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Nursing Care Plan for Low Self

Nursing Care Plan for Low Self

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Published by: maimai324263 on Aug 29, 2011
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07/16/2013

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Nursing Care Plan for Low Self-Esteem
 
Low self-esteem
is a person rejects as something precious and is not responsible for their own lives. If the individualoften fails it tends to
lower self-esteem
.
Low self-esteem
if it loses the love and appreciation of others. Self-esteemderived from self and others, the main aspect is to be accepted and received awards from other people.
Low self-esteem disturbance
described as negative feelings about themselves, including the loss of confidence andself esteem, sense of failure to reach the desire, self-criticism, reduced productivity, which is directed destructive toothers, feelings of inadequacy, irritable and withdrawn socially.
Nursing Care Plan for Low Self-Esteem
 
Nursing Assessment for Low Self - Esteem
 1.
 
Subjective Data: Clients say: I can not afford, can not, do not know anything, stupid, self-criticism, expressing feelingsof shame about themselves.
 
2. Objective Data:Clients looked more like himself, confused when asked to choose an alternative action, want to injure himself / wantto end life.
Nursing Diagnosis for Low Self - Esteem
 1.
 
R
isk for Social Isolation
: withdrawing associated with low self-esteem.
 
2.
Self-Concept Disturbance
: low self-esteem associated with dysfunctional grieving.
Nursing Intervention for Low Self - Esteem
 
Goal
 1.
 
Clients can build a trusting relationship with nurses. Action:
 
o
 
Construct a trusting relationship: Greetings therapeutic, self introduction, Explain the purpose, Create a peacefulenvironment, definition of contract (time, place and subject.)
o
 
Give clients the opportunity to express his feelings.
o
 
Take time to listen to the client.
o
 
Tell the client that he is someone who is valuable and responsible and able to help themselves.2. Clients can identify the skills and positive aspects that are owned. Action:
o
 
Discuss the capabilities and the positive aspects of client owned.
o
 
 Avoid giving negative assessments of each meet clients, give praise a realistic priority.
o
 
Clients can assess the ability and positive aspect owned.3. Clients can assess the capabilities that can be used. Action:
o
 
Discuss with the client's abilities can still be used.
o
 
Discuss also the ability to continue after returning home.4. Clients can define / plan activities appropriate capabilities. Action:
o
 
Plan your activities with a client that can be done every day according to ability.
o
 
Increase activities in accordance with client's tolerance condition.
o
 
Give examples of how implementation of activities that clients should do.
 
 5. Clients can perform activities according to the conditions and capabilities. Action:
o
 
Give a chance to try activities that have been planned.
o
 
Give praise for success
o
 
Discuss the possibility of implementation at home.6. Clients can utilize the existing support system. Action:
o
 
Give health education to families about how to care for clients.
o
 
Helps families provide support for client care.
o
 
Help prepare the family environment at home.
o
 
Give positive reinforcement for family involvement.
Nursing diagonsis: situational low Self-Esteem related to Traumatic injury, situational crisis,forced crisisPossibly evidenced byVerbalization of forced change in lifestyleFear of rejection or reaction by othersFocus on past strength, function, or appearanceNegative feelings about bodyFeelings of helplessness, hopelessness, or powerlessnessActual change in structure and functionLack of eye contactChange in physical capacity to resume roleConfusion about self, purpose, or direction of lifeDesired Outcomes/Evaluation Criteria²Client WillPsychosocial Adjustment: Life ChangeVerbalize acceptance of self in situation.Recognize and incorporate changes into self-concept in accurate manner without negatingself-esteem.Develop realistic plans for adapting to role changes and new role.Nursing intervention with rationale:1. Acknowledge difficulty in determining degree of functional incapacity and chance of functional improvement.Rationale: During acute phase of injury, long-term effects are unknown, which delays theclient¶s ability to integrate situation into self-concept.2. Listen to client¶s comments and responses to situation.

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