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Assessment Nursing Diagnosis Planning Intervention Rationale Evaluation

The nursing diagnosis was disturbed body image related to dissatisfaction with appearance from illness. Short term goals were for the patient to understand body changes and long term was relief from anxiety and adaptation to actual and altered body image. The plan was to assess mental and physical factors relating to illness, evaluate knowledge and anxiety about the situation, listen to comments and responses, assist correcting underlying problems, encourage communication, set limits on maladaptive behavior and identify positive behaviors, and assist identifying actual changes. The rationale was to determine causative factors, acceptance of the situation, understand perspectives, promote healing and adaptation, and address any misperceptions.

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Jordz Placi
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18 views2 pages

Assessment Nursing Diagnosis Planning Intervention Rationale Evaluation

The nursing diagnosis was disturbed body image related to dissatisfaction with appearance from illness. Short term goals were for the patient to understand body changes and long term was relief from anxiety and adaptation to actual and altered body image. The plan was to assess mental and physical factors relating to illness, evaluate knowledge and anxiety about the situation, listen to comments and responses, assist correcting underlying problems, encourage communication, set limits on maladaptive behavior and identify positive behaviors, and assist identifying actual changes. The rationale was to determine causative factors, acceptance of the situation, understand perspectives, promote healing and adaptation, and address any misperceptions.

Uploaded by

Jordz Placi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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ASSESSMENT NURSING DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

Subjective: Disturbed Body Short-term Outcome: 1. Assess 1. To determine Short term:


Patient insisted that Image r/t Patient will verbalize mental and causative Patient verbalized
there was nothing dissatisfaction with understanding of physical factors understanding of
wrong with her. appearance body changes. influence of relating to body changes.
illness on the illness.
Long-term Outcome: client’s
Patient will verbalize emotional Long-term:
relief of anxiety and state. Patient verbalized
adaptation to actual relief of anxiety and
and altered body adapted to actual
2. Evaluate 2. To determine
Objective: image. body image.
client’s level acceptance
 Anxious
of knowledge or
 Depressed
and anxiety nonacceptan
 Distorted
related to ce of
view of body
situation. situation.
image

3. Listen to 3. Different
client’s situations
comments depend on
and individual
responses to coping skills
the situation. and past
experiences.

4. Assist in 4. To promote
correcting optimal
underlying healing and
problems. adaptation.
5. Encourage 5. To
client and understand
SOs to the situation
communicat and reasons
e feelings of one
with each another.
other.

6. To aid in
6. Set limits on recovery.
maladaptive
behavior and
assist client
to identify
positive
behaviors.

7. Patient may
7. Assist patient perceive
in identifying changes that
actual are not
changes. present/real.

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