Social isolation: withdrawing
Purpose : The client can interact with other people so that hallucinations do not occur.
Specific Purpose:
1. The client can foster a trusting relationship
Action :
- Build a trusting relationship using the principles of therapeutic communication by:
- Greet the client in a friendly manner both verbal and non-verbal
- Introduce yourself politely
- Ask the client's full name and preferred nickname
- Explain the purpose of the meeting
- Honest and keep promises
- Show empathy and accept the client for who he is
- Pay attention to the client and attention to the client's basic needs
2. The client can state the reasons for withdrawing
Action:
- Assess the client's knowledge of withdrawal behavior and its signs.
- Give the client an opportunity to express feelings that cause withdrawal or want to hang out
- Discuss with the client about withdrawal behavior, signs and causes that arise
- Praise the client's ability to express his feelings
3. The client can mention the advantages of dealing with other people and the disadvantages of not relating to others.
Action :
- Identify with the client how to take action if hallucinations occur (sleep, anger, busying, etc.)
- Assess client's knowledge of the benefits and advantages of dealing with others: Give the client the opportunity to express feelings about the benefits of relating to other people. Discuss with the client the benefits of connecting with others. Give positive reinforcement to the ability to express feelings about the benefits of relating to others
- Assess the client's knowledge of losses when not in contact with other people; Give the client the opportunity to express feelings with others. Discuss with the client the disadvantages of not relating to others. Give positive reinforcement for the ability to express feelings about the loss not related to others.
4. The client can carry out social relations
Action:
- Assess the client's ability to build relationships with others
- Encourage and help the client to relate to others through the following stages: the client – nurse, the client – nurse – other nurse, the client – nurse – other nurse – other client, the client – family or community group.
- Give positive reinforcement for the success that has been achieved.
- Help the client to evaluate the benefits of intercourse
- Discuss the daily schedule that is done with the client in filling time
- Motivate the client to take part in room activities
- Give positive reinforcement for client activities in room activities
5. The client can express his feelings after dealing with other people
Action:
- Encourage the client to express his feelings when dealing with other people
- Discuss with the client the benefits of relating to others.
- Give positive reinforcement for the client's ability to express feelings of benefit related to others
6. The client can empower the support system or family
Action:
- Build a trusting relationship with the client's family: Greetings, Introduce yourself, Explain the purpose, Make a meeting contract, Explore the client's feelings
- Discuss with family members about: Withdrawal behavior, Causes of withdrawal behavior, Consequences that occur if withdrawal behavior is not responded to, How families deal with clients withdrawing
- Encourage family members to provide support for the client to communicate with others.
- Advise family members regularly and take turns to visit clients at least once a week
- Give positive positive reinforcement for the things that have been achieved by the family.