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Nursing Care Plan Risk For Loneliness

certified nurse assistant2 257x300 Nursing Care Plan Risk  For  LonelinessNursing Care Plan Risk  For  Loneliness Definition:At risk for experiencing discomfort associated with a desire or need for more contact with others, 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 Risk  For  Loneliness

Risk Factors

  • Affectional deprivation
  • Physical isolation
  • Cathectic deprivation
  • Social isolation

Assessment Focus

  • Coping
  • Roles/relationships
  • Emotional
  • Values/beliefs

Expected Outcomes The Patient Will

  • Identify feelings of loneliness and express desire to socialize more.
  • Identify behaviors that lead to loneliness.
  • Identify people who will likely support and accept him.
  • Spend time with others.
  • Be comfortable in social settings, interact with peers, and receive support from others.
  • Make specific plans to continue involvement with others, such as through recreational activities or social interaction groups.

Suggested Noc Outcomes

Loneliness Severity; Risk Control; Social Involvement; Social Support

Interventions And Rationales

Determine:  Work with patient to identify factors and behaviors that have contributed to loneliness to begin changing behaviors that may have alienated others.Help patient identify feelings associated with loneliness. This lessens the impact of feelings and mobilizes energy to counteract them.Perform:  Spend sufficient time with patient to allow him to express his feelings of loneliness to establish trusting relationship.Work with patient to establish goals for reducing feelings of lone-liness after he leaves healthcare setting to focus energy on specific objectives.Inform:  Inform patient that assistance is available to help him express feelings of loneliness and identify ways to increase social activity to bring issue into open and help patient understand that you want to help him.Help patient curb feelings of loneliness by encouraging one-on-one interaction with others who are likely to accept him (e.g., church members or patients with similar health problems) to promote feelings of acceptance and support.Help patient identify social activities he can initiate, such as becoming active in a support group or volunteer organization. This fosters feelings of control and increase social contacts.223 Help patient accept that other people may view him differently because of his illness, and explore ways of coping with their reactions to help patient learn to cope with stigma associated with illness.Attend:  Encourage patient to address his needs assertively. By being assertive, patient assumes responsibility for meeting his needs with-out anger or guilt.As patient’s comfort level improves, encourage him to attend group activities and social functions to promote the use of social skills.Manage:  Refer patient and family to social service agencies, mental health center, and appropriate support groups to ensure continued care and maintain social involvement.

Suggested Nic Interventions

Emotional Support; Socialization Enhancement; Spiritual Support;Visitation Facilitation; Family Integrity Promotion

Reference

Perese, E. F., & Wolf, M. (2005, July). Combating loneliness among persons with severe mental illness: Social network interventions’ characteristics,effectiveness, and applicability. Issues in Mental Health Nursing, 6(6),591–609.