Ncp - Disturbed Body Image

Nursing Care Plan Cues S> O>Right cheek of the client is depressed. (+) suture line on the client’s neck up to the chin.

Nsg.Diagnosis Disturbed body image related to illness and surgery

Inference The client was diagnosed of having ameloblastoma Surgical procedure done (Reconstruction of mandible) Right cheek of client is depressed. Suture line present on the neck up to the chin. Disturbed body image.

Goal & Objectives Goal: (Short term) After 4 hours of therapeutic communication, the client will: >Verbalize acceptance of self in situation >Verbalize understanding of body image Objectives: To assess causative/ contributing factors.

Nsg.Interventions Nsg.Interventions

Rationale

Evaluation Goal met. The client verbalized acceptance of self in situation. The client verbalized understanding of body image.

Evaluate level of client’s knowledge of and anxiety related to the situation. Observe emotional changes. (independent)

To determine the client’s acceptance/ non acceptance of the situation.

Discuss pathophysiology present and/ or situation affecting the individual. (independent)

To determine the client’s acceptance/ non acceptance of the situation.

Note signs of

To evaluate need

To determine coping abilities and skills.

To assist client and SO(s) to deal with/ accept issues of selfconcept related to body image.

grieving/ indicators of severe or prolonged depression. (independent)

for counseling and/ or medications.

Listen to client’s comments and responses to the situation. (independent)

To assess client’s current level of adaptation and progress.

Identify used coping strategies and effectiveness. (independent)

To assess client’s current level of adaptation and progress.

Visit client frequently and acknowledge the individual someone who is worthwhile. (independent)

Provides opportunities for listening to concerns and question.

Alert staff to monitor own facial expressions and other non verbal behaviours.

They need to convey acceptance and not revulsion when the client’s appearance is affected.