Professional Documents
Culture Documents
Nursing Care Plan For Situational Low Self
Nursing Care Plan For Situational Low Self
Assessment Rationale
Invite the patient to record past This approach is beneficial in presenting the patient with a more realistic
and current achievements: view of his or her capabilities. Patients undergoing situational stress often
emotional, social, interpersonal, lose sight of their past accomplishments in handling related circumstances.
intellectual, vocational, and
physical.
Welcome statements the patient The feeling of being unloved, unworthy, and incompetent is often
reveals about himself or herself. expressed by patients with low self-esteem. The patient often presents
himself or herself unable to manage the current situation.
Encourage the patient to express The patient may be knowledgeable of up-to-date situations that negatively
if he or she is able to associate change his or her self-concept.
these changes to a specific event
in his or her life.
Evaluate the degree to which the Patients may be taken in a vicious cycle of behaviors intended to cover the
patient believes he or she is “in primary self-esteem dilemma. The acting-out fosters a sense of
control” of his or her own unworthiness and undermines efforts to esteem-building.
behavior.
Assess the patient’s feelings of Patients with self-esteem issues may appear as though their actions are not
comfort and content with his or in keeping with their own personal, moral, or ethical values; they may also
her own performance. deny these behaviors, project blame, and rationalize personal failure.
Assess for presence of unfinished Ongoing grief may hinder the patient’s ability to move forward in life.
grief.
Evaluate recent variations in the Patients may be able to compensate for low-esteem through exceptional
patient’s behavior. performance in work or areas of special interest while still having dilemmas
with how he or she envisions self. Some patients may withdraw from
engagement in work or family situations in an attempt to lessen the impact
of the situation of self-esteem. Low self-esteem will not be fixed without
weighing these issues into the care plan.
Evaluate the extent to which the Lack of recognition of achievements or rejection by others may contribute
patient feels loved and respected to feelings of unworthiness. Care and support by others will be essential in
by others. developing the patient’s self-esteem.
Assess how competent patients The patient may have developed the ability to carry out personal
feel about their ability to perform responsibilities despite low self-esteem. This may be a positive indicator of
and carry out their own and the patient’s potential for successful improvement of self-esteem.
others’ expectations.