Risk for disturbed sensory perception related to withdrawal

Nursing Diagnosis

Risk for disturbed sensory perception related to withdrawal

Outcomes:
  • Fostering a trusting relationship.
  • Mention the causes of withdrawal.
  • Mention the advantages relate to others.
  • Doing social relations gradually, the client - the nurse, the client - the group, the client - the family.
  • Expressing feelings after dealing with others.
  • Empowering support system.
  • Using medications appropriately and correctly.

Nursing Interventions :

1.1 Construct a trusting relationship: therapeutic greetings, introduce themselves, explain the purpose of interaction, create a peaceful environment, create a contract that clearly at every meeting (topic to be discussed, the place to talk, talk time).

1.2 Pay attention and awards: do not accompany the client time to answer, saying "I'll sit beside you, if you want to say something I am ready to listen". If a client looked at the nurse's face said "there would you say?".

1.3 Listen to clients with empathy: give a chance to speak (not in a hurry), show the client the nurse to follow the conversation.

2.1. Talk to your client did not want to cause another person to get along with.

2.2 Discuss the perceived effect of the withdrawal.

3.1. Discuss the benefits to get along with others.

3.1 Assist clients to identify the capabilities of the client to hang.

4.1 Perform frequent and brief interaction with the client (if possible the same nurse).

4.2 Motivation / accompany the client to interact / meet with clients / other nurses. give examples of how to get acquainted.

4.3 Increase the gradual interaction client (one client, two clients, one nurse, two nurses, and so on).

4.4 Involve the client in a therapeutic group activity, socialization.

4.5 Assist clients perform activities of daily living with the interaction.

4.6 Facilities relationships with clients in therapeutic family.

5.1 Discuss with the client after each interaction / activity.

5.2 Give praise to the success of the client.

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