Monday, September 15, 2014

Social Isolation - Nursing Diagnosis and Interventions for Schizophrenia

Nursing Care Plan for Schizophrenia

Nursing Diagnosis :
Social isolation related to low self-esteem

General objectives
  • Clients can engage social, gradually

Specific objectives 1.
  • Clients can build a trusting relationship.

Outcomes :
  • The client can express his feelings.
  • Friendly facial expression.
  • There is eye contact.
  • Show some love.
  • Want to shake hands.
  • Want to reply greetings.
  • Clients want to sit side by side.
  • Clients want to express the problems encountered.
Interventions :
  • Develop a relationship of mutual trust :
  • ·Greet clients friendly, both verbally and nonverbally.
  • · Introduce yourself politely.
  • · Ask the client 's full name and preferred nickname.
  • · Explain the purpose of the meeting , be honest and keep our promises.
  • · Show empathy and receives the client is.
  • · Pay attention to the client.
  • Give a chance to express his feelings about the illness.
  • Take time to listen to the client.
  • Tell the client that he is a valuable and responsible and able to help themselves.

Rationale :
  • Trusting relationship will lead to trust the client to the nurse that will facilitate the implementation of further action .



Specific objectives 2.
  • Clients can identify the capabilities and positive aspects possessed.

Outcomes :
  • Clients are able to maintain the positive aspects.
Interventions :
  • Discuss capabilities and positive aspects of the client owned and reinforcement give up the ability to express feelings.
  • When meeting with clients avoid giving a negative assessment.

Rationale :
  • Positive reinforcement will increase the client's self-esteem.
  • Prioritizing realistic compliment.


Specific objectives 3.
  • Clients can assess the ability of the data used.
Outcomes :
  • Clients' needs are met.
  • Clients can perform purposeful activity.

Interventions :
  • Discuss the ability of clients that can still be used when sick.
  • Discuss also the ability that can be continued in hospital use it at home later.

Rationale :
  • Improved client capabilities will encourage the client to an Independent.


Specific objectives 4.
  • Clients can define and plan activities according to ability.

Outcomes :
  • Clients are able to move according to ability.
Intervention :
  • Plan with client activity to do each day according to ability, independent activities, activities with minimal assistance , the activities with the help of the total.
  • Increase activity as tolerated client client's condition.
  • Give an example of how to implement the activities the client should do (often clients are afraid to carry it out).

Rationale :
  • Implementation activities independently into the initial capital to boost self-esteem.


Specific objectives 5.
  • Clients can perform activities in accordance with the conditions of pain and ability.

Outcomes :
  • Clients are able to move according to ability.

Interventions:
  • Give the client the opportunity to try activities that have been planned.
  • Give praise to the efforts and success of the client.
  • Discuss the possibility of implementation at home.
Rationale :
  • Through the activity, the client will know the capabilities.

Specific objectives 6.
  • Clients can take advantage of existing support systems.

Outcomes :
  • Clients are able to do what has been taught.
  • Clients want to provide support.
Interventions :
  • Give health education to families about how to care for clients with social isolation and low self esteem.
  • Help provide support for the family of the client being treated.
  • Help families prepare a home environment.

Rationale :
  • Attention families and family understanding will help improve self esteem clients.

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