At risk for developing negative perception of self-worth in response to a current situation (specify)
Related Factors: See Risk Factors.
Risk Factors:
NOC Outcomes (Nursing Outcomes Classification)
Suggested NOC Labels
Client Outcomes
Suggested NIC Labels
Nursing Interventions and Rationales
1. Help client to identify environmental factors which increase risk for low self-esteem.
Identification is early stage of problem solving process.
2. Help client to identify current behaviors resulting from low self-esteem.
Low self-esteem increases risk for unhealthy behaviors (Mcgee, Williams, 2000).
3. Encourage creative problem solving through writing exercises.
Using creative writing, allowing clients to "tell their story." Giving positive feedback can increase self-esteem (Chandler, 1999).
4. Encourage client to maintain highest level of functioning, including work schedule.
Positive self-esteem is maintained at higher levels in working individuals than in nonworking individuals (VanDongen, 1998).
5. Encourage client to verbalize thoughts and feelings about the current situation.
Allowing the client to clarify thoughts and feelings promotes self-acceptance (LeMone, 1991).
6. Help the client to identify what has helped maintain positive self-esteem thus far.
Identifying what works empowers the client and encourages positive outcomes.
7. Help the client to identify the resources and social support network available to them at this time.
Resourcefulness and social support are significant predictors of self-esteem (Dirksen, 2000).
8. Encourage the client to find a self-help or therapy group that focuses on self-esteem enhancement.
Improved self-esteem of such group members is reported (Hakim-Larson, Mruk, 1997).
9. Encourage the client to create a sense of competence through short-term goal setting and goal achievement.
Sense of competence is related to global self-esteem (Willoughby et al, 2000).
10. Educate female clients about self-esteem differences between genders, and encourage exploration.
Females tend to have lower self-esteem than males no matter what domain is measured (Bolognini et al, 1996).
11. Assess the client for symptoms of depression and anxiety. Refer to specialist as needed.
12. Teach client a systematic problem-solving process.
Crisis provides an opportunity for effective change in coping skills.
13. See care plans for Disturbed personal Identity and Situational low Self-esteem.
Geriatric
1. Help the client to identify age-related and/or developmental factors which may be affecting self-esteem.
Self-esteem levels vary with the normal aging process and tend to decrease with older age (Dietz, 1996).
2. Assist the client in life review and identifying positive accomplishments.
Life review is a developmental task that increases a person's sense of peace and serenity.
3. Help client to establish a peer group and structured daily activities.
Social isolation and lack of structure increase a client's sense of feeling lost and worthless.
Home Care Interventions
1. Assess current environmental stresses and identify community resources.
Accessing resources to help decrease environmental stress will increase the client's ability to cope.
2. Encourage family members to acknowledge and validate the client's strengths.
Validation allows the client to increase self-reliance and to trust personal decisions.
3. Assess the need for establishing an emergency plan.
Openly assessing safety risks increases the client's sense of limits, boundaries, and safety.
4. See care plans for Situational low Self-esteem and Chronic low Self-esteem.
Client/Family Teaching
1. Refer the client/family to community-based self-help and support groups.
2. Refer to educational classes on stress management, relaxation training, etc.
3. Refer to community agencies that offer support and environmental resources.
Related Factors: See Risk Factors.
Risk Factors:
- Developmental changes (specify);
- disturbed body image;
- functional impairment (specify);
- loss (specify);
- social role changes (specify);
- history of learned helplessness;
- history of abuse, neglect, or abandonment;
- unrealistic self-expectations;
- behavior inconsistent with values;
- lack of recognition/rewards;
- failures/rejections;
- decreased power/control over environment;
- physical illness (specify)
NOC Outcomes (Nursing Outcomes Classification)
Suggested NOC Labels
- Decision-Making
- Self-Esteem
- Accurate self-appraisal
- Ability to self-validate
- Ability to make decisions independent of primary peer group
- Recognizes effects of media on self-appraisal
- Recognizes influence of substances on self-esteem
- Identifies strengths and healthy coping skills
- Recognizes life events and change as influencing self-esteem
Client Outcomes
Suggested NIC Labels
- Self-Esteem Enhancement
Nursing Interventions and Rationales
1. Help client to identify environmental factors which increase risk for low self-esteem.
Identification is early stage of problem solving process.
2. Help client to identify current behaviors resulting from low self-esteem.
Low self-esteem increases risk for unhealthy behaviors (Mcgee, Williams, 2000).
3. Encourage creative problem solving through writing exercises.
Using creative writing, allowing clients to "tell their story." Giving positive feedback can increase self-esteem (Chandler, 1999).
4. Encourage client to maintain highest level of functioning, including work schedule.
Positive self-esteem is maintained at higher levels in working individuals than in nonworking individuals (VanDongen, 1998).
5. Encourage client to verbalize thoughts and feelings about the current situation.
Allowing the client to clarify thoughts and feelings promotes self-acceptance (LeMone, 1991).
