Impaired Social Interaction

Impaired
Social Interaction

(_)Actual (_)
Potential

Related
To:
[Check
those that apply]
(_)
Mental illness
(_) Other:_____________________________
____________________________________

____________________________________

 

As
evidenced by:
[Check
those that apply]
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