00119 Low Chronic Self -Esteem

Domain 6: self -perception
Class 2: self -esteem
Diagnostic Code: 00119
Nanda label: low chronic self -esteem
Diagnostic focus: self -esteem
Approved 1988 • Revised 1996, 2008, 2017, 2020 • Evidence level 3.2

NANDA Nursing Diagnosis Definition

Nanda nursing diagnosis « low chronic self -esteem ” is defined as: long -term negative perception of value, acceptance, respect, competence and attitude towards oneself. P>

Definite characteristics

  • Dependency of the opinions of others
  • Depressive symptoms
  • Excessive guilt
  • Search for excessive reaffirmation
  • Express loneliness
  • Desperateness
  • Insomnia
  • loneliness
  • Non -Assertive Behavior
  • Conformism
  • Reduced visual contact
  • Rejection of positive feedback
  • Informs repeated failures
  • Cavilation
  • Verbalizations of self -denial
  • Shame
  • Suicide ideas
  • Substimation of your ability to manage the situation

Related factors

  • Decrease in conscious acceptance
  • Difficulty in managing finance
  • Body image disorder
  • Fatigue
  • Fear of rejection
  • Deterioration of religiosity
  • Inappropriate affection
  • Inadequate linking behavior
  • Inadequate family cohesion
  • Inadequate belonging to a group
  • Inappropriate respect by others
  • Sensation of inadequate belonging
  • Inadequate social support
  • Insufficient approval by others
  • Low self -efficacy
  • Imported duel
  • Negative resignation
  • Repeated negative reinforcement
  • Spiritual incongruity
  • Stigmatization
  • Stressors
  • incongruous values ??with cultural norms

Risk population

  • People at economic disadvantage
  • People who experience repeated failures
  • People exposed to traumatic situations
  • People with difficult development transitions
  • People with a history of having been abandoned
  • People with a history of abuse
  • People with a history of abandonment
  • People with a history of losses

Associated problems

  • Depression
  • functional deterioration
  • Mental disorders
  • Physical condition

Suggestions of use

The low chronic self -esteem and low situational self -esteem differ in the fact that the symptoms are prolonged and that they seem to be due to a frequent lack of success, real or perceived, at work or in the performance of the role.

Suggested alternative diagnostics

Other examples

  • Recognize your personal strengths
  • Express the desire to seek psychological guidance
  • Participate in decision making on the care plan
  • Exhibits behaviors that generate self -confidence

NIC Interventions

  • Inspiration of hope: Facilitation of the development of an optimistic perspective in a certain situation
  • mood management: provision of security, stability, recovery and maintenance, for a patient who abnormally experiences a depressed or elevated mood
  • Improvement of self -esteem: helps a patient to increase his personal judgment of his own value

Nursing Activities


  • (NIC) Improvement of self -esteem:
    • Monitor the patient’s own statements
    • Determine the patient’s confidence in their own criteria
    • Monitor the frequency of verbal expressions of autonation

Patient and family education

  • Provide information on the benefits of psychological orientation and available community resources
  • Teach positive behavioral skills through the role of roles, modeling, analysis, etc.

Collaboration activities

  • seek help from hospital resources (for example, social workers, specialists in psychiatry, religious services), as required


  • Put limits to negative verbal expressions (with respect to frequency, content, audience)
  • (NIC) Improvement of self -esteem:
    • Strengthen the personal strengths that the patient identifies
    • Help the patient identify the positive responses of others
    • Avoid teasing
    • Help establish realistic objectives to increase self -esteem
    • Help the patient to reexamine negative perceptions about himself
    • Help the patient identify the effect of the peer group on the feelings of one’s worth
    • Explore previous successes
    • Reward or praise the patient’s advances towards their objectives
    • Facilitate activities and an environment that increase self -esteem

At home

  • Most previous activities are suitable for home care
  • Monitor patient assistance to self -help groups
  • Assess the side effects and knowledge on psychopharmaceuticals, if the client takes them

Babies and Children

  • (NIC) Improvement of self -esteem: instruct parents about the importance of their interest and support for their child to develop a positive self -concept

Older people

  • Encourage the patient to participate in group activities (for example, church, exercise groups)
  • Suggest the patient to participate in volunteer groups (for example, bring food to homeless people)