Labuen, Mark Johne E.
NCM107-F
CUES
Subjective Cues:
“ ayaw ko makipagusap sa
mga tao dahil iba ako sa
kanila at di ko sila
kailangan ” as patient
verbalized
-patient verbalized that he
don’t want to talk with
other people because he is
different and he don’t
need them
Objective Cues:
 Lack of support
system
 Seeks to be alone
 Lack of eye contact
Schizophrenia - Social isolation r/t altered mental status
NURSING DIAGNOSIS GOALS OF CARE/OUTCOME NURSING INTERVENTIONS
CRITERIA
Social isolation related to After 8 hours of nursing
altered mental status  interventions, the client will
be able to:
 Identify causes and
actions to correct
isolation
 Verbalized
willingness to be
involved with others
 Participate in
activities/ programs
at level of
ability/desire
 Expresse increased
sense of self-worth
IMPLEMENTATION EVALUATION
 Assess factors in  Established nurse- At the end of our shift
clients life that may patient relationship
contribute to sense of by telling the patient - Patient shows trust
helplessness reality story and to me, he told me
Rationale: Client may allowing him to stories about her
withdraw and fail to respond/react about life including
seek out friends who the story. sensitive matters.
may have been in his
life previously  Allow client to - Patient verbalized
verbalize her that he enjoyed
 Ascertain client’s feelings and joining the activity
perception regarding concerns. provided.
sense of social
isolation.  Introduced client to - After 3 hours of
Rationale: to assess those with talking to the
causative/contributing similar/shared client, he was able
factors interests to talk to me with
an eye contact.
 Assess clients feeling  Encouraged
about self, sense of participation in any - Client had a
ability to control activities ( egg conversation with
situation, sense of sandwich activity ). other people
hope around her and was
Ratinale: to assess able to find a new
causative/contributing friend.
factors
 Establish therapeutic
nurse-client
relationship
Rationale: to promote
trust, allowing client
to feel free to discuss
sensitive matters

 Introduce client to
those with
similar/shared
interests and other
supportive people.
Rationale: To provide
role models,
encourages problem
solving, and possibly
making friends that
will relive clients
sense of isolation.

 Promote participation
in recreational/
special interest
activities in setting
that client views as
safe
Rationale: to alleviate
conditions
contributing to clients
sense of isolation