NURSING DIAGNOSIS: Self-Esteem, situational low
May be related to
- Concerns about inability to have children, changes in femininity, effect on sexual relationship
- Religious conflicts
Possibly evidenced by
- Expressions of specific concerns/vague comments about result of surgery; fear of rejection or reaction of significant other (SO)
- Withdrawal, depression
Desired Outcomes
Self-Esteem (NOC)
- Verbalize concerns and indicate healthy ways of dealing with them.
- Verbalize acceptance of self in situation and adaptation to change in body/self-image.
6 Hysterectomy Nursing Care Plan (NCP)
- Low Self-Esteem — Hysterectomy Nursing Care Plan (NCP)
- Impaired Urinary Elimination — Hysterectomy Nursing Care Plan (NCP)
- Constipation/Diarrhea — Hysterectomy Nursing Care Plan (NCP)
- Ineffective Tissue Perfusion — Hysterectomy Nursing Care Plan (NCP)
- Sexual Dysfunction — Hysterectomy Nursing Care Plan (NCP)
- Knowledge Deficit — Hysterectomy Nursing Care Plan (NCP)
Low Self-Esteem — Hysterectomy Nursing Care Plan (NCP): Nursing Interventions & Rationale
| Nursing Interventions | Rationale |
| Provide time to listen to concerns and fears of patient and SO. Discuss patient’s perceptions of self related to anticipated changes and her specific lifestyle. | Conveys interest and concern; provides opportunity to correct misconceptions, e.g., women may fear loss of femininity and sexuality, weight gain, and menopausal body changes. |
| Assess emotional stress patient is experiencing. Identify meaning of loss for patient/SO. Encourage patient to vent feelings appropriately. | Nurses need to be aware of what this operation means to patient to avoid inadvertent casualness or oversolicitude. Depending on the reason for the surgery (e.g., cancer or long-term heavy bleeding), the woman can be frightened or relieved. She may fear loss of ability to fulfill her reproductive role and may experience grief. |
| Provide accurate information, reinforcing information previously given. | Provides opportunity for patient to question and assimilate information. |
| Ascertain individual strengths and identify previous positive coping behaviors. | Helpful to build on strengths already available for patient to use in coping with current situation. |
| Provide open environment for patient to discuss concerns about sexuality. | Promotes sharing of beliefs/values about sensitive subject, and identifies misconceptions/myths that may interfere with adjustment to situation. |
| Note withdrawn behavior, negative self-talk, use of denial, or overconcern with actual/perceived changes. | Identifies stage of grief/need for interventions |
| Refer to professional counseling as necessary. | May need additional help to resolve feelings about loss. |