00054 Risk Of Loneliness

Domain 12: comfort
Class 3: Social Comfort
Diagnostic Code: 00054
Nanda label: loneliness risk
Diagnostic focus: loneliness
Approved 1994 • Revised 2006, 2013 • Evidence level 2.1

NANDA Nursing Diagnosis Definition

Nanda nursing diagnosis « loneliness risk ” is defined as: likely to experience discomfort associated with the desire or need for greater contact with others, which can compromise health. >

Risk factors

  • Affective deprivation
  • Emotional deprivation
  • Physical isolation
  • Social isolation

Suggestions of use

It must distinguish between this diagnosis and social isolation, which is an objective problem (perceived by others), while loneliness is subjective (internal state). Social isolation can be the risk factor or the etiology of loneliness. Loneliness is defined as the emotional response caused by isolation that the person does not want. In the case of loneliness caused by a physical disability or a disfiguration, see alteration of body image.

Suggested alternative diagnostics

  • Social isolation
  • Complicated duel
  • Body image,
  • disorder

  • Social interaction, deterioration of the
  • Transfer stress syndrome

NOC Results

  • Psychosocial adjustment: change of life: psychosocial response of adaptation of a person to an important change of life
  • Family social atmosphere: Favorable means, according to the relationships and objectives of family members
  • Stressful factors of the caregiver: severity of biopsychosocial pressure on a relative who takes care of another person for a long period
  • Family operation: Family system capacity to meet the needs of its members during development transitions
  • Severity of loneliness: severity of the response to emotional, social or existential isolation
  • Social interaction skills: personal behaviors that favor effective relationships
  • Participation in recreational activities: application of relaxing, interesting and pleasant activities, to promote well -being
  • Social participation: social interactions with people, groups or organizations
  • Duel resolution: adaptation to a real or imminent loss

Evaluation objectives and criteria

  • • Demonstrates behavior to prevent loneliness, as indicated by the severity of loneliness and social participation
  • • Demonstrates social participation, as manifested by the following indicators (specify 1 to 5: never, rarely, once, often or usually):
    • Interact with close friends, neighbors, family or co -workers
    • Participate as a member of the religious community
    • Participate with other people in recreational activities
    • Participate in organized activities
  • Other examples

    • • Use the time that is only in a positive way when socialization is not possible
    • • Identify the reasons why it feels alone
    • • Describe a plan to improve significant relationships
    • • Use effective interpersonal communication skills (for example, share your thoughts, cooperation, sensitivity, assertiveness, consideration, sincerity, trust and commitment); Specify the most relevant skills for the patient
    • • Informs about the suitability of their social support (for example, the help provided by other people)
    • • Shows disposition to ask for help to others
    • • Affliction effectively manages (express feelings, verbally express the acceptance of a loss)

    NIC Interventions

    • Caregiver Support: Provision of information, help and support necessary to facilitate the basic care of a patient, made by someone who is not a health care professional
    • Brothers support: support to a person so that he can face the disability or chronic disease of a brother
    • Emotional support: provision of comfort, acceptance and encouragement, during moments of tension
    • Family support: promotion of family values, interests and objectives
    • Facilitation of the expression of the duel: Help with the resolution of a significant loss
    • Visit facilitation: promotion of beneficial visits of family and friends
    • Promotion of family integrity: promotion of cohesion and family unit
    • Promotion of family integrity: parenting: facilitation of the growth of individuals or families that add a child to the family unit
    • Promotion of paternity: Provision of information, support and coordination of all services to high -risk families
    • Socialization promotion: facilitation of another person’s ability to interact with others
    • Attachment promotion: facilitation of the development of the relationship with parents
    • Support Group: Use of a group environment to provide emotional support and health -related information to its members
    • Risk identification: Analysis of possible risk factors, determination of health risks and prioritization of risk reduction strategies for a person or group
    • Maintenance of family processes: to the maximum reduction of the effects of the destabilization of family processes
    • Improvement of the Support System: Facilitation of the support that a patient receives from his family, friends and community
    • Behavior modification: Social skills: Help the patient to develop or improve their interpersonal social skills
    • Stress reduction caused by relocation: helps the individual to prepare and face change from one environment to another
    • Animal assisted therapy: intentional use of animals to provide affection, attention, fun and relaxation
    • Activity therapy: prescription and help in carrying out specific physical, social and spiritual activities to increase the range, frequency or duration of an individual’s activity (or a group)
    • Recreation therapy: Deliberate use of recreation to promote relaxation and improve social skills
    • Surveillance: Collection, interpretation and synthesis of patient data, continuously and with an end, to make clinical decisions

    Nursing Activities

    Valuations

    • • Advise on support, real and perceived systems of the patient
    • • Determine the risk factors of loneliness (for example, lack of energy necessary for social interaction, poor communication skills)
    • • Compare the patient’s desire to receive visits and interact socially, with real social interaction
    • • Monitor the patient’s response to family and friends visits
    • • (NIC) Facilitation of visits:
      • Determine patient preferences with respect to visits and information revelation
      • Determine the need to receive more visits from family and friends
    • • Assess current and previous family relationships

    Patient and family education

    • • (NIC) Facilitation of visits: Comment on the policy that relatives or very close people can stay to spend the night

    Collaboration activities

    • • Channel to the patient to a group or program to improve their understanding and use of communication and interaction skills
    • • Channel to support groups, as required

    Others

    • • (NIC) Facilitation of visits:
      • Facilitate children’s visits, if appropriate
      • Help relatives find adequate food and food
    • • Encourage the patient to talk about their feelings of loneliness
    • • Make roles games with the patient to improve their communication skills and techniques
    • • Help the patient identify their strengths and communication limitations
    • • Provide positive feedback when the patient uses effective social skills
    • • Help the patient recognize available social support
    • • Encourage family members to offer help to the patient, as required

    At home

    • • Some of the previous interventions can be adapted for use at home
    • • Teach social skills, as required (for example, model the way of sharing personal information)
    • • Teach the patient to monitor behaviors that contribute to their social isolation
    • • Help the patient discover new interests
    • • Dialogue with the patient about the possibility of requesting volunteer services
    • • Encourage the patient to contact people who have similar interests
    • • Motivate the patient to maintain telephone or computer contact with family and friends

    Babies and Children

    • • Assess shyness and low self -esteem, especially among adolescents
    • • Dialogue with parents about the possibility of acquiring a pet

    Older people

    • • Assess the functional limitations that may interfere with social interactions (for example, difficulty communicating, auditory or visual problems)
    • • Assess the presence of depression; channel a mental health expert if necessary
    • • Assess changes in mental state (for example, memory loss, confusion)
    • • Motivate participation in groups of physical activities (for example, aquatic aerobics)
    • • Discuss the possibility of a transfer to a retirement residence
    • • Reserve the patient one meal a day in a center for older people