00052 Deterioration Of Social Interaction

Domain 7: role/relationships
Class 3: role performance
Diagnostic Code: 00052
Nanda label: deterioration of social interaction
Diagnostic focus: social interaction
Approved 1986 • Revised 2017, 2020 • Evidence level 2.1

NANDA Nursing Diagnosis Definition

The Nanda nursing diagnosis « deterioration of social interaction is defined as: insufficient or excessive quantity, or ineffective quality of social exchange.

Definite characteristics

  • Anxiety during social interaction
  • Dysfunctional interaction with others
  • Express difficulty establishing satisfactory reciprocal interpersonal relationships
  • Express difficulty in social functioning
  • Express difficulty to execute social roles
  • Express discomfort in social situations
  • Express dissatisfaction with the social connection
  • The family informs of alteration in interaction
  • Inadequate psychosocial support system
  • Inappropriate use of social status against others
  • Low levels of social activities
  • Minimum interaction with others
  • Informs unsatisfactory social involvement
  • Non -healthy competitive focus
  • You don’t want to cooperate with others

Related factors

  • Self -concept alteration
  • Cognitive dysfunction
  • Depressive symptoms
  • deterioration of thought processes
  • Limitations of the environment
  • deterioration of physical mobility
  • Inadequate communication skills
  • Inappropriate knowledge about how to encourage reciprocity
  • Inadequate personal hygiene
  • Inadequate social skills
  • Inadequate social support
  • Imported duel
  • Neurocomportal manifestations
  • Sociocultural dissonance

Risk population

  • People without a significant person

Associated problems

  • Halitosis
  • Mental disorders
  • Neurodevelopment disorders
  • Therapeutic isolation

Suggestions of use

It is necessary to make a distinction between deterioration of social interaction and social isolation. The diagnosis of deterioration of social interaction focuses more on the patient’s social abilities and skills, while social isolation focuses on the feelings of solitude of the patient, and it is likely that it is not the result of ineffective social skills. The defining characteristics and related factors that are presented in Table 1 must be compared in the suggestions of use corresponding to social isolation.

Suggested alternative diagnostics

  • Social isolation
  • Low chronic or situational self -esteem
  • Verbal communication, deterioration of the

NOC Results

  • Family social atmosphere: support environment characterized by the objectives and relations between family members
  • Child development: intermediate childhood (6 to 11 years) and adolescence (12 to 17 years): milestones of physical, cognitive and psychosocial progress, from 6 to 11, and from 12 to 17 years of age ( Noc describes each age as a separate result).
  • Social interaction skills: personal behaviors that favor effective relationships
  • Participation in recreational activities: use of relaxing, interesting and pleasant activities, to promote well -being
  • Participation in the game: realization of activities by a child from 1 to 11 years of age, to encourage fun, entertainment and development
  • Social participation: social interactions with people, groups or organizations

Evaluation objectives and criteria

  • Demonstrate participation in the game (specify from 1 to 5: never, rarely, sometimes, often or usually)
  • Demonstrates social interaction skills (specifying 1 to 5: never, rarely, sometimes, often or usually)
  • demonstrates child development, as manifested by the following indicators (specifying 1 to 5: never, rarely, sometimes, often or usually). (Consult a text about pediatrics or a NOC results manual to review specific indicators for each age; an exhaustive list exceeds the scope of this text).
    • 2 months: shows pleasure in interactions, especially with the header
    • 4 months: Recognize the voices and contact of the parents
    • 6 months: it reassures only
    • 12 months: shake your hand to say goodbye
    • 2 years: interact with adults in simple games
    • 3 years: practices interactive games with their peers
    • 4 years: describe a recent experience
    • 5 years: Follow simple interactive games rules with their peers
    • 6 to 11 years: Play in a group
    • 12 to 17 years: use effective social interaction skills
  • Demonstrates a family social atmosphere, as manifested by the following indicators (specifying 1 to 5: never, sometimes, sometimes, often or usually): participate in joint activities
  • It demonstrates social participation, as manifested by the following indicators (specifying 1 to 5: never, rarely, sometimes, often or usually): interacts with close friends, neighbors, relatives or groupmates (s) (S) work
  • Other examples

    The patient will be able to:

    • Recognize the effect of your behavior on social interactions
    • Perform behaviors that can increase or improve social interactions
    • Acquire/improve social interaction skills (for example, opening, cooperation, sensitivity, assertiveness, authenticity, commitment)
    • Express the desire for social contact with other people
    • Participate and enjoy adequate games

    NIC Interventions

    • Promotion of family integrity: promotion of cohesion and family unit
    • Development promotion: Adolescent: Facilitation of optimal physical, cognitive, social and emotional growth, of individuals during the transition from childhood to adulthood
    • Development Promotion: Child: Facilitation or teaching to parents and caregivers to provide optimal cognitive, social, emotional development, of thick and fine motor skills, and the language of preschool and school children
    • Therapeutic game: Deliberate and directed use of toys or other materials to help children communicate their perception and knowledge of the world, and to contribute to increase the mastery of their environment
    • Maintenance of family processes: Reduction of the effects of the destabilization of family processes
    • Improvement of Socialization: Facilitation of a person’s ability to interact with others
    • Behavior modiñcation: Social skills: Help the patient to develop or improve their interpersonal social skills
    • Recreation therapy: Deliberate use of leisure to encourage relaxation and improve social skills

    Nursing Activities


    • Assess the interaction pattern established between the patient and those around it

    Patient and family education

    • Inform about community resources that will help the patient to continue increasing social interactions after hospital discharge

    Collaboration activities

    • Collaborate with other specialists and with the patient in order to establish, implement and evaluate a plan to increase or improve the patient’s interaction with other people
    • (NIC) Improvement of socialization: channel the patient to a program or group of interpersonal skills in which social exchanges can better understand, as required


    • Program interactions
    • Identify specific behavior changes
    • Identify tasks that increase or improve social interactions
    • Involve solidarity partners to provide feedback to the patient about social interactions
    • Mediate between the patient and other people when exhibiting negative behavior
    • (NIC) Improvement of socialization:
      • Promote honesty when presenting to others
      • Promote respect for the rights of others
      • Promote patience by establishing relationships
      • Help the patient increase the awareness of their strengths and limitations in their communication with others
      • Use the role play to improve communication skills and techniques
      • Request and expect verbal communication
      • Provide positive feedback when the patient approaches other people
      • Facilitate the creation and planning of future activities of the patient

    At home

    • Previous activities can be adapted for home use
    • Suggest the use of the Internet to those who live alone and are confined to their home
    • Organize home health support, food sending, volunteer visitors and other help activities that foster social interaction
    • Encourage the patient to perform voluntary services in the community (for example, as a volunteer visitor)

    Older people

    • Value auditory deficiencies and other functional deficiencies that may interfere with communication
    • Evaluate depression
    • Provide auxiliary devices for functional deficiencies
    • For hospitalized patients, organize crafts, games, music and other activities in small groups
    • Allow the patient to choose the people you want to socialize; present it with other people
    • Organize physical activities
    • Suggest participation in programs such as “Adoptive grandparents”

    This diagnosis will be removed from the Nanda-I taxonomy in the 2024-2026 edition unless the level of evidence is completed up to 2.1 or higher with additional work.