Wednesday, October 8, 2014

Disturbed Body Image related to Osteoarthritis


Nursing Care Plan for Osteoarthritis

Disturbed Body Image related to changes in the ability to perform common tasks.

Outcomes :
Expressing increased confidence in ability to cope with illness, lifestyle changes and possible limitations.

Interventions :
Independent:
  1. Encourage disclosure about problems regarding the disease process, hope for the future.
  2. Discuss the meaning of the loss / change in patient / significant other. Ascertain how the patient's personal views on the functioning of day-to- day lifestyle.
  3. Discuss the patient's perception of how the people closest to accept limitations.
  4. Acknowledge and accept the feelings of the bereaved, hostile dependency.
  5. Note the behavior of withdrawn, denied or paid much attention to the body / changes.
  6. Arrange limits on maladaptive behavior. Help the patient to identify positive behaviors that can help coping.
  7. Involve the patient in the treatment plan and schedule activities.

Collaboration :
  1. Refer to psychiatric counseling.
  2. Give medicines as directed.

Rationale :
  1. Give a chance to identify a fear / upset face it directly.
  2. Identify how the disease affects self-perception and interaction with others will determine the need for further intervention or counseling.
  3. Verbal cues / nonverbal people nearby can have a major influence on how the patient views himself.
  4. Pain is exhausting, and feelings of anger, hostility common.
  5. Can indicate emotional or maladaptive method, requiring further intervention or psychological support.
  6. Helping patients maintain self-control can increase feelings of self-esteem.
  7. Increase feelings of competence / self-esteem, encourage independence, and encourage participation and therapy.
  8. Patient / significant other may need support for dealing with long-term process / disability.
  9. May be required at the time of the advent of the Great Depression until patients develop effective coping skills.

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