INTRODUCTION Social isolation means the quantity & quality of the social relationships which a person has at individual, community, group & societal levels. Apart from this loneliness is a subjective feeling that is faced when there is a difference between a person's felt & ideal levels of social relationship. Furthermore, it has been examined that older adult are especially at risk, when late life changes that affect social connectedness & social networks. The report aims to demonstrate integrate relevant theory to highlight your understanding of primary prevention in relation to social isolation and loneliness among older people from a social care perspective. DESCRIPTION It has been determined that there has been a growing in this topic of social isolation and loneliness among older people over years (Christiansen, Larsen and Lasgaard, 2016). Moreover, elder aged people are considered as more vulnerable to loneliness & social isolation, and are at risk of number of health and social problems which can be connected to aloneness directly. It is a kind of state of social segregation; emotional loneliness that appear in the absence of close ones. It has been observed that, the range of lonely and isolated older people are seeking for assistance and this has risen by 42% in past few years reflecting Ireland's rapidly ageing population. I am a social carer, taking care of a lady in Ireland since 2 weeks and her name is Annette Egan. She is 75 years old professional woman, very happily married & having two children. She never thought that she would feel the kind of loneliness that makes her heart feel pain (Cohen- Mansfield and Perach, 2015). Due to work, she moved to Wales 20 years ago and met her husband and settled into life there. Then they both decided to return to Ireland two years ago so that their children would grow up there only. But afterwards she regretted about that decision and she realised that she never felt that loneliness before. Their children left them alone, and after few months her husband died and she is living alone from last 2 months. She works full-time so that she can ignore her isolation feeling. Even she does not have any close female friends any more in this country and she craves it & miss it so much. FEELINGS I have been taking care of her, and after I heart her story I felt very bad for her as after all this that has happened to her, she left her job and now she is living alone at home, performing homebasedworkforsurvival.FollowingthedeathofherhusbandMrsEganbecame 1
increasingly lonely and recently facing period of ill health, she told me that she sill feels particularly dejected and very alone at times. I have observed that her biggest form of companion is her TV, which she keeps watching on all day. This is because of her story I realised that, family relationships, instead of the loss of any family member is more common in recent years. Mrs Egan feels too much difficulty to change her clothes and often remains in night wears at the time of day (Coll‐Planas, Valle Gómez and Monteserin, 2017). EVALUATION As per my opinion, people at any stage of life can suffer feeling of loneliness & isolation. However, based on my experience I have observed that changes related with ageing mean that older adults can be specifically vulnerable as risk factors for loneliness & social isolation increase. According to case of Mrs Egan, I have understood that it is possible to be alone without being socially isolated. Moreover, it is also being discovered that broader social changes like; increased geographical adaptability, rise in individual person households and a decrease in intergenerational households has resulted in increase in number of loneliness in later life (Dahlberg, Andersson and Lennartsson,2015). Additionally, it was very painful and miserable experience with her as she was very unhappy with her life. Also, this has become chronic, progressively became tough for her to come through and was damaging her health too. Therefore, it made me felt bad for her and so I decided to support her to over come her from this tough situation. A key principle throughout was to assist her to work out what she needed to do to find positivity & purpose in her life again and then help her to achieve it. All I have done as a carer to treat her was performed very well by me as I encouraged her to get involve in social activities to assist her to reduce her isolation. I used to help her in household work like; seeping & mopping floors, cleaning wash-rooms, cleaning kitchen, etc. The good about my experience was that, she was very co-operative during her care period (Djukanović, Sorjonen and Peterson, 2015). ANALYSIS After few weeks she enjoyed my company, as I was treating her like a friend and wanted to make her feel safe and connected. Further, the power of personal relationship between a patient and social worker is considered very important part of addressing loneliness. Later, I asked my self that whether I should have given her extra support as she had lost her family, 2
