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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.”
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Long Term
Client will participate in
activities and programs at level of ability and desire by [Month] 8, [Year] at 1400.
Short Term
Client will identify feelings
of isolation by [Month] 14, [Year] at 1400.
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Long Term
1: Observe for barriers to
social interaction.
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.
Rationale: Socialization
provides a mode for enhancing a person’s quality of life (A. pg. 769).
Short term:
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).
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Long Term
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.
Short Term
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.
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Long Term
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.
Short Term
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
potential.
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