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Disturbed Body Image/Self-Esteem — Liver Cirrhosis

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LC-Disturbed Body Image

Image: http://nurseslabs.com

NURSING DIAGNOSIS: Self-Esteem/Body Image disturbed

May be related to
  • Biophysical changes/altered physical appearance
  • Uncertainty of prognosis, changes in role function
  • Personal vulnerability
  • Self-destructive behavior (alcohol-induced disease)
Possibly evidenced by
  • Verbalization of change/restriction in lifestyle
  • Fear of rejection or reaction by others
  • Negative feelings about body/abilities
  • Feelings of helplessness, hopelessness, or powerlessness
Desired Outcomes
  • Verbalize understanding of changes and acceptance of self in the present situation.
  • Identify feelings and methods for coping with negative perception of self.

Nursing Interventions & Rationale

Nursing Interventions Rationale
 Discuss situation/encourage verbalization of fears and concerns. Explain relationship between nature of disease and symptoms.  Patient is very sensitive to body changes and may also experience feelings of guilt when cause is related to alcohol (70%) or other drug use.
 Support and encourage patient; provide care with a positive, friendly attitude.  Caregivers sometimes allow judgmental feelings to affect the care of patient and need to make every effort to help patient feel valued as a person.
 Encourage family/SO to verbalize feelings, visit freely/participate in care.  Family members may feel guilty about patient’s condition and may be fearful of impending death. They need nonjudgmental emotional support and free access to patient. Participation in care helps them feel useful and promotes trust between staff, patient, and SO.
 Assist patient/SO to cope with change in appearance; suggest clothing that does not emphasize altered appearance, e.g., use of red, blue, or black clothing.  Patient may present unattractive appearance as a result of jaundice, ascites, ecchymotic areas. Providing support can enhance self-esteem and promote patient sense of control.
 Refer to support services, e.g., counselors, psychiatric resources, social service, clergy, and/or alcohol treatment program.  Increased vulnerability/concerns associated with this illness may require services of additional professional resources.
 Source: http://ncplist.blogspot.com/2012/05/disturbed-body-imageself-esteem-liver.html