00118 Body Image Disorder

Domain 6: self -perception
Class 3: body image
Diagnostic Code: 00118
Nanda label: body image disorder
Diagnostic focus: body image
Approved 1973 • Revised 1998, 2017, 2020 • Level of evidence 3.2

NANDA Nursing Diagnosis Definition

Nanda’s nursing diagnosis « body image disorder ” is defined as: confusion in the mental image of the physical self.

Definite characteristics

  • Alteration of proprioception
  • Alteration in social involvement
  • Avoid looking at one’s own body
  • Avoid touching one’s body
  • Constant comparison of oneself with others
  • Depressive symptoms
  • Express concerns about sexuality
  • Express fear of the reaction of others
  • Express concern with change
  • Express concern with the lost part of the body
  • Centers attention on the previous aspect
  • Centers attention on the past function
  • Centers attention on the past force
  • It is often weighing
  • Hide a part of the body
  • Monitor the changes of the body itself
  • Name a part of the body
  • Name lost parts of the body
  • Lack of attention to the body part that does not work
  • Nonverbal response to bodily changes
  • Nonverbal response to the perception of bodily changes
  • overexposure of a body part
  • Perceptions that reflect an altered vision of the aspect of the body itself
  • Rejoice to recognize change
  • It informs to feel that one has failed in life
  • Social anxiety
  • Use impersonal pronouns to describe a part of the body
  • Use impersonal pronouns to describe a part of the lost body

Related factors

  • Body Consciousness
  • Cognitive dysfunction
  • Conflict between spiritual beliefs and the therapeutic regime
  • Conflict between cultural values ??and norms
  • Distrust of body function
  • Fear of disease recurrence
  • Low self -efficacy
  • Low self -esteem
  • Obesity
  • Residual pain in the limb
  • Non -realistic perception of treatment results
  • Non -realistic own expectations

Risk population

  • Cancer survivors
  • People who experience body weight alteration
  • People who experience development transition
  • People who experience puberty
  • People with altered body function
  • People with scars
  • People with stomata
  • Women

Associated problems

  • Binge disorder
  • Chronic pain
  • Fibromyalgia
  • Human immunodeficiency virus (HIV)
  • Deterioration of psychosocial functioning
  • Mental disorders
  • Surgical procedures
  • Therapeutic regime
  • Wounds and injuries

Suggestions of use

  • To justify a diagnosis of body image disorder one of the two characteristics must be present, A or B. The other defining characteristics can be used to validate the presence of AOB. (A) Verbal expression of sensations or perceptions that reflect a real or perceived change of the appearance, structure or function of the body (b) nonverbal responses to a real or perceived change of the appearance, structure or function of the body
  • This diagnosis is related to low chronic self -esteem, but it is specific to negative feelings about the body or parts of a person’s body. Although body image disorder often causes the loss of a body part or real changes of the organism, changes in body structure or function can be perceived more than real. Patients who have remained in bed for a long time or who depend on machines (such as dialysis equipment, respirators, etc.) may suffer from body image distortions. Eating disorders are usually related to body image disorder and may require one of the nutrition diagnoses.

Suggested alternative diagnostics

  • Low self -esteem, chronic or situational
  • Nutritional imbalance: intake less than needs
  • Nutritional imbalance: intake superior to needs

NOC Results

  • Adaptation to physical disability: adaptive response to a significant functional change due to a physical disability
  • Self -esteem: Personal judgment of one’s worth
  • Care of the affected side: Personal actions carried out to recognize, protect and integrate body parts to the self
  • Child development: adolescence: milestones of physical, cognitive and psychosocial progress that take place from 12 to 17 years of age
  • Child development: childhood: milestones of physical, cognitive and psychosocial progress from 6 to 11 years of age
  • Body image: perception of the appearance and body functions of its own

Evaluation objectives and criteria

  • Improvement of body image disorder, which is manifested because it demonstrates consistently adaptation to a physical disability, a positive body image, a positive self -esteem, and because there are no delays in the development of the child
  • Demonstrate body image, revealed by the following indicators (specify from 1 to 5: never, rarely, sometimes, often positively):
    • Congruence between body reality, the ideal body and the presentation of the body
    • Satisfaction with appearance and bodily functions
    • Provision to touch the part of the affected body
  • Other examples

    The patient will be able to:

