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    Assessment (Subjective / Objective Data) Nursing Diagnosis Planning Interventions Rationale

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    Maria Lourdes Cruz
    The patient verbalized feelings of "Hindi na ba talaga babalik sa normal ang katawan?" indicating disturbed body image related to their altered body structure after ostomy surgery. The nursing diagnosis is disturbed body image, with short term goals of the patient beginning to accept their body by viewing and touching their stoma, and long term goals of verbalizing acceptance of themselves and incorporating the change into their self-concept. Planned interventions include encouraging the patient to discuss their feelings, participating in self-care, counseling, support groups, and frequent visits to acknowledge the patient's worth.

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    Assessment (Subjective / Objective Data) Nursing Diagnosis Planning Interventions Rationale

    Uploaded by

    Maria Lourdes Cruz
    48 views2 pages
    The patient verbalized feelings of "Hindi na ba talaga babalik sa normal ang katawan?" indicating disturbed body image related to their altered body structure after ostomy surgery. The nursing diagnosis is disturbed body image, with short term goals of the patient beginning to accept their body by viewing and touching their stoma, and long term goals of verbalizing acceptance of themselves and incorporating the change into their self-concept. Planned interventions include encouraging the patient to discuss their feelings, participating in self-care, counseling, support groups, and frequent visits to acknowledge the patient's worth.

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    The patient verbalized feelings of "Hindi na ba talaga babalik sa normal ang katawan?" indicating disturbed body image related to their altered body structure after ostomy surgery. The nursing diagnosis is disturbed body image, with short term goals of the patient beginning to accept their body by viewing and touching their stoma, and long term goals of verbalizing acceptance of themselves and incorporating the change into their self-concept. Planned interventions include encouraging the patient to discuss their feelings, participating in self-care, counseling, support groups, and frequent visits to acknowledge the patient's worth.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    48 views2 pages

    Assessment (Subjective / Objective Data) Nursing Diagnosis Planning Interventions Rationale

    Uploaded by

    Maria Lourdes Cruz
    The patient verbalized feelings of "Hindi na ba talaga babalik sa normal ang katawan?" indicating disturbed body image related to their altered body structure after ostomy surgery. The nursing diagnosis is disturbed body image, with short term goals of the patient beginning to accept their body by viewing and touching their stoma, and long term goals of verbalizing acceptance of themselves and incorporating the change into their self-concept. Planned interventions include encouraging the patient to discuss their feelings, participating in self-care, counseling, support groups, and frequent visits to acknowledge the patient's worth.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    Assessment Nursing Planning Interventions Rationale

    (Subjective / Diagnosis
    Objective
    Data)
    Subjective Disturbed body Short term Independent
    Data image may be Patient will start to - Encourage patient/SO to - Helps the patient realize that
    “Hindi na ba related to altered demonstrate verbalize feelings regarding the feelings are not unusual and that
    talaga babalik body structure as beginning ostomy. Acknowledge feeling guilty about them is not
    sa normal ang evidenced by not acceptance by normality of feelings of anger, necessary or helpful. Patient
    katawan?” as touching/looking viewing/touching depression, and grief over a needs to recognize feelings
    verbalized by at stoma and stoma and loss. Discuss daily “ups and before they can be dealt with
    the patient. negative feelings participating in downs” that can occur. effectively.
    about body self-care.
    Objective - Evaluate the level of the - To observe regarding
    Data Long term patient’s knowledge of and emotional changes, which may
    - Avoids Patient will anxiety related to the situation. indicate acceptance or
    looking at or verbalize nonacceptance of the
    touching one’s acceptance of self situation.
    body in situation,
    - Behavior of: incorporating - Note signs of grieving or - To evaluate need for
    acknowledging change into self- indicators of severe or counseling and/or medications.
    or monitoring concept without prolonged depression
    one’s body negating self-
    - Heightened esteem. - Provide opportunities for - Looking at the stoma and
    achievement patient/SO to view and touch hearing comments can help the
    Hiding or stoma, using the moment to patient with this acceptance.
    overexposure point out positive signs of
    of body part healing, normal appearance, and
    so forth. Remind the patient that
    it will take time to adjust, both
    physically and emotionally.

    - Provide an opportunity for the - Independence in self-care


    patient to deal with ostomy helps improve self-confidence
    through participation in self- and acceptance of the situation.
    care.

    - Plan/schedule care activities - Promotes a sense of control


    with the patient. and gives a message that patient
    can handle the situation,
    enhancing self-concept.

    - Visit the patient frequently and - This provides opportunities


    acknowledge the individual as for listening to concerns and
    someone who is worthwhile. questions.

    - Assist in correcting underlying - To promote optimal healing


    problems. and adaptation.

    Collaborative
    - Begin counseling/other - To provide early/ongoing
    therapies (e.g., biofeedback or sources of support.
    relaxation) as soon as possible.
    - For faster improvement within
    - Refer to appropriate support patient’s recovery.
    groups.

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