hi, jessica 392!
now, you had to have known that at some point i would have joined this discussion as i specifically look for care plan questions. first off, your diagnostic statement doesn't sound right to me. all the elements aren't fitting together correctly.
i'm looking at my copy of nursing diagnoses: definitions & classification 2005-2006 published by nanda international at the nursing diagnosis social isolation on pages 183 and 184 and this is what is has to say:"definition: aloneness experienced by the individual and perceived as imposed by others as a negative or threatening state. related factors [causes] are alterations in mental status, inability to engage in satisfying personal relationships, unaccepted social values, unaccepted social behavior, inadequate personal resources, immature interests, factors contributing to the absence of satisfying personal relationships, alterations in physical appearance and altered state of wellness."
now, i understand that you are attempting to make this apply to a community. however, your "related to" items following your nursing diagnosis "conditions associated with aging (including depression, dementia, hearing loss & incontinence)" sound more like defining characteristics, or symptoms, of the diagnosis (which i am listing below) than they do the causes of it. now, if you were to say "alterations in mental status and physical wellness" i think your diagnostic statement would be more accurately phrased since that wording reflects the cause of the social isolation.
remember also, that all items following your "as manifested by" part of the diagnostic statement must contain your assessment data that led to, and supports, your nursing diagnosis. so, your items of "depression, dementia, hearing loss and incontinence" wound belong there since these would be symptoms supporting the diagnosis.
problem: i think you need a bit more specificity with the depression, dementia, hearing loss and incontinence. how many are affected and can you show a direct link to the social isolation as the cause for these things? can you show that hearing loss is due to social isolation? i think i know what you are getting at by saying "hearing loss", i'm just wondering if you are calling it by it's correct label.
here are some of the items that are listed in my above reference as the defining characteristics, or symptoms, for this diagnosis: "absence of supportive significant others i.e. family, friends, groups; the person projects hostility in voice and behavior, withdrawn, uncommunicative, shows behavior unaccepted by dominant cultural group, seeks to be alone or exists in a subculture, repetitive meaningless actions, preoccupation with ones own thoughts, no eye contact, inappropriate or immature activities for developmental age/stage, evidence of physical/mental handicap or altered state of wellness, sad dull affect, expresses feelings of aloneness imposed by others, expresses feelings of rejection, inability to meet expectations of others, expresses values acceptable to the subculture but unacceptable to the dominant cultural group, experiences feelings of differences from others, insecurity in public." did you observe any of this in the clients of your community?
with regard to outcomes, they must be the predicted results of our independent nursing actions. in addition, by definition they must be measurable. if they are not measurable, what can you compare them with to declare that they have been achieved? so, look to the predicted results of your nursing interventions to give you your outcomes. the whole care plan process is one big cycle that is all interrelated.
by the way, i like your use of color and bold-facing!