All of us experienced
loneliness, but we have different reasons why we are lonely. Some kids are
lonely because their parent left them to work on other country to make more
money. Some people are lonely because they suddenly lost their job. Some are
lonely because they are not loved by the people they love. Some people are
lonely because they lost in competition. Some experience loneliness because
someone they love had died. How about you? What is the reason of your
loneliness? Are you still lonely? How did you overcome your loneliness? I will
tell you a story about Ms. Hontanti, a 39 years old senator who had a dramatic
increase in body mass that most of her friends can't easily recognize her. Her
tummy bloats out, her legs turned big, her arms and chest expanded, her chin
doubled, her cheeks enlarged, everything turns so fat. As days past, Ms.
Hontanti doesn't want what is happening to her. Her friends don't want to
be with her anymore, no one wants to talk to her, and everyone is teasing and
bullying her. Ms. Hontanti started to eat alone, shop alone, almost all alone
and she started to stay away from people especially to her friends and
colleagues. Below is a sample of nursing care plan of Ms. Hontani about her
risk for lonelinesss.
Assessment:
Subjective: “I'm fat, so fat that no one else wants to be close to me.” as verbalized by the patient.
Objectives:
- Frown face
- Anxious
- Weak
- Lack of appetite
- Increased emotional
state
- Obese
- Weight is 200 pounds
- Height is 5 foot and 2
inches tall
Diagnosis:
Risk for loneliness
related to fear of rejection secondary to obesity.
Planning:
After 4 hours of nursing
intervention, the patient will report decreased feelings of loneliness and will
identify the ways to increase meaningful relationships.
Interventions:
- Encourage Ms.
Hontanti, the patient to talk about her feelings of
loneliness and their causes and encourage development of a support
system. Collaborate with her existing family, friends, and neighbors to form
one. Although her friends are one of the contributing factors of her
loneliness, we need some of her friends to/who understand her situation to help
the support system. Discuss the importance of high-quality, rather than
high-quantity socialization. Provide Ms. Hontanti some ideas to deal with her
social concerns like volunteering for something she likes and be surrounded
with the other volunteers that she shares common interest and they all focus on
one common goal. Encourage the patient to activity clubs and other activities.
Tell the patient to focus on her building one or two close friendships.
Knowing that she have a couple of true friends who are always there for her can
help her to deal with life's ups and down. Encourage Ms. Hontanti to tell
others how she feels especially when she feels pressured or misunderstood by
friends or family. Encourage the patient to write journal that gives positive
statements about her. Explain to the patient that letting her emotions to take
over will only make things worse, crying and getting angry will only leads to
loneliness and out of control.
- Refer Ms. Hontanti to
impaired social interactions and prepare her for ambivalent feelings and
short-term negative effects on her self-esteem. Refer the patient to a
dietitian to help her with meal planning, weight-loss, nutrition and
her appropriate exercises.
Evaluation:
After 4 hours of nursing
intervention, the patient reported decreased feelings of loneliness and
identified the ways to increase meaningful relationships.
There are other reasons that may lead to risk for loneliness such as loss of a significant person and the nursing intervention will be different from above. Remember that nursing interventions must lead to achieving your plan or goal. Other related diagnoses are Anxiety and Hopelessness. For more samples of nursing care plan you are free to check it out in our NCP LIST page.
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