DefiNegative feelings about body (e.g., feelings of helplessness, 1. Client has established a healthy pattern of eating for weight 2. Client verbalizes plans for future maintenance of weight ●Defi[Lack of adequate nurturing by maternal fiOutcome Criteria[Unmet dependency needs][Dissatisfaction with appearance]Negative self-evaluating/feelings about self or self-capabilities.Possible Etiologies (“related to”)^ hopelessness, or powerlessness)someone who is severely overweight. Drugs should be used SELF-ESTEEMcontrol with weight loss progressing toward a desired goal.for this purpose for only a short period while the individual control.attempts to adjust to the new pattern of eating.DISTURBED BODY IMAGE/LOW nition: ning Characteristics (“evidenced by”) Confusion in mental picture of one’s physical self. Eating Disorders gure] ●^233
[Failure to take responsibility for self-care (self-neglect)]Interventions with Lack of eye contact[Expressions of low self-worth]Goals/ObjectivesShort-term GoalClient will begin to accept self based on self-attributes rather than on appearance.Long-term GoalClient will pursue loss of weight as desired.[Verbalization of desire to lose weight] 2. Ensure that the client has privacy during self-care activi- 1. Assess client’s feelings and attitudes about being obese. sity and compulsive eating behaviors may have deep-rooted psychological implications, such as compensation for lack of love and nurturing or a defense against intimacy.ties. about his or her body.The obese individual may be sensitive or self-conscious Selected Rationales Obe-
2 2506_Ch12_218-235.indd Sec1:233 506 Ch 12 218 - 235 .indd Sec 1 : 233 10/1/10 9:36:03 AM 10 / 1 / 10 9 : 36 : 03 AM