Ala Aref Fatima Adaui Hibatuallah Dauod Outline Objectives

Ala’ Aref Fatima Adaui Hibatuallah Dauod

Outline • • • Objectives. Introduction. Definition of social isolation. Deferent between loneliness and social isolation. Behaviors on the client with social isolation. Defense mechanism that is often used on each social disorder. Nursing care. Summary. conclusion. References.

Introduction • Social isolation can happen to any one in the life course resulting in a lack of social content with people and society and negatively impact the well being of the individual.

Definition - Social isolation is a state where an individual has decreased or even not at all able to interact with others around them. Patients may feel rejected, not accepted, lonely, and unable to foster meaningful relationships with others. -It differs from loneliness, which reflects a temporary lack of contact with other humans. -Social isolation can be an issue for individuals of any age, though symptoms may differ by age group.

characteristics: • • • living alone in the room. inability to communicate. Withdrawal. lack of eye contact. Discrepancies or immaturity interests and activities with the development or the age. Preoccupation with his own thoughts. repetition. no meaningful action. Expressing feelings of rejection or loneliness caused by others. Experience different feelings with others. feel uncomfortable with people.

• -both not contacting, and not being contacted by, any acquaintances, even peripherally; for example, never being called by anybody on the telephone and never having anyone visit one's residence; a lack of meaningful, extended relationships, and especially close

-True social isolation over years can be a chronic condition affecting all aspects of a person's existence. Social isolation can lead to: *feelings of loneliness * fear of others *negative self-esteem.

Behavior on the client include: • • • Less spontaneous. Apathetic ( ignore environment). Moody facial expression. Do not want to take care of himself and not pay attention to personal hygiene. Reduction or absence of verbal communication. No or less conscious environment. Intake disturbed eating and drinking. Urinary retention and vases. Decreased activity. Lack of self-esteem

Defense mechanism that is often used on each social disorder are: 1) regression, the progress or retreat behavior. 2) projection, the weakness and lack of selfposed to others. 3) repression, which override impulse or painful memories. 4) isolation, which shy away from interaction with the outside environment.

Causes -Social isolation is both a potential cause and a symptom of emotional or psychological challenges: -the perceived inability to interact with the world and others -periods of isolation can be chronic or episodic, depending upon any cyclical changes in mood, especially in the case of clinical depression

-Substance abuse. -Social isolation can begin early in life. An example would be a sensitive child who finds him or herself bullied or ridiculed. During this time of development, a person may become more preoccupied with feelings and thoughts of their individuality that are not easy to share with other individuals. This can result from feelings of shame, guilt, or alienation during childhood experiences.

-Whether new technologies such as the Internet and mobile phones exacerbate social isolation. - Developmental disabilities. - The loss of a loved one. - Retirement, the abrupt end of daily work relationships, the death of close friends or spouses can also contribute to social isolation

• • • Risk factors Family violence Health and disabilities Loss of a spouse Aging Transport issues Societal adversity

Older adults (aging): -By the time people reach their 80 s, the majority live on their own, mostly because of. widowhood -Older people’s social networks often get smaller. -Living alone, health problems and disability, sensory impairment such as hearing loss, and major life events such as loss of a spouse

Nursing care • Assessment • • Assessment in patients with social isolation can be done through interviews and observations: The Patient tells feeling lonely or rejected by others. The patient does not feel safe being with other people. The patient said that does not mean the relationship with others. The Patient feel slow and tired of spending time. The patient is not able to concentrate and make decisions. The patient feel worthless. The patient not sure it can continue living.

Nursing Diagnosis for Social Isolation Social isolation: Withdrawn Goals 1. Clients can interact with other people. 2. Patients can develop a trusting relationship. 3. Patients can be aware of the causes of social isolation. 4. Patients can interact with other people. Outcomes: • Patients are able to communicate well with the nurses. • Patients can mention the causes and signs of withdrawing. • Patients are able to interact with caregivers, family, and other patients.

Interventions 1. Fostering a trusting relationship: • Say hello to the patient, each time interacting with patients. • Acquainted with the patient: introduce full name and the name of the nurse call, and ask the patient's full name and nickname patients. • Ask the patient's feelings and complaints at this time. • Create a care contract: what nurses will do with the patient, how long it will be done and where the implementation of activities. • Explain that the nurses will keep confidential the information obtained for the purposes of therapy. • Show empathy to the patient at all times. • Fulfill the basic needs of the patient if possible.

2. Helping patients to know the cause of social isolation by means of: • Ask the patient habit, about the habits of interacting with others. • Ask causes the patient does not want to interact with others. 3. Helping the patient to recognize the benefits associated with others by sharing the benefits if the patient has a lot of friends.

4. Help patients recognize losses not related to the others, with: • Discuss the disadvantages, if the patient just shut up and do not get along with others. • Explain the effect of social isolation on the physical health of the patient. 5. Provide the opportunity to express their feelings can help reduce stress and causes feelings withdraw.

References • http: //www. nandabooks. com/2013/05/nursing-managementfor-social-isolation. html