Nursing Care Plan 53-1

Patient having Abdominal Hysterectomy

Nursing Diagnosis
Disturbed Body Image
Etiology: Perceived loss of femininity and future inability to conceive
Supporting data: Crying, weeping, depression, states perceived loss of femininity and/or
ability to conceive

Patient Goals
1. States confidence in ability to adjust to postsurgical state
2. States acceptance of self and changes resulting from surgery

Outcomes (NOC) Interventions (NIC) and Rationales

Sexual Identity
 Affirms self as a sexual
being _____
 Uses healthy coping
behaviors to resolve
sexual identity crisis
_____
 Reports healthy intimate
relationships _____
Measurement Scale
1 = Never demonstrated
2 = Rarely demonstrated
3 = Sometimes demonstrated
4 = Often demonstrated
5 = Consistently demonstrated
Body Image Enhancement
 Determine patient’s body image expectations to establish
need and plan for interventions.
 Determine patient’s and family’s perceptions of the
alteration in body image versus reality to provide
accurate facts and decrease fear of consequences of
hysterectomy.
 Determine if a change in body image has contributed to
increased social isolation to identify need for
intervention.
 Identify support groups available to patient to minimize
emotional impact of hysterectomy through open
discussion.
 Assist the patient to discuss stressors affecting body
image due to surgery (e.g., surgical menopause) so
patient is informed about possible treatment (e.g.,
hormone replacement therapy).

Nursing Diagnoses
Impaired Breathing, Acute Pain, Nausea, Risk for Infection, Risk for VTE, Urinary
Retention

Postoperative care of the patient with an abdominal hysterectomy includes nursing

diagnoses and collaborative problems for the postoperative patient found in NCP 19-1:
Postoperative Patient, available on the Evolve website for that chapter.

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