Nursing Diagnosis and Nursing Intervention

Showing posts with label Social Isolation. Show all posts
Showing posts with label Social Isolation. Show all posts

Social Isolation related to Schizophrenia

Nursing Care Plan for Schizophrenia

Nursing Diagnosis : Social Isolation
related to :
  • lack of confidence to others.
  • freaking out.
  • regression to earlier developmental stages.
  • delusions.
  • difficult to interact with others in the past.
  • weak ego development.
  • repression of fear.

Defining characteristics:
  • Alone in the room.
  • Not communicate, withdraw, do not make eye contact (mutism, autism).
  • Sad, flat affect.
  • Attention and actions that are inconsistent with developmental age.
  • Thinking about things according to his own thoughts, actions are repetitive and meaningless.
  • Approaching nurses to interact, but then refused to respond to the nurse to self-acceptance.
  • Expressing feelings of rejection or loneliness to others.


Planning:

General Purpose:
  • The patient can voluntarily spend time with other patients and nurses in the group's activities.

Special purpose:
  • The patient already included in the activity therapy was accompanied by a nurse to believe in one week.

Expected outcomes:
  • The patient may demonstrate a desire to socialize with other people.
  • The patient can follow the group activity without prompting.
  • The patient did approach the interaction with others in a way that is appropriate / acceptable.


Intervention:

1. Show the acceptance by conducting frequent contacts, but brief.
rational:
Acceptance of others will improve the patient's self-esteem and facilitates a sense of trust in others.

2. Show a positive reinforcement to the patient.
rational:
Make the patient feel that would be a useful.

3. Accompany the patient to show support for group activities that may be the case that scary or difficult for the patient.
rational:
The presence of someone who believed would provide a sense of security to the patient.

4. Honest and keep all appointments.
rational:
Honesty and a sense of need raises a trusting relationship.

5. Orient the patient at the time, people, places, as needed.

6. Be careful with the touch. Let the patient got an extra room and the opportunity to leave the room if the patient becomes so anxiety.
rational:
The patients who suspect may be receptive to touch as a body language that suggests the threat.

7. Give the drugs, according the patient's treatment program. Monitor the effectiveness and side effects of drugs.
rational:
Medications help to reduce the symptoms of psychosis in a person, thus facilitating interaction with other people.

8. Discuss with the patient signs of increased anxiety and techniques to cut response. (Eg, relaxation exercises, "stop thinking").
rational:
Maladaptive behavior such as withdrawing and suspicious manifested during an increase in anxiety.

9. Give recognition and appreciation without prompting the patient can interact with others.
rational:
Reinforcement will increase the patient's self-esteem and encourage the repetition of such behavior.

Social Isolation: withdrawal related to Low Self-esteem

Nursing Care Plan for Hallucination

Nursing Diagnosis : Social Isolation: withdrawal related to Low Self-esteem

Goal : Patients can connect with other people in stages .

Outcomes:
  • Patients can mention coping can be used .
  • Patients can mention the effectiveness of coping used .
  • Patients are able to begin to evaluate themselves .
  • patients are able to make a realistic plan in accordance with the existing capabilities at him .
  • Patients are responsible for any action taken in accordance with the plan to .
Intervention :
  1. Encourage the patient to mention the positive aspects in him physically .
  2. Discuss with the patient about his expectations .
  3. Discuss with patients who stand out for their skills at home and in the hospital .
  4. Give compliments .
  5. Identify the problems being faced by patients
  6. Discuss coping used by the patient .
  7. Discuss effective coping strategies for patients .
  8. Stressor identification with the patient and how the patient penialian to stressors .
  9. Explain that the patient confidence to stressors affect the mind and behavior .
  10. Together with the patient identification illustrate the belief that the goal is not realistic .
  11. Together with the identification of patients coping strengths and resources owned
  12. Show me the concept of success and failure with a suitable perception .
  13. Discuss adaptive and maladaptive coping .
  14. Discuss and losses due to maladaptive coping responses .
  15. Help the patient to understand that the only patients who can transform themselves not others
  16. Encourage the patient to formulate plans / objectives themselves ( not a nurse ) .
  17. Discuss the consequences and realities of planning / goal .
  18. Help the patient to clearly menetpkan changes expected .
  19. Encourage the patient to begin a new experience to develop according to the existing potential in him .
Copyright © Nursing Diagnosis Intervention. All rights reserved. Template by CB | Published By Kaizen Template | GWFL | KThemes