6. Help the client to identify what has helped maintain positive self-esteem thus far.
Identifying what works empowers the client and encourages positive outcomes.
7. Help the client to identify the resources and social support network available to them at this time.
Resourcefulness and social support are significant predictors of self-esteem (Dirksen, 2000).
8. Encourage the client to find a self-help or therapy group that focuses on self-esteem enhancement.
Improved self-esteem of such group members is reported (Hakim-Larson, Mruk, 1997).
9. Encourage the client to create a sense of competence through short-term goal setting and goal achievement.
Sense of competence is related to global self-esteem (Willoughby et al, 2000).
10. Educate female clients about self-esteem differences between genders, and encourage exploration.
Females tend to have lower self-esteem than males no matter what domain is measured (Bolognini et al, 1996).
11. Assess the client for symptoms of depression and anxiety. Refer to specialist as needed.
12. Teach client a systematic problem-solving process.
Crisis provides an opportunity for effective change in coping skills.
13. See care plans for Disturbed personal Identity and Situational low Self-esteem.
Geriatric
1. Help the client to identify age-related and/or developmental factors which may be affecting self-esteem.
Self-esteem levels vary with the normal aging process and tend to decrease with older age (Dietz, 1996).
2. Assist the client in life review and identifying positive accomplishments.
Life review is a developmental task that increases a person's sense of peace and serenity.
3. Help client to establish a peer group and structured daily activities.
Social isolation and lack of structure increase a client's sense of feeling lost and worthless.
Home Care Interventions
1. Assess current environmental stresses and identify community resources.
Accessing resources to help decrease environmental stress will increase the client's ability to cope.
2. Encourage family members to acknowledge and validate the client's strengths.
Validation allows the client to increase self-reliance and to trust personal decisions.
3. Assess the need for establishing an emergency plan.
Openly assessing safety risks increases the client's sense of limits, boundaries, and safety.
4. See care plans for Situational low Self-esteem and Chronic low Self-esteem.
Client/Family Teaching
1. Refer the client/family to community-based self-help and support groups.
2. Refer to educational classes on stress management, relaxation training, etc.
3. Refer to community agencies that offer support and environmental resources.
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Hi, there. I am Tom Neil and I wish to describe how life had been for my younger brother living with schizophrenia and how he had been permanently able to overcome this debilitating disease via a naturopathic, herbal method.
Maicon - my kid brother was twenty years old when he was carried to the emergency room by the campus authority of the college from which he had been suspended several months before. A professor had called and reported that he had walked into his classroom, accused him of taking his tuition money, and refused to leave.
Although he had much academic success as a teenager, his behavior had become increasingly odd during the past year. He quit seeing his friends and no longer seemed to care about his appearance or social pursuits. He began wearing the same clothes each day and seldom bathed. He lived with several family members but rarely spoke to any of them. When he did talk to them, he said he had found clues that his college was just a front for an organized crime operation. He had been suspended from college because of missing many classes. My sister said that she had often seen him mumbling quietly to himself and at times he seemed to be talking to people who were not there. He would emerge from my room and ask my family to be quiet even when they were not making any noise.
My father and sister told the staff that Maicon's great-grandmother had had a serious illness and had lived for 30 years in a state hospital, which they believed was a mental hospital. Our mother left the family when Maicon was very young. She has been out of touch with us, and they thought she might have been treated for mental health problems.
Maicon agreed to sign himself into the psychiatric unit for treatment. The whole family except I had agreed to have Maicon transferred to a mental asylum. I knew inwardly there was still some plausible means by which my kid brother could overcome this condition. I knew botanical means of treatment will be more favorable than any other type of treatment, and as such, I had taken a keen interest in the research of naturopathic alternative measures suitable for the treatment of schizophrenia. I had pleaded for some little patience from the family in the delay of the transfer, I was looking forward to proving a point to the entire family, of a positive botanical remedy for this condition.
It was during my ceaseless search on the internet I had been fortunate enough to come across Dr. Utu Herbal Cure: an African herbalist and witch doctor whose professional works had majored on the eradication of certain viral conditions, especially schizophrenia, ( improving the memory capacity positively), via a traditional, naturopathic process and distinguished diet plan. It was by the administration of this herbal specialist that my brother had been able to improve his condition for better.
Before the naturopathic remedy - Maicon's story had reflected a common case, in which a high-functioning young adult goes through a major decline in day-to-day skills. Although family and friends may feel this is a loss of the person they knew, the illness can be treated and a good outcome is possible.
My brother Maicon is just like many other patients out there suffering from this disease. Although he was able to overcome this condition via a naturopathic herbal remedy administered by this African herbal physician and saved completely thus, rekindling the lost joy which had been experienced by the family members.
I wish to use this opportunity to reach across to anyone who may happen to be diagnosed with this disastrous condition to spread the hope of an everlasting herbal remedy that is capable of imposing a permanent end to this disease.
For more information concerning this naturopathic herbal remedy, feel free to contact this African herbal practitioner via email:
drutuherbalcure@gmail.com
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