    • Identify your personal strengths
    • Recognize the effect of the situation on the personal relationships and lifestyle
    • Recognize the real change of body appearance
    • Prove that you accept your new appearance
    • Describe the real change of body function
    • Realistic approaching the relationship of the body with the environment
    • Express your willingness to apply after the suggested resources
    • Retake self -care responsibilities
    • Maintain social interactions and personal relationships

    NIC Interventions

    • Parent Education: Adolescents: Help parents understand and help their teenage children
    • EDUCATION OF PARENTS: Family parenting of children: to help parents understand and promote growth and physical, psychological and social development of their two -year -old children, preschool and schools
    • Development promotion: adolescent: facilitate optimal physical, cognitive, social and emotional growth of individuals during the transition from childhood to adulthood
    • Development promotion: Child: Promote or teach parents and caregivers to facilitate optimal cognitive, social, emotional, thick and fine motor skills, and the language of preschool and school children
    • Anticipatory Guide: Prepare a patient for a situational or development crisis that are coming
    • Unilateral neglect management: protect and safely reintegrate the affected part of the organism while helping the patient adapt to altered perception skills
    • Improvement of body image: improve perceptions and attitudes, conscious and unconscious, of a patient towards his body
    • Improve self -esteem: Help a patient improve personal judgment on their own worth

    Nursing Activities

    In general, nursing actions in this diagnosis focus on establishing a relationship of trust with the patient; explore the relevant facts, feelings and behaviors for loss; encourage social interactions, and help parents improve the body’s body image.

    Valuations

    • Assess and record the patient’s verbal and nonverbal responses to his body
    • Identify the usual coping mechanisms of the patient
    • (NIC) Improvement of body image:
      • Determine the patient’s expectations about his body image based on the development stage
      • Determine if the disgust perceived before certain physical characteristics causes a dysfunctional social paralysis in adolescents and other high -risk groups
      • Determine if a recent physical change has been incorporated into the patient’s body image
      • Identify the influence of culture, religion, race, gender and patient age on body image
      • Monitor the frequency of self -critical assertions

    Patient and family education

    • Teach care and self -care, including disease complications

    Collaboration activities

    • Derner to the Department of Social Services to plan the care of the patient and the family
    • Channel to physiotherapy for training in strength and flexibility, help with transfers and wandering, or in the use of prostheses
    • Offer to make the first phone call to obtain the appropriate community resources for the patient and his family
    • Refer to multidisciplinary teams to those patients who have complex problems (for example, surgical complications)

    Others

    • Listen carefully to the patient and his family and recognize the reality of his concerns regarding the treatment, progress and prognosis
    • Encourage the patient and his family to express their emotions and complaints, if appropriate
    • Support the usual coping mechanisms of the patient; For example, do not ask him to explore his feelings if he seems reluctant to do it
    • Help the patient and his family identify and use the coping mechanisms
    • Help the patient and their family identify their strengths and recognize their limitations
    • Provide care without judging, maintaining the privacy and dignity of the patient
    • Be aware of the facial expression itself when treated for disfigured patients; Maintain a neutral expression
    • Help the patient and his family gradually get used to body change, perhaps playing the area first before seeing it
    • Encourage the patient to:
      • Keep the daily grooming routine
      • Participate in decision -making
      • Verbally express your concerns about nearby personal relationships and other reactions to body change
      • Verbally express the consequences of physical and emotional changes that have affected self -concept
    • (NIC) Improvement of body image:
      • Identify ways to hide the alterations that disfigure the patient through clothing, wigs or cosmetic products, as necessary
      • Facilitate contact with other people with similar changes to body image
      • Use personal expression exercises with groups of adolescents or other ages that are annoying by normal physical characteristics

    Babies and Children

    • (NIC) Improvement of body image:
      • Determine the child’s response to parents’ reactions, if adequate
      • Determine the patient’s expectations about his body image based on the development stage
      • Use self -drawings to evaluate the child’s perceptions about his body image
      • Teach the child the functions of different parts of the body, if adequate
      • Teach parents the importance of their responses to the child’s body changes and future adaptations, if necessary

    At home

    In addition to the previous interventions:

    • Assess the acceptance of the caregiver (or caregivers) to the patient’s body changes
    • Assess the economic impact of the changes, if there is, and communicate it to social services if necessary
    • Assess the security of the address and the need for auxiliary equipment
    • Evaluate whether the intervention of home psychiatry services is required to treat the distortion of the patient’s body image