Nursing Diagnosis : Disturbed Body Image related to loss of voice, face and neck anatomy changes.
characterized by: negative feelings about body image, a change in social engagement, anxiety, depression, lack of eye contact.
Goal: Identify feelings and coping methods for negative perceptions of themselves.
Outcomes:
Shows the initial adaptation to changes in the body as evidence of the participation of self-care activities and positive interactions with others.
Communicating with people nearby on the roles change has occurred.
Begin to develop a plan for lifestyle change.
Participate in an effort to carry out the rehabilitation team.
Interventions and Rationale:
1 Discuss the meaning of loss or change in the patient, identification of perception or expectation that the situation will come.
Rational: Tool in identifying or interpreting issues to focus attention and intervention constructively.
2 Note the non-verbal body language, behavior or the negative self talk. Assess self destruction or suicide behavior.
Rational: may indicate depression or despair, the need for further assessment or more intensive intervention.
3 Record the emotional reaction, sample loss, depression, anger.
Rationale: The patient may experience depression after surgery or shock reaction and deny. Acceptance of change can not be imposed and the process takes time to improve loss.
4. Arrange the limits on maladaptive behavior, help the patient to identify positive behaviors that will improve.
Rational: refusal may result in a decrease in self-esteem and affect the acceptance of a new self-image.
5. Collaborative: to refer patients or those closest to the source of support, examples of the psychological therapist, social worker, family counseling.
Rationale: a comprehensive approach is needed to help patients face the rehabilitation and health. Families need help in understanding the process through which patients and assist them in their emotions. The goal is to enable them to resist the tendency to reject or isolation of patients from social contact.
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Discuss the meaning of loss or change in the patient, identification of perception or expectation that the situation will come. www.suvitas.com
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