Disturbed Body Image

Confusion in mental picture of one's physical self

Defining Characteristics:
  • Nonverbal response to actual or perceived change in structure and/or function; 
  • verbalization of feelings that reflect an altered view of one's body in appearance, structure, or function; 
  • verbalization of perceptions that reflect an altered view of one's body in appearance, structure, or function; 
  • behaviors of avoidance, monitoring, or acknowledgment of one's body
Objective
  • Missing body part; 
  • actual change in structure or function; 
  • avoidance of looking at or touching body part; 
  • intentional or unintentional hiding or overexposure of body part; 
  • trauma to nonfunctioning part; 
  • change in social involvement; 
  • change in ability to estimate spatial relationship of body to environment
Subjective
  • Change in lifestyle; 
  • fear of rejection or reaction by others; 
  • focus on past strength, function, or appearance; 
  • negative feelings about body; 
  • feelings of helplessness, hopelessness, or powerlessness; 
  • preoccupation with change or loss; 
  • emphasis on remaining strengths and heightened achievement; 
  • extension of body boundary to incorporate environmental objects; 
  • personalization of part or loss by name; 
  • depersonalization of part or loss by impersonal pronouns; 
  • refusal to verify actual change

Related Factors:
  • Psychosocial, biophysical, cognitive/perceptual, cultural, spiritual, or developmental changes;
  • illness; 
  • trauma or injury; 
  • surgery; 
  • illness treatment

NOC Outcomes (Nursing Outcomes Classification)

Suggested NOC Labels
  • Body Image
  • Child Development: 2 Years
  • Child Development: 3 Years
  • Child Development: 4 Years
  • Child Development: 5 Years
  • Child Development: Middle Childhood (6-11 Years)
  • Child Development: Adolescence (12-17 Years)
  • Distorted Thought Control
  • Grief Resolution
  • Psychosocial Adjustment: Life Change
  • Self-Esteem
Client Outcomes
  • States or demonstrates acceptance of change or loss and an ability to adjust to lifestyle change
  • Calls body part or loss by appropriate name
  • Looks at and touches changed or missing body part
  • Cares for changed or nonfunctioning part without inflicting trauma
  • Returns to previous social involvement
  • Correctly estimates relationship of body to environment

NIC Interventions (Nursing Interventions Classification)

Suggested NIC Labels

IT News