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Social Interaction Deficit (Social Isolation) related to Delirium / Acute Confusion

Delirium or acute confusional state, is an organically caused decline from a previously attained baseline level of cognitive function. It is typified by fluctuating course, attentional deficits and generalized severe disorganization of behavior. It typically involves other cognitive deficits, changes in arousal (hyperactive, hypoactive, or mixed), perceptual deficits, altered sleep-wake cycle, and psychotic features such as hallucinations and delusions.

Social Isolation associated with inadequate support system.

Limitation criteria:

  • lack of trust in others,
  • difficult to interact with others,
  • communication is not realistic,
  • lack of eye contact,
  • think something according to his own mind,
  • affect shallow emotion.

Short-term goals:
Already included in the activity therapy, accompanied by a nurse who believed in one week.

Long-term goals:
Can volunteer to spend time with other clients and caregivers in a group activity in inpatient units.

Action

1. Create a therapeutic environment:
Build a trusting relationship (greet the client by name, calling the name of the client, to be honest, right appointment, empathy and respect).
Indicate the responsible nurse.
Increase client contact with the social environment gradually
2. Show a positive reinforcement on the client.
Accompany the client to show support for the group's activities that may mnerupakan difficult thing for the client.
3. Orient the client at the time, place and person.


Rational
1. Physical and psychosocial environment that will stimulate therapeutic client upon ability to reality.
2. This will make the client feel to be useful.
3. Self-awareness is increased in relation to the environment of time, place and person.
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