.
Caregivers often help their family members sort through entire homes, garages and storage units full of belongings, furniture and family heirlooms. These individuals have been collecting personal items for decades, and it can be difficult for them to simultaneously “lose” their home and the majority of their possessions.
Many caregivers enable their loved ones hold onto some family heirlooms, seasonal clothing and décor, valuables, and other important belongings by storing them at their own home, dispersing them among trusted family members or renting a storage unit. This helps elders feel they still have access to their possessions or at least that these things have been passed on to individuals who will cherish and respect them.
Regardless of the method you and your loved one decide to use, there are some important considerations and limitations that apply to each category of a nursing home packing list.
Clothing and Accessories for Living in a Skilled Nursing Facility
When deciding what kinds of clothing to bring to a skilled nursing facility and how much, there are a number of practical matters that should influence your loved one’s packing list.
Remember that Clothing must be easy to get on and off and able to withstand lots of washing and drying.
Remember that Clothing must be easy to get on and off and able to withstand lots of washing and drying.
While the temperature inside the facility is regulated to a level that would be perfectly comfortable for most active adults, the majority of Skilled Nursing Facility residents tend to be cold-natured. Make sure your loved one has warm and comfortable sweatshirts, vests or jackets that can be worn with every outfit, as well as cozy socks that can be worn in bed.
I like Silvert’s Adaptable Clothing best for these items because they specialize in garments that make dressing easier, and their excellent quality can stand up to institutional laundering.
There is a wide variety of other high quality brands of adaptive clothing available, so you’ll have plenty of choices for comfortable basics that will be wearable and durable. Also, don’t forget to make sure your loved one has non skid slippers.
The number of outfits they should bring depends on who will be doing their laundry and how often.
A good rule of thumb is to bring at least a week’s worth of clothing—probably more just to provide for additional changes that may be needed, and make sure you label everything.
If at all possible, it is helpful if whoever does the laundry returns their clothes to their closet clipped or hung together as outfits, so they are easily able to choose an outfit rather than having to choose separate tops and bottoms.
You just write (use a permanent marker like the one above), peel and stick; no ironing required. Their permanent adhesive will withstand multiple washing machine and dryer cycles.
Accessories are part of a person’s individual style and should be encouraged! Nothing too valuable or with sharp points or edges should be brought with, but if Mom has always worn bright scarves or glittery beads, make sure she has some she can wear every day. If Dad always wore a certain hat, make sure he has it available.
Women often want their purse close by, and men don’t feel quite right without a wallet in their pocket. Let them bring their wallet or a favorite purse. Even if they will be rarely embarking on outings, it will help them retain a sense of control and independence in a world that is completely new, strange and scary. You could even put a few dollar bills or some change in it. Just make sure you take out all insurance cards, bank cards and credit cards first.
Personal Care Products for Living in a Skilled Nursing Facility
Most of us have our favorite soap, shampoo, lotion and toothpaste that we have used for years. This is no different for a senior who is moving into a nursing home. Even something as simple as providing their favorite brands and products can help them feel that their routine hasn’t been completely turned upside-down. Some of these personal care items may be available from the facility, but be aware that they may come with extra charges.
Families generally provide these items and facility staff should let you know when your loved one is running low. It can be helpful to keep a small stash of extra products in a box or basket in their closet or bathroom to avoid running out at the last minute.
Be sure to pick their favorite fragrances or well-loved brands. Although your loved one might be washed and bathed by someone else, using familiar products, especially familiar scents, can make the experience much more comfortable.
Linens and Bedclothes for Living in a Skilled Nursing Facility
Basic linen, such as bedding and towels, is provided and laundered by the facility.
Most individuals also love to have soft, warm blankets or quilts on their beds—perhaps a favorite from their home.
A small lap blanket or throw is also nice to tuck around their legs or shoulders when they are sitting in an armchair or wheelchair. Make sure these items are machine washable and able to take a fair amount of laundering.
Note: Remember that a handmade crocheted blanket will not hold up to frequent washing and drying in the facility’s industrial machines. And don’t forget to label it.
Electrical Items and Technology for Living in a Skilled Nursing Facility
Family members usually provide a small TV, sometimes also a DVD player for their loved one. Label both items, as well as the remotes, and don’t forget to provide spare batteries.
If your loved one will have a roommate, consider purchasing wireless headphones so that they can watch TV at any volume without disturbing anyone.
Ask the facility if they allow extension cords. Some facilities completely prohibit them, since they can pose a trip and fall risk, but others allow them at limited times of the year (such as one for plugging in a Christmas tree).
Many SNF residents love using their smart phones, tablets and laptops. If wifi is available at the facility, make sure you know of any passwords and fees associated with it, as well as if the bandwidth is sufficient to stream videos. If the wifi is not secure, make sure your loved one does not log onto online banking website or any other sites where their personal information could be vulnerable to hackers and scam artists.
All electronic devices should be clearly labeled with the resident’s name, and if possible, contain a GPS locator in case they ever go missing. Don’t forget chargers and connecting cords.
Decorative Touches for Living in a Skilled Nursing Facility
Plan to decorate their room for holidays and events. A small seasonal wreath for their door, holiday cards, and wall décor are a great way to remind your loved one of the holiday without taking up precious space on their nightstand or dresser. Window clings are an inexpensive and reusable decorative item that can be easily applied to and removed from a window or mirror. You may have to store seasonal items that are currently not being used if there is not enough storage space in their room.
A favorite door decoration is also a good cue for your loved one that they have returned to “their” room after a meal or activity. Many doors in the SNF look the same, but theirs will stand out.
