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Loneliness related
to stress and conflict contributed to disrupted family processes as evidenced by
patient statement, “I hate it when my daughter comes over.”
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Short Term:
Patient will maintain one
or more meaningful relationships (growth enhancing versus codependent or abusive
in nature)-relationships allowing self-disclosure-and demonstrate a balance between
emotional dependence and independence as measured by one patient statement reflecting
a positive relationship with another individual by [date] at 3:00 pm.
Long Term:
Patient will participate in ongoing positive and relevant
social activities and interactions that are personally meaningful as measured by
one patient statement reflecting participation in at least two meaningful, social
activities with another individual by [date] at 3:00 pm.
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- Use active listening skills.
Establish therapeutic relationship and spend time with the patient.
Being truly present was listed as one behavior that demonstrated caring. Presence and caring communication is important
(Ackley & Ladwig).
- Encourage the client to be involved in meaningful social relationships and support
personal attributes. Personal attributes
and social support mediated the effects of emotional distress by decreasing its
impact on activities of daily living (ADL) functioning
(Ackley & Ladwig).
- Explore ways
to increase the client’s support system and participation in groups and organizations. Satisfaction with support networks was
a potent predictor of self-esteem, emotional health, and loneliness in female survivors
of violence and abuse. Encouragement
by nurses is important in helping clients with mental illness to become part of
support groups. Psychosocial group
intervention on loneliness and social support in Japanese women with breast cancer
demonstrated significantly lower scores for loneliness (Ackley & Ladwig).
- Provide positive
reinforcement when the client seeks out others.
Receiving instrumental social support, such as practical help, advice, and
feedback, significantly contributes to positive well-being (Ackley & Ladwig).
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Goal met on [date] at 12:30 pm.
Client has maintained one meaningful relationship allowing self-disclosure and
demonstrates a balance between emotional dependence and independence.
Goal is set to be measured on [date] at 3:00 pm. Client is making progress.
Client has identified participation in one meaningful, social activity with
another individual on [date].
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-Active listening skills were used.
Therapeutic relationship was established and time was spent with the patient
every Tuesday afternoon.
- The client was encouraged to be involved in meaningful social relationships and
personal attributes were supported every Tuesday afternoon.
-Ways to increase
the client’s support system and participation in groups and organizations have been
explored.
-Positive reinforcement
was provided when the client sought out others on [date].
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Subjective Data:
-Patient statement “I hate
it when my daughter comes over.”
-Patient statement “You’ll be back next week, won’t you?”
Objective Data:
-Patient frequently looks
away during conversation.
- Patient is
watching television among arrival
-Patient becomes
upset and cries when her children are mentioned.
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