Self-Perception-Self-Concept Pattern



Self-Perception-Self-Concept Pattern






Fear (Specify Focus)* (1980, 1996, 2000)



DEFINING CHARACTERISTICS


Diagnostic Cues



  • Report of feelings of dread, nervousness, or worry/concern about a threatening event, person, or object with expectation of danger to the self


  • Describes (with or without assistance) the focus of perceived threat or danger (potential, actual, or imagined)


  • Narrowing focus of attention progressing to fixed (increased severity)

and one or more of the following:



  • Restlessness; fidgeting


  • Increased questioning or information seeking


  • Increased heart rate, increased respiratory rate


  • Increased muscle tension


  • Increase in quantity or rate of verbalization


  • Vigilance/scanning surroundings


  • Voice tremors, pitch changes


  • Hand tremor


  • Diaphoresis


  • Diminished productivity


  • Irritability


Severe



  • Anguish


  • Uncertainty



  • Distress


  • Sleep disturbance


  • Confusion (elderly)



ETIOLOGICAL OR RELATED FACTORS



  • Knowledge deficit; unfamiliarity with environmental experience(s)


  • Perceived inability to control events (see Powerlessness)


  • Language barrier


  • Sensory impairment (specify)


  • Phobic stimulus


HIGH-RISK POPULATIONS



  • Surgical or diagnostic procedures


  • Surgical outcome


  • First hospitalization


  • Discharge to self-care


  • Support system deficit (in stressful situation)



Anxiety (1973, 1982, 1998)



DEFINING CHARACTERISTICS


Diagnostic Cues



  • Reports feeling “anxious,” apprehensive, tense, scared, worried, “fearful”


  • Reports vague, uneasy feeling of concern about unspecified consequences or changes in life events

and one or more of the following:



  • Reports inability to relax, feeling jittery


  • Increased muscle tension, foot shuffling, hand or arm movements, trembling, hand tremor, shakiness


  • Facial tension


  • Lack of concentration


  • Insomnia


  • Sympathetic response (increased heart rate, respiratory rate, dilated pupils)


Supporting Cues



  • Focus on self


  • Verbalizes painful and persistent feelings of increased helplessness, inadequacy, regret (see also Ineffective Coping)


  • Restlessness, fidgeting, increased perspiration


  • Overexcited, rattled, jittery, scared


  • Increased wariness, glancing about, poor eye contact, facial tension, voice quivering


  • Diminished productivity


  • Scanning the environment, vigilance, impaired attention


  • Irritability, anguish, distress




ETIOLOGICAL OR RELATED FACTORS



  • Perceived threat to self-concept, health status, socioeconomic status, role functioning, interaction patterns, or environment


  • Unconscious conflict (essential values or life goals)


  • Unmet needs (specify)


  • Interpersonal transmission or contagion


  • Uncertainty



Mild Anxiety



DEFINING CHARACTERISTICS



  • Verbalizes feelings of increased arousal, concern, vigilance


  • Increased questioning


  • Increased awareness


  • Increased attending


  • Mild restlessness


  • Lip chewing, nail biting, foot movements, finger or pencil tapping



ETIOLOGICAL OR RELATED FACTORS



  • Perceived threat to self-concept, health status, socioeconomic status, role functioning, interaction patterns, or environment


  • Unconscious conflict (essential values or life goals)


  • Unmet needs (specify)


  • Interpersonal transmission or contagion



Moderate Anxiety



DEFINING CHARACTERISTICS



  • Expressed feelings of unfocused apprehension, nervousness, or concern


  • Verbalizes expectation of danger


  • Voice tremors, pitch changes, hand tremor


  • Narrowing focus of attention


  • Increased rate of verbalization


  • Restlessness, pacing, increased muscle tension


  • Diaphoresis


  • Increased heart and respiratory rate


  • Sleep or eating disturbances



ETIOLOGICAL OR RELATED FACTORS



  • Separation (use separation anxiety)


  • Perceived threat to self-concept, health status, socioeconomic status, role functioning, interaction patterns, or environment


  • Unconscious conflict (essential values or life goals)


  • Unmet needs (specify)


  • Interpersonal transmission or contagion



Severe Anxiety (Panic)



DEFINING CHARACTERISTICS



  • Feelings of unfocused and severe dread, apprehension, nervousness, or concern


  • Inappropriate verbalization or absence of verbalization


  • Diminished ability to problem solve


  • Purposeless activity or immobilization


  • Perceptual focus scattered or fixed, or inability to focus on reality


  • Increased heart rate


  • Hyperventilation


  • Diaphoresis


  • Increased muscle tension


  • Dilated pupils


  • Pallor



ETIOLOGICAL OR RELATED FACTORS



  • Perceived threat to self-concept, health status, socioeconomic status, role functioning, interaction patterns, or environment


  • Unconscious conflict (essential values or life goals)


  • Unmet needs (specify)


  • Interpersonal transmission or contagion



Anticipatory Anxiety (Mild, Moderate, Severe)



DEFINING CHARACTERISTICS


Diagnostic Cues



  • Reports feeling anxious, apprehensive, jittery, tense, or fearful


  • Reports vague, uneasy feeling about unspecified future or impending event perceived as a threat to the self or significant relationships (unfocused)

and one or more of the following:



  • Inability to relax


  • Increased muscle tension, restless, foot shuffling, hand or arm movements, trembling


  • Sympathetic response (increased heart rate, respiratory rate, pupils dilated)



ETIOLOGICAL OR RELATED FACTORS



  • Perceived threat to self-concept, health status, socioeconomic status, role functioning, interaction patterns, or environment


  • Unconscious conflict (essential values or life goals); unmet needs


  • Interpersonal transmission or contagion



Death Anxiety (1998)



DEFINING CHARACTERISTICS


Diagnostic Cues



  • Expresses deep sadness


  • Reports concerns/fears about dying

and one or more of the following:


Concerns: Others



  • Worrying about the impact of own death on significant others (grief and suffering)


  • Concerns about overworking the caregiver as terminal illness incapacitates self


  • Worrying about being the cause of others’ grief and suffering


  • Fear of leaving family alone after death


Concerns: Dying Process



  • Expresses “fear” of the process of dying


  • Powerlessness (issues related to dying)


  • Expresses “fear” of loss of physical and/or mental abilities when dying


  • Anticipation of pain related to dying


  • Expresses concern over total loss of control over any aspect of own death


  • Negative death images or unpleasant thoughts about any event related to death and dying


  • Fear of prolonged dying


  • Fear of premature death because it prevents the accomplishment of important life goals


  • Fear of developing a terminal illness



Concerns: After Death



  • Concern about meeting one’s creator or feeling doubtful about the existence of a god or higher being


  • Denial of own mortality or impending death


  • Uncertainty about life after death



ETIOLOGICAL OR RELATED FACTORS



  • Diagnosis incorporates probable focus of anxiety/fear (i.e., death)


  • Treatment focuses on anxiety/fears about death



Reactive Depression (Specify Focus)



DEFINING CHARACTERISTICS


Diagnostic Cues



  • Expressions of sadness, despair, or hopelessness about a situation (specify situation)


  • Continual questioning of self-worth (self-esteem) or feeling of failure (real or imagined)


  • Pessimistic outlook

and one or more of the following to determine severity:

Jun 12, 2016 | Posted by in NURSING | Comments Off on Self-Perception-Self-Concept Pattern

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