1. DefinitionLow self-esteem is a personal assessment of the results achieved by analyzing how far behavior satisfy the ideal self (Stuart and Sundeen, 1998: 227). According to Townsend (1998:189) low self-esteem is a self-evaluation of feelings about themselves or negative self-ability, either directly or indirectly. The same opinion dikemukan by Carpenito, LJ (1998:352) that low self-esteem is a condition in which individuals experience negative self evaluations about the self or the ability of self. From the opinions of the above can be made a conclusion, low self-esteem is a negative sense of self, loss of confidence, and failed to achieve the goals expressed directly or indirectly, decreased self-esteem can be situational or chronic or chronic.
2. Signs and symptomsAccording to Carpenito, LJ (1998: 352); Keliat, BA (1994:20); behavior associated with low self-esteem, among others:
Subjective Data:a. Criticize yourself or othersb. The feeling itself is very important that exaggeratedc. Feelings of inadequacyd. Guilte. Negative attitude to yourselff. Pessimistic attitude to lifeg. Complaints of physical painh. Polarized view of lifei. Refusal skills yourselfj. Reduction self / self mockingk. Feelings of anxiety and fearl. Rationalize rejection / away from the positive feedbackm. Disclose personal failuren. The inability to set goals
Objective data:a. Productivity declineb. Self-destructive behaviorc. Destructive behavior on othersd. Substance abusee. Withdraw from social relationshipsf. Facial expressions of shame and guiltg. Showing signs of depression (difficulty sleeping and eating difficult)h. Looks touchy / easily angered
3. CauseLow self-esteem is often caused by the ineffective individual coping due to the lack of positive feedback, lack of support system, setbacks ego development, a negative feedback loop, dysfunctional family systems and fixed at early developmental stages (Townsend, MC, 1998: 366 .) According to Carpenito, LJ (1998: 82) ineffective individual coping is a situation where an individual experiencing or at risk of an inability to handle internal or environmental stressors with adequate because ketidakadekuatan resources (physical, psychological, behavioral or cognitive). Meanwhile, according to Townsend, MC (1998: 312) ineffective individual coping is an adaptive behavioral disorders and problem-solving skills in meeting the guidance of a person's life and role.
From the opinions of the above conclusions can be made, individuals who have ineffective individual coping would demonstrate the inability to adapt or not to solve the problem of tututan life and the role that they face. The existence of ineffective individual coping often indicated by behavioral (Carpenito, LJ, 1998:83; Townsend, MC, 1998:313) as follows:
Subjective Data:a. Expressing inability to solve the problem or request assistanceb. Expressing feelings of worry and anxiety are prolongedc. Reveals the inability to run role
Objective Data:a. Changes in community participationb. Increased dependencec. Manipulate everyone around them to meet the objectives of their own desiresd. Refusing to follow the rules that applye. Destructive behaviors directed at oneself and others:f. Manipulating verbal / changes in communication patternsg. Inability to meet basic needsh. Drug abuse
4. Result
Low self-esteem can be at risk of social isolation: withdrawal, social isolation withdraw is an inflexible personality disorder on behavior maladaptif, disrupt the function of a person in social relations (MOH RI, 1998:336). Social isolation is often shown with withdraw behaviors include:
Subjective Dataa. Reveal reluctant to start a relationship / conversationb. Expressing feelings of shame to relate to othersc. Expressing concern about the refusal by another person
Objective Dataa. Less spontaneous when spoken tob. Apatheticc. Blank facial expressiond. Decreased / absence of verbal communicatione. Speak softly and no eye contact when speaking
C. The data that needs to be studied in the diagnosis of social isolation: withdraw• Express reluctant to talk with other people• Klein said the shy to meet and deal with others• Damaging yourself• Tampering with other people• Expression of shame• Withdraw from social relations• Looks irritable• Do not want to eat and no sleep• Looks dependence on others• Appears sad and tida conducting activities that should be done• The face looked glum• blank facial expression,• No eye contact when spoken to• The voice slowly and it is not clear• Only a short memberijawaban (yes / no)• Avoidance when approachedE. Nursing Diagnosis1. Low self-esteem disturbance
F. INTERVENTION FOCUS
PatientsSP 11. Identify the capabilities and the positive aspects of patient-owned2. Helping patients to assess the ability of patients who still used3. Helping patients choose the activities that will be trained in accordance with the patient's ability4. Coaching patients selected according to ability5. Provide a reasonable compliment to the success of the patient6. Encourage patients to enter in the daily activity schedule
SP 21. Evaluating the patient's daily activity schedule2. Train the second ability3. Encourage patients to enter in the daily activity schedule
FamilySP 11. discuss the perceived problems of families in caring for patients2. explain the meaning, signs and symptoms of low self-esteem experienced by patients with the occurrence of3. explains how - how to care for patients with low self-esteem
