DR 4: Children are safe and healthy
⇣ Indicator: SH—Children show an emerging awareness and practice of safe and healthy behavior
⇣ Measure 45: Personal Care Routines: Dressing—
Child refines ability to dress him or herself independently
 
Descriptors Examples
6 Dresses independently and manipulates most fasteners independently
  • Buttons up pants.
  • Puts on shoes correctly.
5 Puts on clothing independently
  • Puts on shirt, sweater, pants or jacket (may need extra time or stable position).
  • Knows front and back of clothing.
  • Fastens by zipper or VelcroTM (may need to use a zipper with large zipper pull).
4 Removes clothing independently
  • Removes shirt.
  • Removes dress or sweater.
3 With adult assistance, removes and puts on simple, loose clothing
  • Pulls pants down with assistance.
  • Pulls pants up with assistance.
  • Removes coat with assistance.
2 Assists with dressing
  • Pulls off sock.
  • Puts arms through sleeve.
  • Removes hat.
  • Puts on shoes with assistance.
1 Cooperates in dressing
  • Allows adult to dress him or her.
  • Looks up to adult who is dressing her.
  • Extends arms while being dressed.

Measure 45 — SH 2

Personal Care Routines: Dressing

Child refines ability to dress him or herself independently

Young children gradually develop an understanding of the need to dress appropriately and also develop the skills to dress independently. Initially, children passively participate in a dressing routine initiated by their caregivers. With time and as the dressing routine becomes familiar, children begin to assist their caregiver in completing the task. With the development of motor skills, children refine their ability to dress and are able to complete tasks with increasing competence and independence.

Very young infants require that an adult dress them. As they develop, infants begin to participate in the dressing routine by cooperating with the adult who is helping them. This cooperation may be passive. The infant may remain still and allow an adult to dress her, for example. Older infants may actively offer cooperation, such as extending their legs or arms while they are being dressed.

Toddlers are able to assist with dressing. Young toddlers have the motor skills to be able to remove their socks and shoes, and they like to participate actively in dressing, for example putting their arms through shirt sleeves or coat sleeves with adult assistance. Older toddlers are able to remove and put on simple clothing, such as hats. They are also able to unzip clothing and to pull pants with elastic waists up and down, but they need some assistance with unbuttoning their pants or unbuckling belts and straps.

Young preschoolers are able to remove their clothes without assistance. They are able to remove their jacket when they are too hot or remove a shirt when it gets wet. Eventually they will also be able to put on simple clothing, such as a jacket or coat, independently. They are able to unsnap garments and fasten things with Velcro™ straps, but they may need assistance with other fasteners, such as buttons or clasps.

Older preschoolers are able to dress independently for the most part. They can identify the front and back of clothes. They may be able to handle buttons and zippers and may only need an adult’s help with more difficult fasteners, like shoe laces and the clasps on overalls. Experience and greater development of their fine motor skills enable children to dress more independently using a variety of difficult fasteners. Older preschoolers are also able to select clothes that are appropriate for the weather, such as shorts and short-sleeve shirts for a warm day or a coat when it is cold. Autonomy in dressing becomes more refined when children are in kindergarten and the primary grades. Further development of their fine motor skills allows them to work more successfully with difficult fasteners like buckles and clasps.

References

Henry, S. (n.d.). Developmental milestones: Self-care (age 5). Retrieved March 1, 2008, from http://parentcenter.babycenter.com/0_developmental-milestone-self-care-age-5_66682.pc

Henry, S. (n.d.). Developmental milestones: Self-care (ages 3-4). Retrieved March 1, 2008, from http://parentcenter.babycenter.com/0_developmental-milestone-self-care_65551.pc

Marotz, L. R. (2008). Health, safety, and nutrition for the young child (7th ed.) (pp. 320-321). Clifton Park, NY: Thomson Delmar Learning.

Toddler milestones: Self-care. (n.d.). Retrieved March 1, 2008, from http://www.babycenter.com/refcap/toddler/toddlerdevelopment/6503.html

Werner, D. (1999). Disabled village children: A guide for community health workers, rehabilitation workers, and families (2nd ed.) (pp. 333-336). Berkeley, CA: The Hesperian Foundation. Retrieved March 1, 2008, from http://www.dinf.ne.jp/doc/english/global/david/dwe002/dwe00239.htm

Additional Resources

There are no additional resources for this Measure at this time. Please see the corresponding Indicator for general resources.