Domain 6. Self-perception
Class 2. Self-esteem
Diagnostic Code: 00119
Nanda label: Chronic low self-esteem
Diagnostic focus: Self-esteem
Nursing diagnosis is an important part of the nursing process, and when a patient is diagnosed with chronic low self-esteem, it’s important to provide specialized care to treat the condition. This article aims to provide an introduction to nursing diagnosis chronic low self-esteem and will outline the defining characteristics, related factors, at risk population, associated conditions, suggested uses, suggestions of alternative nanda nursing diagnosis, usage tips, NOC Outcomes, evaluation objectives, criteria, NIC Interventions, nursing activities, and necessary FAQs that should be taken into account when providing care for the condition.
NANDA Nursing Diagnosis Definition
NANDA Nursing diagnosis is the official source of nursing diagnosis labels developed by the North American Nursing Diagnosis Association (NANDA). According to the organization, “Nursing Diagnoses are clinical judgments about individual, family, or community responses to actual or potential health problems/life processes”, and the nursing diagnosis for chronic low self-esteem is defined as “an impaired ability to build and sustain positive self-esteem related to physiological and psychological factors”.
Defining Characteristics
Subjective: A patient with chronic low self-esteem often expresses feelings of unworthiness, inadequacy, and guilt. They are likely to have negative self-talk, lack of motivation, and/or a lowered sense of self-worth.
Objective: A person suffering from chronic low self-esteem may display body language such as slumped shoulders, downward averted eyes, and avoiding eye contact. There may be limited social interaction, difficulty expressing feelings, and/or difficulty making decisions.
There are several factors that contribute to chronic low self-esteem, and they can range from biological to environmental events. Biological factors include genetics, physical illnesses and disabilities, and hormone imbalances. Additionally, from an environmental standpoint, factors such as poor parenting, criticism, neglect, bullying, discrimination, and abuse may also play a role in chronic low self-esteem.
At Risk Population
People of any age can suffer from chronic low self-esteem, however, there are certain populations that may face an even greater risk. This includes people coming from traumatic backgrounds, those suffering from mental health conditions, victims of abuse, people who were neglected in childhood, and individuals who struggle with substance abuse or addiction.
Associated Conditions
Chronic low self-esteem often co-occurs with other physical and mental health issues, including – but not limited to – depression, anxiety, eating disorders, body dysmorphic disorder, post-traumatic stress disorder, and adjustment disorder.
Suggested Use
Nursing diagnosis chronic low self-esteem is typically used to diagnose and guide treatment interventions, provide education on healthy coping strategies, and monitor response to treatment. It is also used to formulate treatment plans and create goals to achieve desired results.
Suggested Alternative NANDA Nursing Diagnosis
Alternative NANDA nursing diagnoses for chronic low self-esteem can be used if the condition does not meet the criteria of the primary nursing diagnosis. These include: Self-Care Deficit: Bathing/Hygiene; Ineffective Coping; Risk for Deficient Fluid Volume; Risk for Impaired Relational Interaction; Powerlessness; and Risk for Aspiration.
Usage Tips
In order to get the most out of nursing diagnosis chronic low self-esteem, it is important to assess the patient’s needs, consider the patient’s lifestyle, support systems, and available resources. Additionally, it can be beneficial to collaborate with other healthcare providers, such as psychiatrists and psychologists, to develop a comprehensive plan of care.
NOC Outcomes
The following are a list of possible NOC Outcomes related to nursing diagnosis chronic low self-esteem: Self-Care Ability; Self Concept; Self-Esteem; Stress Tolerance; Social Interaction Skills; Coping; Knowledge: Mood Management Strategies; Adaptation to Stress; Maintains Normothermia; Narrative Coherence; and Sense of Comfort.
Evaluation Objectives and Criteria
When evaluating a patient’s progress towards the nursing diagnosis chronic low self-esteem, it is important to consider the objective criteria listed below: patient demonstrates improved self-care and hygiene; expresses more realistic self-concept and self-esteem through verbalizations and behaviors; displays increased stress tolerance; improves social interaction skills; and displays adoption of mood management strategies and coping techniques.
NIC Interventions
The following are some of the NIC Interventions that may be used to support a patient with chronic low self-esteem: Stress Management; Crisis Intervention; Cognitive Restructuring; Behavior Change Counseling; Reflective Listening; Group Therapy; Relaxation Techniques; Positive Reinforcement; Client-Centered Counseling; and Reality Orientation.
Nursing Activities
When caring for a patient with chronic low self-esteem, it is important for nurses to assess the physical and emotional needs of the patient, develop an individualized care plan, educate patients on healthy coping strategies, provide emotional support, and monitor response to treatment.
Conclusion
Chronic low self-esteem is a serious condition that affects individuals in various ways and can lead to further mental health issues without proper assessment and treatment. By familiarizing oneself with NANDA nursing diagnosis definition, defining characteristics, list of related factors, at risk population, associated conditions, suggestions of use, suggested alternative NANDA nursing diagnosis, usage tips, NOC Outcomes, evaluation objectives and criteria, NIC Interventions, and nursing activities - nurses have the tools needed to provide individualized quality care to patients suffering from chronic low self-esteem.
FAQs
- Q. What is meant by Nursing Diagnosis for Chronic Low Self-Esteem?
A. Nursing diagnosis is an important part of the nursing process and when a patient is diagnosed with chronic low self-esteem, it’s important to provide specialized care to treat the condition. The nursing diagnosis for chronic low self-esteem is defined as “an impaired ability to build and sustain positive self-esteem related to physiological and psychological factors”. - Q. What are some of the Related Factors for Chronic Low Self-Esteem?
A. There are several factors that contribute to chronic low self-esteem, and they can range from biological to environmental events. Biological factors include genetics, physical illnesses and disabilities, and hormone imbalances. From an environmental standpoint, poor parenting, criticism, neglect, bullying, discrimination, and abuse may also play a role. - Q. Who is at Risk of Developing Chronic Low Self-Esteem?
A. People of any age can suffer from chronic low self-esteem, however, there are certain populations that may face an even greater risk. This includes people coming from traumatic backgrounds, victims of abuse, those suffering from mental health conditions, those who were neglected in childhood, and individuals who struggle with substance abuse or addiction. - Q. What are some Associated Conditions of Chronic Low Self-Esteem?
A. Chronic low self-esteem often co-occurs with other physical and mental health issues, including – but not limited to – depression, anxiety, eating disorders, body dysmorphic disorder, post-traumatic stress disorder, and adjustment disorder. - Q. What is the Purpose of Nursing Diagnosis for Chronic Low Self-Esteem?
A. Nursing diagnosis chronic low self-esteem is typically used to diagnose and guide treatment interventions, provide education on healthy coping strategies, and monitor response to treatment. It is also used to formulate treatment plans and create goals to achieve desired results.