Impaired Social Interaction
Impaired Social Interaction
(_)Actual (_) Potential
| (_)
Mental illness (_) Other:_____________________________ ____________________________________ ____________________________________ |
| Major:
(Must be present) |
(_) Reports inability to establish and/or maintain stable, supportive relationships. |
| Minor:
(May be present) |
(_) Lack
of motivation. (_) Sever anxiety. (_) Dependent behavior. (_) Hopelessness. (_) Delusions/hallucinations. (_) Disorganized thinking. (_) Lack of self care skills. (_) Poor impulse control. (_) Distractibility/inability to concentrate. (_) Social isolation. (_) Superficial relationships. (_) Difficulty holding a job. (_) Lack of self esteem. |
| Date & Sign. |
Plan and Outcome [Check those that apply] |
Target Date: |
Nursing Interventions [Check those that apply] |
Date Achieved: |
| The
patient will: (_) Identidy problematic behavior that deters socialization. (_) Describe and utilize strategies to promote effective socialization. (_) Other: |
(_)
Assess patients feelings relative to social isolation. (_) Help to identify precipitating factor(s)/stressors. (_) Help to identify alternative courses of action. (_) Assist in analyzing approaches which work best. (_) Provide supportive group therapy when indicated. (_) Encourage to validate perception with others. (_) Identify strengths and areas of improvement. (_) Role model certain
accepted social behaviors:____________ (_) Hold accountable for own actions. (_)
Other:________________ |
__________________________
Patient/Significant other signature
__________________________
RN signature
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