Social isolation r/t altered
mental status AEB client’s statement of, “When I have hallucinations, because of
my schizophrenia, I’m not appropriate in public.”
Client will participate in
activities and programs at level of ability and desire by [Month] 8, [Year] at 1400.
Client will identify feelings
of isolation by [Month] 14, [Year] at 1400.
1: Observe for barriers to
Rationale: Causes of social
isolation may be different for each individual; adequate information should be gathered
so appropriate interventions can be planned (Ackley & Ladwig, pg. 768).
2: Provide positive reinforcement
when the client seeks out others.
Rationale: Social support
contributes to positive well-being (Ackley & Ladwig, pg. 769).
3: Assess physical and mental
status to establish a firm basis for planning social activities.
provides a mode for enhancing a person’s quality of life (A. pg. 769).
1: Establish a therapeutic
relationship by being emotionally present and authentic.
Rationale: Being emotionally
present and authentic fosters growth in relationships and decreases isolation (Ackley
& Ladwig, pg. 768).
2: Discuss causes of perceived
or actual isolation.
Rationale: The individual’s
experience of illness; the circumstances of everyday living that influence quality
of life; and emotions, fears, and concerns all have a bearing on the way illness
is managed (Ackley & Ladwig, pg. 768).
Evaluation set for [Month]
8, [Year] at 1400. Client has made some progress toward goal. He attended Unity
Day held at Dosker Manor but did not stay for more than ten minutes.
As of [Month] 14, [Year]
client identifies that he is socially isolated because he has limited interactions
with others and does not have any hobbies. He also indicates that all of his
family lives out of state.
During the assessment of
R.S. the nursing student notes that the barriers to social interaction include mental
illness, lack of social support, and decreased ability to form relationships due
to hallucinations. The nursing student told the client that she thought it was beneficial
for him to attend unity day.
During the third week of
meeting with R.S., the nursing student noted that they had developed a therapeutic
relationship. Client and student nurse discussed the causes of isolation and R.S.
determined that being socially isolated is keeping him from reaching his maximum