Help with Nursing Interventions

[Alero69123]

I need some suggestions for nursing interventions for disturbed body image

my goal is pt will eat one meal in dinning room and need three intervetnions and can't think of them, pt is cognitive and very with it but has a halo and states that she doesn't want to go to eat with anyone becsue she is afraid with how she looks, also if you can think of any other goals that might work , i think i might need to change the goal im working on becasue i can't figure anythign out

[Courtney Nurse Writer, BSN]

I think you should maybe use another diagnosis than disturbed body image if you are wanting her to eat in dinning room, are you worried about her nutrition or just her thoughts about herself?

Some goals:

Client will demonstrate enhanced self concept prior to d/c (or another time frame) AEB:

-State/Demonstrate acceptance of change or loss and an ability to adjust to lifestyle change

-Look at and touch changed body part

-Return to previous social environment

Interventions:

-Explore strengths and resources with client

-Encourage client to discuss interpersonal and social conflicts that may arise

-Encourage the client to continue same personal care routine that was followed before the change in body image

Anywho, I can honestly say that I have never done a disturbed body image care plan, it seems rough!! Terrible this lady is in such a situation. Good Luck!

[Daytonite, BSN, RN]

I think your diagnosis is correct, but your goal is very inappropriate.

Goal: By ___ the patient will state 3 positive things about herself.

Your interventions should be things such as

• do not challenge the patient's perceptions of how she thinks she looks to others
  
• recognize that the patient's image of herself is her perception, is real to her and do not minimize it by saying things like, "We do not see you that way."
  
• have the patient identify positive aspects of her personal appearance
  
• encourage her to talk about how she thinks and feels about herself
  
• it is important to help the patient distinguish between her thoughts and feelings. Feelings should not be taken as fact and the patient helped to re-frame these ideas.
  
• educate the patient about the halo and its purpose