00118 Disturbed body image

00118 Disturbed body image

Definition of the NANDA label

State in which the individual experiences an alteration in the perception of their own mental image of the physical self, a negative or distorted perception of their own body.

Confusion in mental picture of one’s physical self.

Defining characteristics

• Non-verbal response to real or perceived changes in body structure or function.
• Expression of feelings or perceptions that reflect an alteration of the vision of the body itself regarding its appearance, structure or function.
• Behaviors of avoidance, control or recognition of one’s own body.


• Loss of a body part.
• Real change in structure or operation.
• Do not look at and do not touch a body part.
• Hiding or exaggerating (intentionally or not) a body part.
• Change in social involvement.
• Changes in the ability to assess the spatial relationship between the body and the environment.
• Extension of body limits to incorporate objects from the environment.
• Trauma to the part of the body that does not work.


• Refusal to verify a real change.
• Preoccupation with change or loss.
• Personalization of the part of the body that is affected or its loss, using a name.
• Depersonalization of the affected body part or its loss, using impersonal pronouns.
• Negative feelings about the body (despair, helplessness).
• Verbal references to imposed changes in lifestyle.
• Fear of rejection or negative reaction from other people.
• Paying too much attention to the appearance of the lifestyle.
• Highlight remaining capabilities.
• Exaggerate achievements.

Related factors

• Psychological and biophysiological.
• Cultural spiritual.
• Cognitive or perception disorders.
• Developmental disorders.
• Disease and its treatment.
• Trauma, injury, and surgery.

At risk population

• Developmental transition

Associated condition

• Alteration in body function
• Alteration in cognitive functioning – Illness
• Impaired psychosocial functioning
• Injury
• Surgical procedure
• Trauma
• Treatment regimen


• Body image.
• Psychosocial adaptation.
• Self esteem.
• Child development.
• Grief resolution.


• Enhancement of body image.
• Enhancement of self-esteem.
• Active listening.
• Emotional Support.
• Increase coping.
• Advance guide.
• Parental education / education.
• Promotion of development.
• Risk identification.
• Facilitate grief.

This diagnosis will retire from the NANDA-I Taxonomy in the 2021-2023 edition unless additional work is completed to bring it up to a level of evidence 2.1 or higher.