How should a CNA appropriately handle a resident with dementia who refuses to change clothes?

In situations involving a resident with dementia who refuses to change clothes, the most appropriate approach is to take advantage of a natural opportunity, such as during a shower. This method respects the resident’s dignity while addressing the need for personal hygiene. Making clothing changes part of a routine activity, like bathing, helps minimize resistance because the resident may be more receptive when engaged in familiar, comforting tasks.

This approach can also help reduce stress and anxiety for both the resident and the caregiver. Since individuals with dementia can experience increased confusion or distress when faced with directives or demands that feel confrontational, pairing the clothing change with a more pleasant experience can facilitate cooperation without the need for coercion or force. Additionally, ensuring that the resident feels comfortable and safe during the process is critical in a caregiving environment.

Engaging the resident in a non-confrontational manner, such as during a shower, allows for a smoother transition and helps maintain the person’s feelings of autonomy and dignity. This is a key ethical consideration in the role of a Certified Nursing Assistant (CNA), as they are responsible for providing care that honors the individual needs and preferences of each resident.