6: Self-Perception

Domain 6
Self-Perception




































































DOMAIN 6. SELF-PERCEPTION
Awareness about the self
Class 1. Self-concept
The perception(s) about the total self
Code Diagnosis Page
00185 Readiness for enhanced hope 265
00124 Hopelessness 266
00174 Risk for compromised human dignity 267
00121 Disturbed personal identity 268
00225 Risk for disturbed personal identity 269
00167 Readiness for enhanced self-concept 270
Class 2. Self-esteem
Assessment of one’s own worth, capability, significance, and success
Code Diagnosis Page
00119 Chronic low self-esteem 271
00224 Risk for chronic low self-esteem 272
00120 Situational low self-esteem 273
00153 Risk for situational low self-esteem 274
Class 3. Body image
A mental image of one’s own body
Code Diagnosis Page
00118 Disturbed body image 275

Domain 6. Self-Perception      Class 1. Self-Concept


00185


Readiness for enhanced hope


(2006, 2013; LOE 2.1)


Defining Characteristics



  • Expresses desire to enhance ability to set achievable goals
  • Expresses desire to enhance belief in possibilities
  • Expresses desire to enhance congruency of expectation with goal
  • Expresses desire to enhance connectedness with others
  • Expresses desire to enhance hope
  • Expresses desire to enhance problem-solving to meet goal
  • Expresses desire to enhance sense of meaning in life
  • Expresses desire to enhance spirituality

Domain 6. Self-Perception      Class 1. Self-Concept


00124


Hopelessness


(1986)


Defining Characteristics



  • Alteration in sleep pattern
  • Decrease in affect
  • Decrease in appetite
  • Decrease in initiative
  • Decrease in response to stimuli
  • Decrease in verbalization
  • Despondent verbal cues (e.g., “I can’t,” sighing)
  • Inadequate involvement in care
  • Passivity
  • Poor eye contact
  • Shrugging in response to speaker
  • Turning away from speaker

Related Factors



  • Chronic stress
  • Deterioration in physiological condition
  • History of abandonment
  • Loss of belief in spiritual power
  • Loss of belief in transcendent values
  • Prolonged activity restriction
  • Social isolation

Domain 6. Self-Perception      Class 1. Self-Concept


00174


Risk for compromised human dignity


(2006, 2013; LOE 2.1)


Risk Factors



  • Cultural incongruence
  • Dehumanizing treatment
  • Disclosure of confidential information
  • Exposure of the body
  • Humiliation
  • Insufficient comprehension of health information
  • Intrusion by clinician
  • Invasion of privacy
  • Limited decision-making experience
  • Loss of control over body function
  • Stigmatization

Original literature support available at www.nanda.org


Domain 6. Self-Perception      Class 1. Self-Concept


00121


Disturbed personal identity


(1978, 2008; LOE 2.1)


Defining Characteristics



  • Alteration in body image
  • Confusion about cultural values
  • Confusion about goals
  • Confusion about ideological values
  • Delusional description of self
  • Feeling of emptiness
  • Feeling of strangeness
  • Fluctuating feelings about self
  • Gender confusion
  • Inability to distinguish between internal and external stimuli
  • Inconsistent behavior
  • Ineffective coping strategies
  • Ineffective relationships
  • Ineffective role performance

Related Factors



  • Alteration in social role
  • Cult indoctrination
  • Cultural incongruence
  • Developmental transition
  • Discrimination
  • Dissociative identity disorder
  • Dysfunctional family processes
  • Exposure to toxic chemical
  • Low self-esteem
  • Manic states
  • Organic brain disorder
  • Perceived prejudice
  • Pharmaceutical agent
  • Psychiatric disorder
  • Situational crisis
  • Stages of growth

Original literature support available at www.nanda.org


Domain 6. Self-Perception      Class 1. Self-Concept


00225


Risk for disturbed personal identity


(2010, 2013; LOE 2.1)

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Mar 21, 2017 | Posted by in NURSING | Comments Off on 6: Self-Perception

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