Nursing Care Plan

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Medical Diagnoses: Loneliness related to stress and conflict contributed to disrupted family processes

Nursing DX/Clinical Problem

Client Goals/Desired Outcomes/Objectives

Nursing Interventions/Actions/Orders

*I

Evaluation

Goals

Interventions

Loneliness related to stress and conflict contributed to disrupted family processes as evidenced by patient statement, “I hate it when my daughter comes over.”


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. 

     

- 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). 

     

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]. 

     


-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]. 



Assessment

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.

    

 

Ackley, B.J., & Ladwig, G.B. (2008). Nursing Diagnoses handbook: An evidence-based guide to planning care (8th ed.). St. Louis, MI: Mosby Elsevier




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