CUES

OBJECTIVES
STO:
After 1-2 hours in giving
nursing intervention, the
patient will be able to
verbalize acceptance of
self in situation, relief of
anxiety and adaptation to
altered body image and will
be able to verbalize
understanding of body
changes.

OBJECTIVES
>skin rash

INTERVENTION
INDEPENDENT:
>Acknowledge and accept expression
of feelings of frustration, grief, hostility.
Note withdrawn behavior and use of
denial.

>Be realistic and positive during

treatments in health teaching and
setting goals within limitations.
> Provide hope within parameters of
individual situation, do not give false
reassurance.
LTO:
> Give positive reinforcement of
After 1 day of giving
progress and encourage endeavors
nursing intervention, the
toward attainment of rehabilitation
patient will be able to
goals.
recognize and incorporate
> Encourage family interaction with
body image change into
each other and with rehabilitation
self concept in accurate
team.
manner without negating
>Provide support group for So. Give
self esteem, and will be
information about how so can be
able to acknowledge self as helpful to patient.
an individual who has
> Role play social situation of concern
responsibility to self.
to patient.
>Encourage patient to look at/ touch
affected body part.

PROBLEM: Body Image Disturbance

RATIONALE
>Acceptance of this feeling as a normal
response to what has occurred facilitates
resolution. It is not helpful of possible to
push patient ready to deal with situation.
Denial maybe prolonged and be an
adaptive mechanism because patient is
not ready to cope with personal problems.
> Enhance trust and rapport between
patient and nurse.
> Promotes positive attitude and provides
opportunity to set goals and plan for
future based on reality.
> Words of encouragement can support
development of positive coping
behaviors.
>maintain open lines of communication
and provides on ongoing support for
patient and family.
> Promotes ventilation of feelings and
allow for more helpful responses to
patient.
> Prepares patient for reactions of others
and anticipates ways to deal with them.
> To begin to incorporate changes in body
image.

EXPECTED OUTCOME
STO:
After 1-2 hours of giving nursing
interventions the patient was able
verbalized acceptance of self in
situation relief anxiety and
adaptation to altered body image
and was able verbalized
understanding of body changes.

LTO:
After 1 day the patient was able
to recognized and incorporated
body image into self-concept in
accurate manner without negating
self-esteem and was able to
acknowledge self as an individual
who has responsibility for self.

NURSING DIAGNOSIS: Body image disturbance related to obvious skin rash.

TAXONOMY: Self perception self concept pattern
CAUSE ANALYSIS: Since organism multiply locally and disseminate systemic through bloodstream and lymphatics results with diffusion of plasmacytic infiltrate and