00121 Personal Identity Disorder

Domain 6: self -perception
Class 1: self -concept
Diagnostic Code: 00121
Nanda label: personal identity disorder
Diagnostic focus: personal identity
Approved 1978 • Revised 2008, 2017 • Evidence level 2.1

NANDA Nursing Diagnosis Definition

Nanda nursing diagnosis « personal identity disorder ” is defined as: inability to maintain a complete and integrated perception of the self.

Definite characteristics

  • Body image alteration
  • Confusion about cultural values ??
  • Confusion about the objectives
  • Confusion about ideological values ??
  • Delirious descriptions of the self
  • Express feelings of vacuum
  • Express feeling of strangeness
  • Fluctuating feelings about self
  • Deterioration of the ability to distinguish between internal and external stimuli
  • Inadequate interpersonal relationships
  • Inadequate development of the role
  • Inconsistent behavior
  • Ineffective coping strategies
  • Informs social discrimination

Related factors

  • Alteration of the social role
  • Worship indoctrination
  • Dysfunctional family processes
  • Gender conflict
  • Low self -esteem
  • Perception of social discrimination
  • incongruous values ??with cultural norms

Risk population

  • People who experience development transition
  • People who experience situational crises
  • People exposed to chemical toxic

Associated problems

  • Dissociative identity disorder
  • Mental disorders
  • Neurocognitive disorder
  • Pharmacological preparations

Suggested alternative diagnostics

  • Low chronic self -esteem
  • Low situational self -esteem
  • Acute confusion
  • Chronic confusion

NOC Results

  • Control of distorted thoughts: self -containment of alterations in perception, in thought processes and in the content of thought
  • Identity: distinguishes the self from others and characterizes its own essence
  • Sexual identity: recognition and acceptance of one’s own sexual identity

Evaluation objectives and criteria

  • • Demonstrate identity, as the following indicators prove (specify from l to 5: never, rarely, once, often or usually):
    • Verbally express a clear sense of personal identity
    • Verbally express personal identity statements
    • Sample congruence between verbal and nonverbal behavior about itself
    • Distinguish the self from the environment
    • It distinguishes the self from other human beings
    • Establish personal limits
  • Other examples

    The patient will be able to:

    • • Express your disposition to use the suggested resources when discharged
    • • Identify your personal strengths
    • • Maintain narrow personal relationships

    NIC Interventions

    • Teaching: Sexuality: Help individuals understand the physical and psychosocial dimensions of sexual growth and development
    • Halling of hallucinations: foster safety, comfort and orientation to the reality of a patient who suffers hallucinations
    • Delirium management: Promote comfort, safety and reality orientation for a patient who presents false and fixed ideas who have little or no basis in reality
    • Management of the environment: manipulation of the patient environment for therapeutic benefit, sensory attraction and psychological well -being
    • Improvement of self -awareness: helping a patient to explore and understand their thoughts, feelings, motivations and behaviors
    • Improvement of self -esteem: Help a patient improve the way of judging his personal value

    Nursing Activities

    • See also nursing activities for self -esteem, chronic and situational low self -esteem.

    Valuations

    • • Evaluate the need for help from the Social Services Department to plan care with the patient and his family
    • • (NIC) Improvement of self -esteem:
      • Monitor the patient’s claims with respect to his personal worth
      • Determine the patient’s confidence in his own judgment
      • Monitor the frequency of verbal expressions that deny the self

    Patient and family education

    • • (NIC) Delirium management: educate the family and the closest people about ways of managing the patient who suffers delusions

    Collaboration activities

    • • Offer to make the initial phone call to the appropriate community resources for the patient and the family
    • • Request a psychiatric consultation
    • • (NIC) Delirium management: Administer antipsychotics and anxiolytics in a regular basis and if necessary

    Others

    • • Encourage the patient to verbally express their concerns about nearby personal relationships
    • • To encourage the patient to verbally express the consequences of the physical and emotional changes that influence self -concept
    • • Encourage the patient and the family to express their feelings and their sadness
    • • Provide care without criticism, respecting the privacy and dignity of the patient
    • • Always address the patient by name
    • • Involve the patient in decisions about care
    • • To refrain from talking to others about the patient in his presence; rather, include it in conversation
    • • (NIC) Delirium management:
      • Avoid debates about false beliefs; Manifest doubts about it
      • Maintain a consistent daily routine
      • Maintain a safe atmosphere
    • • (NIC) Improvement of self -esteem:
      • Encourage the patient to identify their strengths
      • Provide experiences that increase the patient’s autonomy, as required
      • Refrain from making negative criticism
      • Communicate confidence in patient skills to handle the situation
      • Encourage the patient to evaluate their own behavior

    At home

    • • above interventions can adapt to home care
    • • Explain to the family the ways in which they can provide feedback to the patient on the limits of the self
    • • Channel to advice and self -help groups as needed; Involve the family to verify the patient assistance to the group
    • • Control medications
    • • Obtain psychiatric health services at home if the patient cannot leave home

    Babies and Children

    • • (NIC) Improvement of self -esteem: instruct parents about the importance of their interest and support for their child to develop a positive self -concept

    Older people

    • • Evaluate depression, which is common in older people, and that could be masked as a personal identity disorder
    • • Do not use expressions such as “Dear (a)” or “affection”
    • • Frequently guide the patient in terms of time, place and people