Nursing Care Plan Impaired social interaction

certified nurse assistant12 257x300 Nursing Care Plan Impaired social interactionNursing Care Plan Impaired social interaction Definition:Consistent lack of orientation to person, place, time, or circumstances over more than 3 to 6 months necessitating a protective environment, is a professional judgment based on the application of clinical knowledge which determines potential or actual experiences and responses to health problems and life processes. The list of nanda nursing diagnosis can be applied to individuals, families or communities. Included with the list of nanda nursing diagnosis is an array of commonly applied interventions from which the caregiver can choose to implement to the given patient. Standardized nursing language is a body of terms used in the profession that is considered to be understood in common. The use of common terms promotes patient safety by allowing nurses to quickly and efficiently understand the aspects of a patient’s needs. The use of standardized terms allows nursing staff to avoid sifting through long narratives in order to determine a particular patient’s needs and planned course of care. Nursing Care Plan Impaired social interaction

Defining Characteristics

  • Chronic confusion
  • Consistent state of disorientation to environment
  • Inability to reason, concentrate, or follow simple instructions
  • Loss of occupation or social function resulting from memory decline
  • Slow response to questions

Related Factors

  • Dementia
  • Depression
  • Huntington’s disease

Assessment Focus

  • Behavior
  • Knowledge
  • Communication
  • Sensory perception

Expected Outcomes The Patient Will

  • Acknowledge and respond to efforts by others to establish communication.
  • Identify physical changes without making disparaging comments.
  • Remain oriented to the environment to the fullest possible extent.
  • Remain free from injuries.

The Caregiver Will

  • Describe measures for helping the patient cope with disorientation.
  • Demonstrate reorientation techniques.
  • Describe ways to make sure that the home is safe for the patient.
  • Identify and contact appropriate support services for the patient.

Suggested Noc Outcomes

Cognitive Orientation; Concentration; Fall-Prevention Behavior;Memory; Safe Home Environment

Interventions And Rationales

Determine: Assess cultural status, functional ability and coordination,interaction with others in social settings, and presence of vision or hearing deficits. Assessment of these factors will help in identifying appropriate interventions.Perform: Orient patient to reality, as needed: call patient by name;tell patient your name; provide day, date, year, and place; place a photograph or patient’s name on the door; keep all items in the same place. Consistency and continuity will reduce confusion and decrease frustration.123 Place patient in a room near the nurse’s station to provide imme-diate assistance from staff, if needed.Clear patient’s room of any hazardous materials, and accompany patient who wanders to prevent injury.Work with patient and caregivers to establish goals for coping with disorientation. Practice with coping skills can prevent fear.When speaking to the patient, face him and maintain eye contact to foster trust and communication.Promote independence while performing ADL measures patient is unable to perform to reduce feelings of dependence.Inform: Provide written information to caregivers on reorientation techniques. Demonstrate reorientation techniques to caregiver to prepare caregiver to cope with the patient when he or she returns home.Teach caregivers to assist patient with self-care activities in a way that maximizes patient’s potential to encourage patient’s independence.Attend: Be attentive to the patient when you are with him. Be aware that patient may be sensitive to your unspoken feelings about him in order to inspire confidence in the caregiver.Help patient and caregivers cope with feelings associated with the disease. Understanding promotes affective coping.Have patient perform ADLs. Begin slowly and increase daily, as tolerated to assist patient to regain independence and enhance self-esteem. Provide reassurance and praise for completing simple tasks.Focus on patient’s strengths.Involve caregiver and patient in planning and decision making as a cooperative effort supports patient’s needs.Encourage patient to engage in social activities with people of all age groups once a week to help relieve the patient’s sense of isolation.Manage: Refer patient to case manager/social worker to ensure that patient receives longer term assistance to ensure continued care.Refer caregiver to a support group. Caregivers need continuous support from others to cope with the need to provide constant supervision to the patient.

Suggested Nic Interventions

Anxiety Reduction; Behavior Management; Dementia Management;Emotional Support; Mood Management; Reality Orientation

Reference

Patton, D. (2006). Reality orientation: Its use and effectiveness within older person health care. Journal of Clinical Nursing, 15(11), 440–449.

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