Nursing Care for Mr. S and Mr. F Who Experienced Social Isolation with Paranoid Schizophrenia in The Elang Room Dr. Soeharto Heerdjan Jakarta

Eneng Rifki Faujiah, Fitria Prihatini, Herlina

Abstract

Schizophrenia is a condition where individuals experience difficulties with their perceptions of life, difficulties in establishing relationships with other people, and difficulties in determining attitudes for themselves. One of the negative symptoms of schizophrenia is withdrawing from the environment. The subjects in this case study used 2 clients of social isolation in the Eagle room of RSJ Dr. Suharto Heerdjan Jakarta. The aim is to obtain an overview of nursing care for mental clients with social isolation in paranoid schizophrenia. The design of this study uses a qualitative approach with descriptive study analysis. The results of research conducted on client I (Mr. S) and client II (Mr. F), in this study both found the same medical diagnosis, namely paranoid schizophrenia. After conducting an assessment of the two clients, they found the same nursing problems, including social isolation, sensory perception disorders, hallucinations: hearing loss, low self-esteem, ineffective family coping, ineffective therapy regimens, risk of violent behavior, and only self-care deficits that only exist in client I (Mr. S). Then carry out the implementation strategy 1 to build a trusting relationship, educate clients about the advantages and disadvantages of socializing, and train clients to get to know 1 person. Implementation strategy 2 trains to get acquainted with 2 people. Implementation strategy 3 teaches getting to know 3 or more people. Implementation strategy 4 teaches socializing in groups. Conclusion; Nursing care for Mr. S & Mr. Suggestions for families to include clients in activities and involve clients in family discussions.