Nursing Care Plan Situational low self-esteem

8722 300x240  Nursing Care Plan Situational low self esteemNursing Care Plan Situational low self-esteem Definition:Inability to maintain an integrated and complete perception of self, is a professional judgment based on the application of clinical knowledge which determines potential or actual experiences and responses to health problems and life processes. The list of nanda nursing diagnosis can be applied to individuals, families or communities. Included with the list of nanda nursing diagnosis is an array of commonly applied interventions from which the caregiver can choose to implement to the given patient. Standardized nursing language is a body of terms used in the profession that is considered to be understood in common. The use of common terms promotes patient safety by allowing nurses to quickly and efficiently understand the aspects of a patient’s needs. The use of standardized terms allows nursing staff to avoid sifting through long narratives in order to determine a particular patient’s needs and planned course of care.Nursing Care Plan Situational low self-esteem

Defining Characteristics

  • Disturbed body image
  • Contradictory personal traits
  • Fluctuating feelings about self
  • Ineffective role performance
  • Gender confusion
  • Ineffective coping
  • Unable to distinguish between
  • Uncertainty about ideological inner and outer stimuli and cultural values
  • Delusional description of self
  • Uncertainty about goals
  • Feelings of emptiness
  • Disturbed relationships
  • Feelings of strangeness

Related Factors

  • Organic brain syndrome
  • Situational crisis
  • Dissociative identity disorder
  • Dysfunctional family processes
  • Psychiatric disorders
  • Cultural discontinuity
  • Low self-esteem
  • Cult indoctrination
  • Manic states
  • Discrimination or prejudice
  • Social role change
  • Use of psychoactive drugs
  • Stage of growth
  • Ingestion of toxic chemicals
  • States of development
  • Inhalation of toxic chemicals

Assessment Focus

  • Safety
  • Sexual practices
  • Mental status
  • Cultural beliefs
  • Self-care
  • Relationships

Expected Outcomes The Patient Will

  • Contract for safety.
  • Identify internal versus external stimuli.
  • Maintain adequate nutritional intake.
  • Identify personal goals and realistic steps toward those goals.
  • Compile a list of resources to call when needed.
  • Remain free from substance abuse.
  • Secure a safe place to live in.

Suggested Noc Outcomes

Coping; Distorted Thought; Impulse self-Control; Self-Control;Self-Esteem

Interventions And Rationales

Determine:  Assess for suicidal/homocidal ideation, self-induced cuts or burns. Assess for self-induced vomiting or restricting of food.Thorough mental status examination. Individuals struggling with identified issues are at an increased safety risk.179 Monitor mental status daily to be able to intervene if necessary.Monitor weight weekly to be able to detect changes that may require further intervention.Perform:  Contract with patient for safety. Schedule meetings with patient to process feelings and experiences. Demonstrating care and compassion for the patient allows him or her to feel safe and pro-motes healing.Inform:  Instruct patient to journal feelings and list coping strategies.Journaling can help a patient maintain self-control and may increase insight.Attend:  Accept patient in his or her struggle. Reinforce taking healthy risks and appropriate expression of feelings. Appropriate expression of feelings enhances self-esteem and promotes resiliency.Manage:  Refer patients to mental health services for medication and symptom management. Disturbed personal identity may require ongoing mental health care.

Suggested Nic Interventions

Coping Enhancement; Environmental Management: Safety; Role Enhancement; Self-Esteem Enhancement

Reference

Boyd, M. A. (2008). Psychiatric nursing. Philadelphia: Lippincott Williams & Wilkins.

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