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friends and spouse, as this could have made all the difference for her well-being rather than a spiral into depression (Wu and Penning, 2015). As she used to miss her female friends, to reduce her isolation I used to take her for walk in a nearby park and motivate her to stay active in her hobbies & interest. Also, provided her opportunities to maintain her sense of purpose & prevent her from becoming detached. This because, seniors who feel isolated may be unprotected to different unexpected issues. Moreover, I have observed that lack of transportation is a primary cause of social detachment, as many older adults do not drive and Mrs Egan has had no one in the family to take her out (Pontbriand., L., 2017). When she felt comfortable in communicating with me, I asked her several questions such as; how often does she feel lack of companionship?, how often does she feel left out?, and how often does she feel dejected from others?, answers of al these questions were very necessary for me to deeply understand her thoughts so that I assist her at my best. Although social isolation and loneliness was a major problem in her life, but the good news is that I helped her in many ways such as; I motivated her to re-engage in important relationships, start making new friends, etc. Also, because of my profession I knew that older people learn to enjoy, trust and connect in meaningful ways through technology, and so I taught MrsEganabouthoweffectivelyusingtechnologycanbenefitherthroughdigital communications and that she can talk to me anytime from anywhere (Taube,Kristensson and Jakobsson, 2015). CONCLUSION After experiencing Mrs Egan's situation, I realised that growing old is difficult especially if someone is alone. Further, loneliness and isolation can create different types of health issues, a sense of purposelessness, stress, depression, and so on. Thanks to our society who made these care providing organisations to assist people at institution and even at home as well. Nowadays various actions are undertaken to ensure that older adult don't experience those tough time alone. During my job of taking care of her, I realised that being a care provider to a loved one is a fantastic responsibility, particularly if that person is an old adult living a life of loneliness. It has been discovered that human beings are considered as social animals, and these personal relationships are very important factor for happiness and health. Later on I learned that I could have taken more effective actions to reduce her isolation (Taube, Jakobsson and Kristensson, 2016). Regular exercise could have been a better option as it gives not only a healthy mind but a healthy body as well. Also, Mrs. Egan's neighbours can be a helpful safety net for her. I should 3
have asked her neighbours to keep an eye on her and even help in simple housing activities. Apart from this, I should have tried to engage her in more interesting activities based on her interest (Hawkley and Kocherginsky, 2018). ACTION PLAN Based on my experience till now with Mrs. Egan's problem of isolation, I have discovered that what things I have done very well and what didn't work, and if I face any such problem again in the future, I will do it differently.I find that, Adult day health programs are considered as a great resource for many issues affecting older adults & their families. I will offer interesting activities and chances to them so that they can acquire new skills (Gardiner, Geldenhuys and Gott, 2018). 4
REFERENCES Books & Journals Christiansen, J., Larsen, F. B. and Lasgaard, M., 2016. Do stress, health behavior, and sleep mediate the association between loneliness and adverse health conditions among older people?.Social Science & Medicine.152.pp.80-86. Cohen-Mansfield, J. and Perach, R., 2015. Interventions for alleviating loneliness among older persons: a critical review.American Journal of Health Promotion.29(3). pp.e109-e125. Coll‐Planas, L., del Valle Gómez, G. and Monteserin, R., 2017. Promoting social capital to alleviate loneliness and improve health among older people in S pain.Health & social care in the community.25(1). pp.145-157. Dahlberg, L., Andersson, L. and Lennartsson, C., 2015. Predictors of loneliness among older women and men in Sweden: A national longitudinal study.Aging & mental health.19(5). pp.409-417. Djukanović, I., Sorjonen, K. and Peterson, U., 2015. Association between depressive symptoms and age, sex, loneliness and treatment among older people in Sweden.Aging & mental health.19(6). pp.560-568. Gardiner, C., Geldenhuys, G. and Gott, M., 2018. Interventions to reduce social isolation and lonelinessamongolderpeople:anintegrativereview.Health&socialcareinthe community.26(2). pp.147-157. Hawkley, L.C. and Kocherginsky, M., 2018. Transitions in loneliness among older adults: A 5- year follow-up in the National Social Life, Health, and Aging Project.Research on aging,40(4), pp.365-387. Taube, E., Jakobsson, U. and Kristensson, J., 2016. Being in a Bubble: the experience of loneliness among frail older people.Journal of advanced nursing.72(3). pp.631-640. Taube, E., Kristensson, J. and Jakobsson, U., 2015. Loneliness and health care consumption among older people.Scandinavian journal of caring sciences.29(3). pp.435-443. Wu, Z. and Penning, M., 2015. Immigration and loneliness in later life.Ageing & Society,35(1), pp.64-95. Online Pontbriand.,L.,2017.5TipstoReduceSeniorIsolation.[Online].Availableon: <https://www.salmonhealth.com/5-tips-to-reduce-senior-isolation/> 5
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