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Nursing Assessment for Social Isolation : Withdrawal

Social Isolation : Withdrawal


1. Identity
Often found at an early age or first appear at puberty.

2 Main Complaint
The main complaint is usually a result of the decline will and emotional shallowness.

3 Factors Predisposing
Predisposing factors are closely associated with etiological factors that heredity, endocrine, metabolic, central nervous system, the weakness of the ego.

4 Psychosocial
a. Genogram
Schizophrenic parents, one son 7-16% possibility of schizophrenia, when both suffered 40-68%, from 0.9 to 1.8% stepsister possibility, the twin brother of 2-15%, 7-15% sibling.

b. Self-Concept
Setbacks will and shallowness of the patient's emotions will affect the patient's self-concept.

c. Social Relations
Clients tend to withdraw from social environment, starry-eyed, silent.

d. Spiritual
Spiritual activity declines with the decline of the will.

5. Mental Status
a. Appearance
The patient appeared lethargic, lackluster, hair disheveled, shirt buttons are not right, not locked zipper, clothes not replaced, clothes upside as a manifestation of the willingness of the patient's deterioration.

b. Talks
Tone was low, slow, less talk, apathetic.

c. Activity of Motor
Activities undertaken are not varied, the tendency to defend one of its own position (catalepsy).

d. Emotions
Shallow emotions.

e. Afec
Superficially, there is no facial expression.

d. Interaction During Interview
Tend not cooperative, less eye contact, do not want to stare at the speaker, silent.

e. Perception
There were no hallucinations or delusions.

d. Thinking process
Impaired thought processes are rarely found.

e. Awareness
Altered consciousness, and the ability to make contact with the outside world and the restriction itself is disturbed at the level does not correspond to reality (qualitative).

f. Memory
Not found specific disorders, the orientation, time, good people.

g. Capability assessment
Can not make decisions, can not act in a situation, always giving reasons although the reasons are unclear or imprecise.

6. Everyday Needs

At the beginning people pay less attention to himself and his family, the more backward the job due to setbacks will. Interest to meet their own needs greatly decreased in terms of eating, urination / defecation, bathing, dressing, sleeping intirahat.

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