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Social support and the chronically ill individual.

V P Tilden, C Weinert

    The Nursing Clinics of North America
    |September 1, 1987
    PubMed
    Summary

    Nurses must address social isolation and impairment in chronically ill patients. Interventions can improve social interaction and support networks for patients and their families.

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    Area of Science:

    • Nursing
    • Social Sciences
    • Psychology

    Background:

    • Chronic illness significantly impacts patients' social support systems and networks.
    • Family dynamics shift, often leading to over-protection, dependence, and caregiver exhaustion.
    • Emotional distress (anger, guilt, helplessness) can cause social withdrawal from the support network.

    Purpose of the Study:

    • To highlight the prevalence and impact of social isolation and impairment in chronically ill patients.
    • To outline nursing interventions for managing social challenges in chronic illness care.
    • To emphasize the role of nursing diagnosis in addressing social support needs.

    Main Methods:

    • Literature review on social dynamics in chronic illness.
    • Analysis of nursing roles in mitigating social isolation.
    • Identification of nursing interventions for social impairment.

    Main Results:

    • Social isolation and impairment are common issues for the chronically ill and their families.
    • Nursing interventions can effectively reduce social isolation by promoting interaction and expanding social networks.
    • Impaired social interaction can stem from personality changes or the illness itself, necessitating tailored nursing approaches.

    Conclusions:

    • Nurses must proactively identify and manage social isolation and impairment in chronically ill patients.
    • Effective nursing care for chronic illness necessitates a focus on social support systems.
    • Nursing diagnosis provides a structured approach to integrating social support into patient care plans.

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