ON LONELINESS AND THE ELDERLY
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Loneliness in the elderly is a problem commonly encountered in nursing situations. This article addresses what loneliness is and the concepts underlying the problem; the relationship of loneliness to social isolation, powerlessness, and decreased self-esteem; and nursing interventions to resolve the problem. Examples are given and an exploration of loneliness as an iatrogenic emotional problem is undertaken.Keywords:
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ABSTRACT Loneliness has been associated with cognitive deterioration, social isolation, hopelessness, and the inability to perform independent activities of daily living. Three factors have been found to increase levels of loneliness among elderly individuals residing in a nursing home: lack of intimate relationships, increased dependency, and loss. Nurses in long-term care facilities are in a position to directly intervene with elderly residents. Individualized interventions will allow the resident to have greater well being and greater quality of life.
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The health benefits of social support have been widely documented. However, the social distancing practices from the COVID-19 pandemic is causing social disruption on a grand scale, potentially causing poor health outcomes. Through Google Trends analysis, we found a COVID-19-related surge in interest surrounding "loneliness." We assessed if social isolation and loneliness increase the risk for all-cause and cardiovascular disease (CVD) mortality (ICD-10: I00–I99) and used the data to create a conceptual framework. Using the 10-year overall and cardiovascular mortality follow-up data (n = 12,019) from the National Health and Nutrition Examination Survey (1999–2008), we conducted survival analyses and found that individuals who experience social isolation or loneliness have a significantly higher likelihood of overall and CVD mortality than those without support. These effects generally remained strong with further adjustment for NHANES-detected health and demographic differences show...
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The aim of this article is to quantitatively explore the relationship between disability, emotional loneliness and social isolation. The data analysis presents a number of statistically significant findings which illustrate that disabled people (N = 250) were at increased risk of experiencing emotional loneliness and social isolation compared with the nondisabled group (N = 355). This study identifies a number of disabling barriers which result in this overrepresentation of disabled people. The study aims to move away from a pathological explanation of linking loneliness and social isolation to disability, in order to explain this occurrence from a barrier-based approach.
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As the older adult population group has been increasing in size, there has been evidence of growing social isolation and loneliness in their lives. The increased use of information communication technology and Internet-supported interventions has stimulated an interest in the benefits of e-Interventions for older people and specifically in having a role in increasing social networks and decreasing loneliness. A systematic review of e-Interventions to reduce loneliness in older people was conducted with the aim to synthesize high quality evidence on the effectiveness of e-Interventions to decrease social isolation/loneliness for older people living in community/residential care. A systematic search of 12 databases for reviews published between 2000–2017 was conducted using search term synonyms for older people, social isolation and interventions. Three independent researchers screened articles and two reviewers extracted data. The Revised-Assessment of Multiple Systematic Reviews was used to assess the quality of reviews. The final search identified 12 reviews, which included 22 unique primary research studies evaluating e-Interventions for social isolation or loneliness. The reviews were of moderate quality and the primary studies showed a lack of rigor. Loneliness was most frequently measured using the University California Los Angeles Loneliness Scale. Despite the limitations of the reviewed studies, there is inconsistent and weak evidence on using e-Interventions for loneliness in older people.
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In the midst of COVID-19, the nation has become increasingly aware of the impact of social isolation on physical, social, spiritual, and psychological health. Older adults, especially those who are nearing the end of life, are already at higher risk of the detrimental effects of social isolation and loneliness. Novel social distancing rules imposed by governments and agencies during the COVID-19 pandemic have caused older adults to experience a degree of social isolation and loneliness that is unprecedented. This article highlights aspects of the social isolation and loneliness literature. Three cases of elderly patients who required medical care during the COVID-19 pandemic are presented. Common themes of factors contributing to social isolation in each of the health care delivery settings are described, and opportunities for creative interventions by health care providers are identified. As the pandemic continues to unfold and evolve, providers should aim to regularly assess patient risk of isolation and be proactive in preventing negative effects. Additionally, what is learned from health care providers' experiences delivering palliative care during a pandemic can be incorporated into daily practice as social isolation and loneliness are long-standing challenges for the elderly population.
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Abstract This study concerns the domain of community development and probes methods of preventing isolation and loneliness. In so doing, this fundamental investigation attempts to answer the research question, “Which types of remedies, social or spatial, are more effective in alleviating isolation and loneliness, and in which aspects are they useful?” The study purposed to essentially evidence a means of evaluating the effectiveness of such social and spatial prescriptions by inferring the associations between isolation/loneliness and social and spatial preferences. The present investigation adopted a method that holistically considered both loneliness and isolation and conducted a complex analysis of these states. It employed a stochastic choice model with discrete dependent variables to elucidate the relationship between isolation and loneliness and social and spatial prescriptions.
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Abstract Social disconnection is a major public health concern. Informal dementia caregivers are particularly vulnerable to social isolation and loneliness, as the majority are older adults and at elevated risk of adversity. Technology-based interventions could offer accessible, affordable, and convenient solutions. Using a scoping review approach, we aimed to identify and synthesize existing technology-based interventions to address social isolation and loneliness among informal dementia caregivers. In a systematic search across six databases within the last ten years, ten eligible studies were included. The intervention type, format, and duration varied widely. The results suggested that technology-based interventions could reduce feelings of loneliness and improve caregiver well-being. The findings offer opportunities to use technology to reduce or prevent social isolation and loneliness. Investigating the role of technology in interventions addressing social isolation and loneliness among informal dementia caregivers could potentially overcome barriers to low uptake of services and improve sustainability of the interventions.
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The COVID-19 pandemic compelled states to limit free movement, in order to protect at-risk and more vulnerable groups, particularly older adults. Due to old age or debilitating chronic diseases, this group is also more vulnerable to loneliness (perceived discrepancy between actual and desired social relationships) and social isolation (feeling that one does not belong to society). This forced isolation has negative consequences for the health of older people, particularly their mental health. This is an especially challenging time for gerontological nursing, but it is also an opportunity for professionals to combat age stereotypes reinforced with COVID-19, to urge the measurement of loneliness and social isolation, and to rethink how to further adjust interventions in times of crisis, such as considering technology-mediated interventions in these uncertain times.
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