| Physical Aspects | Emotional Aspects | Social Aspects | Family Dynamics |
| Gastrointestinal Symptoms Urgent bowel movements, abdominal pain, rectal bleeding, weight loss. |
Mood Swings | Interaction -Coping with teasing by peers and adults -Reluctance to socialize -Embarrassment over frequent bathroom use -Pressure in situations involving the food scene |
Communication -Promote open discussion of IBD, respecting privacy -Learn to screen good vs. bad information -Utilize established support systems |
| Altered Appearance Medication side effects: moon face, increased hair growth, acne, insomnia, weight gain |
Guilt -Blames self for having IBD -Frustration with own body -Feels different and inadequate -Worries about appearance |
Intolerance -Handling criticism for failure "to keep up" with activities -Dealing with others' lack of knowledge of limitations caused by disease |
Balance -Understand the needs of IBD child as well as other family members |
| Dietary Issues Restricted diet, hunger, food, obsession, enteral nutrition (nasogastric tube feedings), total parenteral nutrition by vein (TPN) |
Confusion -Feels lousy, looks good -Misunderstands reasons for delay in growth and maturation |
Defense -Reluctance to talk or hear about IBD -Concealment of symptoms |
Resilience -Keep focus on disease when feeling angry -Channel frustration to improve ability to deal with IBD |
| IBD-Related Conditions Fatigue, joint pain, rash, mouth ulcerations |
Anxiety -Cannot rely on body to function normally -Doubts physical competence -Feels vulnerable |
Performance -Change in concentration level with schoolwork -Dealing with change in physical stamina |
Flexibility -Learn to cope with unexpected disruptions to family routine |
| Pediatric IBD Issues Impaired growth, delayed sexual development |
Alienation -Feels different -Feels alone |
Independence -Recognize the need for independence -Encourage responsibilty for personal health care whenever possible; reduce fears |