Nursing Care Plan Cues S> O>Right cheek of the client is depressed.

(+) suture line on the clients neck up to the chin. Nsg.Diagnosis Disturbed body image related to illness and surgery Inference The client was diagnosed of having ameloblastoma Surgical procedure done (Reconstruction of mandible) Right cheek of client is depressed. Suture line present on the neck up to the chin. Disturbed body image. Goal & Objectives Goal: (Short term) After 4 hours of therapeutic communication, the client will: >Verbalize acceptance of self in situation >Verbalize understanding of body image Objectives: To assess causative/ contributing factors. Nsg.Interventions Rationale Evaluation Goal met. The client verbalized acceptance of self in situation. The client verbalized understanding of body image.

Evaluate level of clients knowledge of and anxiety related to the situation. Observe emotional changes. (independent) Discuss pathophysiology present and/ or situation affecting the individual. (independent) Note signs of

To determine the clients acceptance/ non acceptance of the situation.

To determine the clients acceptance/ non acceptance of the situation.

To evaluate need

grieving/ indicators of severe or prolonged depression. (independent) To determine coping abilities and skills. Listen to clients comments and responses to the situation. (independent) Identify used coping strategies and effectiveness. (independent) To assist client and SO(s) to deal with/ accept issues of selfconcept related to body image. Visit client frequently and acknowledge the individual someone who is worthwhile. (independent) Alert staff to monitor own facial expressions and other non verbal behaviours.

for counseling and/ or medications.

To assess clients current level of adaptation and progress.

To assess clients current level of adaptation and progress. Provides opportunities for listening to concerns and question.

They need to convey acceptance and not revulsion when the clients appearance is affected.