Body image
Disorder
Reni Nurhidayah, [Link].,Ns.,[Link]
Self Concept Components
Role
Body Image
Personal identity
Self Ideal
Self Esteem
Body Image
Disorder
What's Body Image?
Body image is how a person feels about his or her body
and what they do about those feelings.
When We Call It Disorder?
When there is a feeling of dissatisfaction with changes
in the shape, structure and function of the body
because it is not according to the WANTED. As a
significant component of one’s self-concept, body
image disturbance can have an intense impression on
how individuals see their overall selves.
Signs & Symptoms
Objective Subjective
Loss of body parts Changes in body Resist changes in the current limb,
parts in both form and function Saying negative things about his
Hiding or showing off the affected malfunctioning limbs.
body part Expressing feelings of helplessness,
Refuses to look at body parts worthlessness, hopelessness.
Refuse to touch body part Refuse to interact with other people.
Decreased social activity Expresses a desire that is too high for
the affected body part.
Often repeating the loss that occurred.
Feel foreign to the missing body part.
Assessment
Assess meaning of loss or change to patient and SO, including
future expectations and impact of cultural or religious beliefs.
Assess the perceived impact of change in ADLs, social participation,
personal relationships, and occupational activities.
Assess the result of body image disturbance in relation to the
patient’s developmental stage.
Evaluate the patient’s behavior regarding the actual or perceived
changed body part or function.
Evaluate the patient’s verbal remarks about the actual or
perceived change in body part or function.
GOAL of
NURSING CARE
The patient can identify his body image
Patients can identify their potential
(positive aspects)
The patient can find out ways to improve
body image
Patients can take measures to improve
body image
Patients can interact with others without
being disturbed
Nursing
intervention
Acknowledge and accept expression of feelings of frustration,
dependency, anger, grief, and hostility. Note withdrawn
behavior and use of denial.
Recognize the normalcy of response to the actual or perceived
change in body structure or function.
Discuss with patient about the normalcy of body image
disturbance and the grief process.
Support verbalization of positive or negative feelings about the actual
or perceived loss.
Set limits on maladaptive behavior. Maintain nonjudgmental
attitude while giving care, and help patient identify positive
behaviors that will aid in recovery.
Nursing
intervention
Exhibit positive caring in routine activities.
Be realistic and positive during treatments, in health teaching, and in
setting goals within limitations.
Provide hope within parameters of individual situation; do not
give false reassurance.
Give positive reinforcement of progress and encourage endeavors
toward attainment of rehabilitation goals.
Assist the patient in incorporating actual changes into ADLs,
social life, interpersonal relationships, and occupational
activities.
Teach the patient adaptive behavior (e.g., use of adaptive equipment,
wigs, cosmetics, clothing that conceals the altered body part or
enhances remaining part or function, use of deodorants).
Nursing
intervention
Encourage family interaction with each other and with
rehabilitation team.
Provide support group for SO. Give information about how SO can
be helpful to patient.
Refer the patient and caregivers to support groups composed
of individuals with similar alterations.
Refer to physical and occupational therapy, vocational counselor,
psychiatric counseling, clinical specialist psychiatric nurse, social
services, and psychologist, as needed.
Thank you
Fell free to give questions or comments