00053 Social Isolation

Domain 12: comfort
Class 3: Social Comfort
Diagnostic Code: 00053
Nanda label: social isolation
Diagnostic focus: social isolation
Approved 1982 • Revised 2017, 2020 • Level of evidence 3.1

NANDA Nursing Diagnosis Definition

The Nanda nursing diagnosis « social isolation » is defined as: State in which the individual lacks a feeling of kinship related to positive, lasting and significant interpersonal relationships.

Definite characteristics

  • Alteration of the physical aspect
  • Express alienation
  • Express dissatisfaction with respect by others
  • Express dissatisfaction with the social connection
  • Express dissatisfaction with social support
  • Express loneliness
  • Inexpressivity
  • Hostility
  • Deterioration of the ability to meet the expectations of others
  • Low levels of social activities
  • Minimum interaction with others
  • Concern about one’s thoughts
  • Lack of purpose
  • Reduced visual contact
  • Informs to feel different from others
  • Informs to feel insecure in public
  • Sad attitude
  • Prison imposed by others
  • incongruous social behavior with cultural norms
  • Social retirement

Related factors

  • Cognitive dysfunction
  • Difficulty in establishing satisfactory reciprocal interpersonal relationships
  • Difficulty in carrying out daily life activities
  • Difficulty to share the personal expectations of life
  • Fear of crime
  • Fear of traffic
  • deterioration of physical mobility
  • Inadequate psychosocial support system
  • Inadequate social skills
  • Inadequate social support
  • Inappropriate transport
  • Low self -esteem
  • Negative perception of the support system
  • Neurocomportal manifestations
  • incongruous values ??with cultural norms

Risk population

  • People at economic disadvantage
  • Immigrants
  • People who experience alteration of the social role
  • People who experience loss of significant people
  • People who live alone
  • People who live far from significant people
  • People who move to strange places
  • People with rejection history
  • People with a history of traumatic episode
  • People with sick family members
  • People without children
  • Institutionalized people
  • Older adults
  • Widowed people

Associated problems

  • Chronic disease
  • Cognitive disorders

Suggestions of use

  • It is necessary to distinguish between social isolation and deterioration of social interaction. 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 their ineffective social skills .

Suggested alternative diagnostics

NOC Results

  • Social support: other people’s reliable help
  • Family social atmosphere: support environment characterized by the objectives and relations between family members
  • Emotional balance: appropriate adjustment of the predominant emotional tone in response to circumstances
  • Severity of loneliness: intensity of the response to emotional, social or existential isolation
  • 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 between one and 11 years of age to promote fun, entertainment and development
  • Social participation: social interactions with people, groups or organizations

Evaluation objectives and criteria

  • It demonstrates social participation, as manifested by the following indicators (specify from 1 to 5: never, rarely, sometimes, often or usually):
  • Interact with close friends, neighbors, family members and/or colleagues of work groups
  • Participate as a volunteer in organized activities or in church work
  • Participate with other people in recreational activities

Other examples

The patient will be able to:

  • Identify and accept personal characteristics or behaviors that contribute to social isolation
  • Identify community resources that will help you reduce social isolation after hospital discharge
  • Verbally express less feelings or experiences of being excluded
  • Start contact with other people
  • Develop a reciprocal relationship
  • Show an affection appropriate to the situation
  • Develop social skills that decrease isolation (for example, cooperation, commitment, consideration, closeness and involvement)
  • Express greater social support (help from other people in the form of emotional support, time, money, work or information)

NIC Interventions

  • Promotion of family integrity: promotion of cohesion and family unit
  • Promotion of family participation: facilitation of family participation in the emotional and physical care of the patient
  • Socialization promotion: facilitation of a person’s ability to interact with others
  • 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 age language
  • Inspiration of hope: Facilitation of the development of a positive perspective in a given situation
  • Therapeutic game: Deliberate and directed use of toys or other materials to help children communicate their perception and knowledge of the world, as well as to contribute to the increase in the mastery of their environment
  • mood management: provision of security, stability, recovery and maintenance, to a patient who abnormally experiences a depressed or elevated mood
  • Improvement of self -awareness: helps a patient to explore and understand their thoughts, feelings, motivations and behaviors
  • 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
  • Recreation therapy: Deliberate use of leisure to encourage relaxation and improve social skills

Nursing Activities

  • Help the patient distinguish reality from perceptions
  • Identify, with the help of the patient, the factors that can contribute to the feelings of social isolation
  • Reduce the stigma of isolation by respecting the dignity of the patient
  • Reduce visitors’ anxiety by explaining the reasons for the equipment or isolation precautions
  • Strengthen the patient’s efforts, family or friends to establish interactions
  • (NIC) Socialization promotion:
    • Motivate greater participation in established relationships
    • Allow you to try the interpersonal limits
    • Provide feedback on the improvement in the care of personal aspect or in other activities
    • Confront the patient with the deterioration of his judgment, when appropriate
    • Encourage the patient to change the atmosphere, such as going for a walk or going to the cinema
    • At home
  • Previous activities can be applied or adapted to home care