Graduation Year

2024

Degree Type

Open Access Capstone

Document Type

Capstone

Degree Name

Doctor of Nursing Practice (DNP)

Department

Baccalaureate and Graduate Nursing

Department Affiliation

Baccalaureate and Graduate Nursing

Department Affiliation

Baccalaureate and Graduate Nursing

Department Affiliation

Baccalaureate and Graduate Nursing

Abstract

As rates of elective cosmetic and dermatological procedures increase, it remains imperative for

aesthetic medicine providers to adequately screen potential patients for body dysmorphic

disorder (BDD). A psychiatric disorder, BDD presents when persons perceive flaws that are not

apparent to others, perform repetitive actions to examine and groom themselves which hinders

daily living activities, and require constant reassurance regarding their appearance. Literature

notes those with BDD seek elective cosmetic surgery at higher rates than the general population

resulting in poor satisfaction and outcomes. Cosmetic Procedure Screening (COPS) is a validated

screening tool for BDD and this quality improvement project sought to implement it after

providing psychoeducation for providers affiliated with an aesthetic provider non-profit

organization in Kentucky. A convenience sample of aesthetic medicine providers (N=9)

participated in this project and knowledge, confidence, and utilization rates were analyzed. Data

analysis demonstrated little statistical significance in increasing knowledge and confidence

(d=0.07). However, clinical significance was apparent as patients screened positive on the COPS,

collaboration between patient and provider increased, and mental health referrals were

recommended.

Keywords: aesthetic medicine, Body Dysmorphic Disorder, BDD cosmetic procedure,

dermatology, appearance, screening tools, education, Cosmetic Procedure Screening, COPS

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