Withdrawal is an attitude in which individuals avoid themselves from interactions with others. Individuals feel that they lose close relationships and have no chance to share feelings, thoughts, achievements, or failures. Individuals have difficulty connecting spontaneously with others, which is manifested by an attitude of separation, no attention, and unable to share observations with others.
Assessment
The assessment is the initial stage and the main basis of the nursing process. The assessment stage consists of collecting data and formulating client needs or problems. Data collected includes biological, psychological, social and spiritual data.
Data collection is carried out on clients with impaired social interactions: withdrawal, including:
a. Client identity and client responsibility
The identity includes name, age, religion, occupation, education, marital status.
b. Reasons to be treated
Reasons for treatment include: major complaints and history of the disease. The main complaint is about the cause of the client or family coming to the hospital and the client's complaint during the assessment. In the history of the disease there are predisposing factors and precipitation. In the predisposing factors studied about the factors supporting the client to experience impaired social interaction: withdrawal. Precipitation factors are examined about the precipitating factors that cause clients to experience impaired social interaction : withdrawal.
c. Physical examination
Physical examination is carried out which includes vital signs, measurements such as weight, height, and physical examination according to client complaints.
d. Psychosocial
In psychosocial genogram included describing the pattern of interaction, genetic factors in the family associated with mental disorders. It also studies self-concept, social and spiritual relationships. In self-concept data that is generally obtained from clients with impaired social interactions: self-stimulation, namely interference with self-esteem.
e. Mental status
In mental status, data that often arises are: motor decline, passive speech, natural feelings of sadness, a change in sensory / perception: hallucinations.
f. Needs preparation for going home
Includes matters about the client's readiness to go home or to undergo treatment at home, namely eating, defecating / urinating, bathing, dressing, resting and sleeping, drug use, health care, activities inside the house, and activities outside the home .
g. Coping mechanism
It is a mechanism that is directed at managing stress, including efforts to solve problems directly and mechanisms used to protect themselves. The mechanism that is often used by individuals to deal with anxiety related to withdrawing.
h. Knowledge
Knowledge includes less knowledge about mental illness, precipitation factors, support systems, coping and others.
i. Medical aspects
Data collected includes medical diagnoses and medical therapies that the client goes through.
List of nursing problems:
Some nursing problems that arise in clients with social relationship disorders according to Nanda, quoted from Stuart & Sundeen are:
a. Risk for violent behavior
b. Disturbed sensory perception: hallucinations
c. Impaired social interaction - withdraw
Assessment
The assessment is the initial stage and the main basis of the nursing process. The assessment stage consists of collecting data and formulating client needs or problems. Data collected includes biological, psychological, social and spiritual data.
Data collection is carried out on clients with impaired social interactions: withdrawal, including:
a. Client identity and client responsibility
The identity includes name, age, religion, occupation, education, marital status.
b. Reasons to be treated
Reasons for treatment include: major complaints and history of the disease. The main complaint is about the cause of the client or family coming to the hospital and the client's complaint during the assessment. In the history of the disease there are predisposing factors and precipitation. In the predisposing factors studied about the factors supporting the client to experience impaired social interaction: withdrawal. Precipitation factors are examined about the precipitating factors that cause clients to experience impaired social interaction : withdrawal.
c. Physical examination
Physical examination is carried out which includes vital signs, measurements such as weight, height, and physical examination according to client complaints.
d. Psychosocial
In psychosocial genogram included describing the pattern of interaction, genetic factors in the family associated with mental disorders. It also studies self-concept, social and spiritual relationships. In self-concept data that is generally obtained from clients with impaired social interactions: self-stimulation, namely interference with self-esteem.
e. Mental status
In mental status, data that often arises are: motor decline, passive speech, natural feelings of sadness, a change in sensory / perception: hallucinations.
f. Needs preparation for going home
Includes matters about the client's readiness to go home or to undergo treatment at home, namely eating, defecating / urinating, bathing, dressing, resting and sleeping, drug use, health care, activities inside the house, and activities outside the home .
g. Coping mechanism
It is a mechanism that is directed at managing stress, including efforts to solve problems directly and mechanisms used to protect themselves. The mechanism that is often used by individuals to deal with anxiety related to withdrawing.
h. Knowledge
Knowledge includes less knowledge about mental illness, precipitation factors, support systems, coping and others.
i. Medical aspects
Data collected includes medical diagnoses and medical therapies that the client goes through.
List of nursing problems:
Some nursing problems that arise in clients with social relationship disorders according to Nanda, quoted from Stuart & Sundeen are:
a. Risk for violent behavior
b. Disturbed sensory perception: hallucinations
c. Impaired social interaction - withdraw
