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NCP Disturbed Body Image

The patient expressed feeling self-conscious about appearing jaundiced. Upon examination, the nurse observed elevated bilirubin levels and jaundiced sclera, indicating a diagnosis of bile duct occlusion. The nurse's plan was to observe the patient for 2 hours after providing nursing interventions aimed at helping the patient understand and accept their body changes, such as encouraging verbalization of concerns, involving the patient in their care, and assisting with grooming needs. The goal was for the patient to verbalize understanding of their body changes after 2 hours of nursing care.

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Rachel Boton
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9K views2 pages

NCP Disturbed Body Image

The patient expressed feeling self-conscious about appearing jaundiced. Upon examination, the nurse observed elevated bilirubin levels and jaundiced sclera, indicating a diagnosis of bile duct occlusion. The nurse's plan was to observe the patient for 2 hours after providing nursing interventions aimed at helping the patient understand and accept their body changes, such as encouraging verbalization of concerns, involving the patient in their care, and assisting with grooming needs. The goal was for the patient to verbalize understanding of their body changes after 2 hours of nursing care.

Uploaded by

Rachel Boton
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

ASSESSMENT NURSING INFERENCE PLANNING INTERVENTIONS RATIONALE EVALUATION

DIAGNOSIS

SUBJECTIVE: Disturbed Bile duct After 2 hours  Observe  this may indicate After 2 hours
“Sabi nila body image occlusion of nursing emotional acceptance or of nursing
naninilaw ako” as related to ↓ intervention, changes nonacceptance of intervention,
verbalized by the presence of Increase the client will situation the client
patient. jaundice as intra verbalized verbalized
evidence luminal understanding understanding
OBJECTIIVE: by pressure of body  encourage  provides of body
 Ecteric elevated ↓ changes verbalization opportunity to changes
sclera bilirubin back flow about identify
 jaundice levels of bile concerns of fears/misconcep
↓ disease tions and deal
systemic process, with them
circulation future directly
of bilirubin expectations.
↓
Glucoronic  Involve  enhances feelings
acid patient in of competency
conjugates planning care /self-worth,
bilirubin and encourages
↓ scheduling independence
Converted activities and participation
to water in therapy
soluble
↓  maintaining
Deposition  Assist with appearance
of bilirubin grooming enhances self-
to skin needs as image
↓ necessary
jaundice

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