tions in physical appearance Altered state of wellness Deﬁning Characteristics (“evidenced by”) Expresses feelings of aloneness imposed by others Expresses feelings of rejection Developmentally inappropriate interests Inability to meet expectations of others Insecurity in public Absence of supportive signiﬁcant other(s) Projects hostility Withdrawn; uncommunicative Seeks to be alone Preoccupation with own thoughts Sad discount imuran 50mg visa spasms right side of body, dull affect Goals/Objectives Short-term Goal Client will verbalize willingness to be involved with others generic 50mg imuran muscle relaxant reversals. Long-term Goal Client will participate in interactions with others at level of abil- ity or desire. Be with the client to offer support during activities that may be frightening or difﬁcult for him or her. Most individuals keep the same style of relationship development that they had in the past. Help the client identify present relationships that are satisfying and activities that he or she considers interesting. Only the cli- ent knows what he or she truly likes, and these personal pref- erences will facilitate success in reversing social isolation. Risk Factors Caregiver not developmentally ready for caregiver role Inadequate physical environment for providing care Unpredictable illness course or instability in the care receiver’s health Psychological or cognitive problems in care receiver Presence of abuse or violence Past history of poor relationship between caregiver and care receiver Marginal caregiver’s coping patterns Lack of respite and recreation for caregiver Addiction or codependency Caregiver’s competing role commitments Illness severity of the care receiver Duration of caregiving required Family/caregiver isolation Goals/Objectives Short-term Goal Caregivers will verbalize understanding of ways to facilitate the caregiver role. Long-term Goal Caregivers will demonstrate effective problem-solving skills and develop adaptive coping mechanisms to regain equilibrium. Ensure that caregivers are aware of available community sup- port systems from which they can seek assistance when re- quired. Examples include respite care services, day treatment centers, and adult day-care centers. Caregivers require relief from the pressures and strain of providing 24-hour care for their loved one. Studies have shown that abuse arises out of caregiving situations that place overwhelming stress on the caregivers. Release of these emotions can serve to prevent psychopathol- ogy, such as depression or psychophysiological disorders, from occurring. Encourage participation in support groups composed of members with similar life situations. American Association on Intellectual and Developmental Disabilities—(800) 424-3688 c. Alzheimer’s Association—(800) 272-3900 Hearing others who are experiencing the same problems discuss ways in which they have coped may help the caregiver adopt more adaptive strategies.