10/6/2023 0 Comments Burn victims pictureIndeed, there is no evidence beyond anecdote to support the existence, let alone the interaction, of these elements. Further, many of the assumptions behind the model comprising interacting elements have not been tested empirically, drawn instead from subjective clinical observations. If body presentation, reality and ideal were all low, balance would be attained, but a body image would not be satisfactory. Price’s model however does not provide a clear definition of what a satisfactory baseline body image is from which to measure positive or negative change. Altered body image depends on adaptability of all components based on personal experience and expectation. Tagkalakis and Demiri support this: as individuals change their appearance-either in reality or presentation-body image does not necessarily change how such changes are interpreted or negotiated against the body ideal is key to maintaining the balance. The nature of this model’s elements, fluctuating with personality, culture and time suggests body image is dynamic. The balance of these three elements is crucial to the sustenance of what Price calls a satisfactory body image, whereby both body presentation and body reality are continually, consciously or subconsciously compared with body ideal. Body ideal is how an individual would like to appear and behave both physically and functionally. Body presentation refers to how the body is presented externally, through dress, alteration and behaviour. Body reality is the objective form or phenotype of the body, the result of genetic and environmental influences. Price’s body image care model (BICM) comprises three related elements: body reality, body presentation, and body ideal. The view of body image being, “the combination of how an individual feels and thinks of their own body and its appearance” is widely understood. This paper explores the models of body image and discusses the relevance of these to research and practice in understanding how to manage burns in children. Whilst many studies have examined the psychosocial recovery of adults with burn injuries, few have considered the recovery of paediatric burn patients. Coping with burn injuries and changes to body image relies on complex interactions of dynamic psychosocial and individual factors which evolve and adapt with time. The preoccupation of Western society and media with the notion of the ideal body-attractive, young, slim and blemish-free -is ubiquitous and challenging to children and their families growing up with and adapting to disfigurement from burns. The understanding of wound healing requires a holistic appreciation of both physiological and psychological processes initiated at the point of injury. Body image adjustment is increasingly being recognized as a central consideration in the care of individuals living with burn injuries. With advances in medical and surgical techniques of resuscitation, healing and reconstruction, people sustaining burn injuries have better survival prospects than ever before. Burn injuries can result in life-long disfigurement for children.
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