Fresh flowers and plants brighten up windowsills and dressers. Just be sure to pick low-maintenance varieties that will not create any mess. If your loved one is assigned to a room with a less than ideal view from their window, this small touch can make a big difference. You and your loved one can arrange flowers or water the plants together as an activity.
Favorite Things to Have in a Skilled Nursing Facility
Your loved one should be able to look around their room and say, “these are a few of my favorite things.” These items should hold personal significance, promote happy reminiscence and stimulate the senses in some way.
Family pictures are important and can be posted on a bulletin board, stored in a scrapbook or photo album, uploaded to a digital picture frame, or displayed as a collage on the wall. It can also be helpful to stick a small label under each photo or on the back to explain the name and relationship to your loved one of those pictured. This enables them to share their pictures without having the pressure of remembering names, faces and relationships all at once.
Another sentimental item may be their favorite artwork or posters. Keep in mind that wall space in SNF rooms is limited, and the facility may have rules about what hardware is allowed to hang frames and other wall decor.
Numerous vendors sell affordable prints of famous works of art, nature scenes, military memorabilia, old movie posters, and much more. The options are endless! Posters can be placed in inexpensive poster frames to make them look more polished, and the artwork can be changed out periodically at little expense.
A CD player and CDs or a MP3 player loaded with favorite music, can also be a small, but meaningful addition to a loved one’s room. Just as with the television, headphones of some kind are probably a wise investment.
Other types of treasured items might include favorite snacks or treats (as appropriate to their current dietary needs), scented lotions, a stuffed animal, sports memorabilia or team colors, a couple of favorite books, or small pieces or items from a personal collection are helpful.
It is important to note that most facilities prohibit breakable items like china and glass, electric blankets, scented plug-ins, and, of course, any sort of open flame (candles), and weapons.
Hobbies for Living in a Skilled Nursing Facility
Days at the SNF can be long, especially at the beginning when your loved one is trying to remember new people and adapt to new routines as well as struggle with their own loss of independence.
The facility should have a diverse and interesting activities program, but your loved one will still have the opportunity to pursue their personal interests or hobbies.
One of the biggest parts of their packing list is making sure they have the items they need to remain engaged and entertained.
Newspaper and magazine subscriptions can easily be arranged and changed, and these items can be delivered directly to the facility.
Many facilities have libraries of books, or the local public library might deliver to the facility. If your loved one is a reader, make sure they always have a couple great books on their nightstand. If they are no longer able to read, even a book of inspirational stories or favorite poems can be useful for visitors to read these aloud with them.
You might also consider setting them up with an Audible membership to download audio books on an MP3 player or other device.
If your loved one is religious, make sure they have their religious texts of choice, plus any associated items or prayer aids, such as a rosary, shawl, crucifix, etc.
Provide a labeled tote or bin of supplies for their favorite art or craft, like knitting, crocheting or painting. Adult coloring has become incredibly popular with the senior population lately. They may enjoy one of these books and a set of colored pencils.
For puzzle masters, large print books of word finds, crossword puzzles, Sudoku and jigsaw puzzles are a must. Decks of cards and simple board games can also help pass the time or provide a structured activity for when grandchildren come to visit.
If your loved one enjoys writing and receiving letters, make sure you provide them with the materials they need. A couple of pens/pencils, a notepad or some stationary, an address book, return address labels and stamps are all musts. Even if they do not send or receive mail often, it’s good to keep a few writing instruments and some paper on hand just in case.
An attractive wall calendar that is clearly marked with family birthdays, holidays, visits and important events is a useful addition to a senior’s room. Even if they have difficulty keeping track of time, the staff and their visitors might be able to reference it and remind them of upcoming activities.
A visitors’ book where people can sign in and say what they did together might be a nice way to remember visits and family time. An example of an entry could be: Saturday, April 16: Jennifer & Brad visited with you and took you outside to see the spring blooms and listen to the birds. We drank lemonade on the porch and talked about gardening.
Important Tips for Personal Items in a Skilled Nursing Facility
All items must be clearly marked with your loved one’s name. Clothing and other items can easily be mixed up in the laundry, and if the facility has residents with dementia or memory issues, belongings can be accidentally or intentionally stolen or end up in the wrong rooms. Use permanent marker on clothing and fabrics and either purchase or make labels with your loved one’s name and room number so that all other items can be quickly and easily labeled. You can also iron or sew on decorative patches to identify clothing without it appearing like a label. Don’t forget to tag items like glasses, hearing aids, denture cases, personal care items, and durable medical equipment like walkers or wheelchairs, and furniture.
Remember that many people will be coming and going in and out of your loved one’s room on a daily basis. This includes caregivers, nurses, housekeeping staff, activities staff, visitors, volunteers and family members. At some point, items will go missing. Hopefully they have just been misplaced and will be returned, but, for this reason, do not bring anything valuable.
Some nursing homes take inventory of a new resident’s belongings upon move in. Ask if this is something that your loved one’s facility does, and if it isn’t, then consider creating your own Facility Inventory form to keep track of their things and better determine if something has been lost or stolen. Ask for the Admissions Coordinator or Director of Nursing to sign this inventory on move-in day. If an item goes missing, you are much more likely to have the facility replace it if you have a documented move-in list.
Keep in mind that this is not an all-inclusive list. Bring in the basics and see how your loved one fares for the first couple of weeks. Maybe they will need more clothes, an extra lamp on the nightstand so they can read better, or maybe you will realize that they are no longer interested in an activity, so you can take those supplies away and free up some space for other items.
This is a challenging time for both you and your loved one. A room in a Skilled Nursing Facility is never going to be comparable to your loved one’s home.
Treat this move as an opportunity to create your loved one’s last home: a comfortable, safe environment filled with happy memories and fun activities.
This is a place where they can thrive and receive the higher level of care they need.