fear of associating with others because of possibility of contracting an infection;
stigma and discrimination associated with the diagnosis of AIDS and others' fear of contracting HIV;
decreased participation in usual activities because of weakness, pain, fatigue, and fear of falls;
withdrawal from others associated with fear of embarrassment resulting from decline in physical and mental functioning.
The client will not experience a sense of isolation and loneliness as evidenced by:
maintenance of relationships with significant others
no expression of feelings of isolation and loneliness.
Nursing Actions and Selected Purposes/Rationales
Assess for indications of isolation and loneliness (e.g. absence of supportive significant others; uncommunicative; withdrawn; expression of feelings of rejection, being different from others, or being lonely; hostility; sad, dull affect).
Implement measures to decrease isolation and reduce the risk for loneliness:
assist client to identify reasons for feeling isolated and alone; aid him/her in developing a plan of action to reduce these feelings
reinforce physician's explanation about the immune deficiency; assure client that continued social contact with healthy people will not cause disease or infection
provide information to client and significant others about how HIV is known to be transmitted; assure them that HIV does not spread through ordinary physical contact
demonstrate acceptance of client using techniques such as touch and frequent visits
encourage significant others to visit
encourage client to maintain telephone contact with significant others
schedule time each day to sit and talk with client
assist client to identify a few persons he/she feels comfortable with and encourage interactions with them
encourage client to allow friends and family to share their feelings and fears in order to reduce the possibility of their distancing from client
make items such as telephone, TV, radio, greeting cards, and newspapers accessible to client
have significant others bring client's favorite objects from home and place in room