SP 21. train family practice how to care for patients with low self esteem2. train the family to do directly to the patient how to care for low self-esteem
SP 31. Helping families make the scheduled events, including taking medication at home (discharge planning)2. describe follow-up of patients after return
2. Signs and symptomsAccording to Carpenito, LJ (1998: 352); Keliat, BA (1994:20); behavior associated with low self-esteem, among others:
Subjective Data:a. Criticize yourself or othersb. The feeling itself is very important that exaggeratedc. Feelings of inadequacyd. Guilte. Negative attitude to yourselff. Pessimistic attitude to lifeg. Complaints of physical painh. Polarized view of lifei. Refusal skills yourselfj. Reduction self / self mockingk. Feelings of anxiety and fearl. Rationalize rejection / away from the positive feedbackm. Disclose personal failuren. The inability to set goals
Objective data:a. Productivity declineb. Self-destructive behaviorc. Destructive behavior on othersd. Substance abusee. Withdraw from social relationshipsf. Facial expressions of shame and guiltg. Showing signs of depression (difficulty sleeping and eating difficult)h. Looks touchy / easily angered
3. CauseLow self-esteem is often caused by the ineffective individual coping due to the lack of positive feedback, lack of support system, setbacks ego development, a negative feedback loop, dysfunctional family systems and fixed at early developmental stages (Townsend, MC, 1998: 366 .) According to Carpenito, LJ (1998: 82) ineffective individual coping is a situation where an individual experiencing or at risk of an inability to handle internal or environmental stressors with adequate because ketidakadekuatan resources (physical, psychological, behavioral or cognitive). Meanwhile, according to Townsend, MC (1998: 312) ineffective individual coping is an adaptive behavioral disorders and problem-solving skills in meeting the guidance of a person's life and role.
From the opinions of the above conclusions can be made, individuals who have ineffective individual coping would demonstrate the inability to adapt or not to solve the problem of tututan life and the role that they face. The existence of ineffective individual coping often indicated by behavioral (Carpenito, LJ, 1998:83; Townsend, MC, 1998:313) as follows:
Subjective Data:a. Expressing inability to solve the problem or request assistanceb. Expressing feelings of worry and anxiety are prolongedc. Reveals the inability to run role
Objective Data:a. Changes in community participationb. Increased dependencec. Manipulate everyone around them to meet the objectives of their own desiresd. Refusing to follow the rules that applye. Destructive behaviors directed at oneself and others:f. Manipulating verbal / changes in communication patternsg. Inability to meet basic needsh. Drug abuse
4. Result
Low self-esteem can be at risk of social isolation: withdrawal, social isolation withdraw is an inflexible personality disorder on behavior maladaptif, disrupt the function of a person in social relations (MOH RI, 1998:336). Social isolation is often shown with withdraw behaviors include:
Subjective Dataa. Reveal reluctant to start a relationship / conversationb. Expressing feelings of shame to relate to othersc. Expressing concern about the refusal by another person
Objective Dataa. Less spontaneous when spoken tob. Apatheticc. Blank facial expressiond. Decreased / absence of verbal communicatione. Speak softly and no eye contact when speaking
C. The data that needs to be studied in the diagnosis of social isolation: withdraw• Express reluctant to talk with other people• Klein said the shy to meet and deal with others• Damaging yourself• Tampering with other people• Expression of shame• Withdraw from social relations• Looks irritable• Do not want to eat and no sleep• Looks dependence on others• Appears sad and tida conducting activities that should be done• The face looked glum• blank facial expression,• No eye contact when spoken to• The voice slowly and it is not clear• Only a short memberijawaban (yes / no)• Avoidance when approachedE. Nursing Diagnosis1. Low self-esteem disturbance
F. INTERVENTION FOCUS
PatientsSP 11. Identify the capabilities and the positive aspects of patient-owned2. Helping patients to assess the ability of patients who still used3. Helping patients choose the activities that will be trained in accordance with the patient's ability4. Coaching patients selected according to ability5. Provide a reasonable compliment to the success of the patient6. Encourage patients to enter in the daily activity schedule
SP 21. Evaluating the patient's daily activity schedule2. Train the second ability3. Encourage patients to enter in the daily activity schedule
FamilySP 11. discuss the perceived problems of families in caring for patients2. explain the meaning, signs and symptoms of low self-esteem experienced by patients with the occurrence of3. explains how - how to care for patients with low self-esteem
SP 21. train family practice how to care for patients with low self esteem2. train the family to do directly to the patient how to care for low self-esteem
SP 31. Helping families make the scheduled events, including taking medication at home (discharge planning)2. describe follow-up of patients after return
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