Hello! Second semester nursing student here, in need of assistance!
I have to do a psychosociocultural NPR. I looked through google/forums/my nursing textbooks/my nursing diagnosis handbook, but I believe I've hit a wall.
My diagnosis is Loneliness r/t loss of social contacts. My professor approved the diagnosis and my interventions (I had 8), but she wants more than 10 interventions (and my norm is 14; I'm very upset with myself that I'm having trouble with this!! This is supposed to be the easy part!! Arrrgh...).
-97 yrs old, Female
-awake/alert; orientated x2, not to year ("2001")
-PMH: depression, Alzheimer's, dementia
-husband passed away recently; together for 70 years
-only one daughter, with son-in-law
-was shouting for help (call bell was not used)
-said she felt "alone"
-said she was "scared" that her son-in-law wasn't coming to pick her up
-stated "please stay and talk to me"
-when I said I would be right back: "you're not going to be gone for hours too, are you?"
-said she was "angry" that she was put into a hospital where she didn't know anyone
-told me that her son-in-law visited her often at the nursing home
-as I was leaving: "thank you for talking with me"
Goal: Pt will report decreased feelings of loneliness
1.) Assess level of consciousness
2.) Assess mental status/orientation
3.) Assess developmental level according to E. Erikson
4.) Assess support system
5.) Offer self
6.) Establish trust
7.) Provide therapeutic communication (use of appropriate touch, reflecting, paraphrasing, summarizing)
8.) Encourage pt to talk about feelings of loneliness
9.) Educate pt on support groups
10.) Educate pt on community resources
>I'm considering "Identify activities to help keep pt busy during times of loneliness" but for some reason my professor underlined "help" and "busy"; not sure if it was because she couldn't read my chicken scratch, or if there was an issue with the intervention itself.
>I'm also considering tying in her depression, or even her Alzheimer's, and making an intervention of administering an anti-depressant, but I don't see an anti-depressant OR any medication dealing with her Alzheimer's in her list of medications. Though there is a chance it's one of the two I can't read... can anyone identify what looks like "Cedexa 20 mg po daily" and "Dumelvs 1 unit dose q6h prn"?
Throw some ideas at me, pretty please? :'[