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It is by no means clear that the diagnosis ‘altered body image’ is sufficiently clear to enable the nurse to plan and deliver a package of body-image care This paper proposes a model of body-image care based upon five central concepts, and the accepted metaparadigms of nursing It is suggested that the nurse is uniquely positioned to deliver the best body-image care, and that this model will assist her to assess body-image needs and to then action the altered body-image diagnosis more effectively