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attitudes related to the body, including physical appearance, structure, or
function. Feelings about body image include those related to sexuality,
femininity and masculinity, youthfulness, health, and strength. These mental
images are not always consistent with a person's actual physical structure
or appearance. Some body image distortions have deep psychological
origins, such as the eating disorder anorexia nervosa. Other alterations
occur as a result of situational events, such as the loss or change in a body
part. Individuals often exaggerate disturbances in body image when a
change in health status occurs. Cultural and societal attitudes and values
influence body image. Culture and society dictate the accepted norms of
body image and influence one's attitudes. Body image issues are often
associated with impaired self-concept and self-esteem.
Role performance stressors
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Role concept Role ambiguity Role strain Role overload
Expected outcomes for a client with a self-concept disturbance include
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displaying behaviors indicating a positive self-concept, verbalizing
statements of self-acceptance, and validating acceptance of a change in
appearance or function. Key observational indicators of a patient's self-
concept are nonverbal behaviors. Social interaction, adequate self-care,
acceptance of changes resulting from illnesses or operations, and
statements indicating understanding of client education indicate progress.
Investing in satisfying hobbies, getting physical exercise, exerting choices
in daily life, understanding their own needs during transitions, and adapting
to life circumstances are evidence of self-esteem and self-efficacy in older
adults.
A positive self-concept, especially a positive physical self-concept
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is a key component to one's mental health and psychological well-being.
A change in the appearance, structure, or function of a body part are stressors that
require a
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, body image adjustment. An individual's perception of the change and the
relative importance placed on body image affect the significance of a loss
of function or change in appearance. Changes in the appearance of the
body such as an amputation, facial disfigurement, or scars from burns are
obvious stressors affecting body image. Mastectomy and colostomy are
surgical procedures that alter the appearance and function of the body, yet
the changes typically are not apparent to others when the individual is
dressed. Although potentially undetected by others, these changes
significantly affect the individual.
Role ambiguity involves
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unclear role expectations, which makes people unsure about what to do or
how to do it, creating stress and confusion. Role strain combines role
conflict and role ambiguity. Some express role strain as a feeling of
frustration when a person feels inadequate or unsuited to a role such as
providing care for a disabled child or a family member with dementia or
terminal cancer. Role overload involves having more roles or
responsibilities within a role than are manageable. This is common in an
individual who unsuccessfully attempts to meet the demands of work and
family while carving out some personal time. Individuals with high self-
esteem generally are more resilient and better able to cope with demands
and stressors than those with low self-esteem. Self-esteem stressors vary
with developmental stages. These vary from the adolescent who is
perceives they are unable to meet parental expectations and harsh
criticism to the older adult who is dealing with the stress of health
problems, declining socioeconomic status, decreasing physical functioning
and independence, loss of spouse and friends, and declining social
support.
During adolescence, individuals may
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