scholarly journals The psychosocial adaptability of independently living older adults to COVID‐19 related social isolation in the Netherlands: A qualitative study

2021 ◽  
Author(s):  
Evi M. Kremers ◽  
Jeroen H. M. Janssen ◽  
Minke S. Nieuwboer ◽  
Marcel G. M. Olde Rikkert ◽  
G. M. E. E. (Geeske) Peeters
Keyword(s):  
Older Adults ◽  
Qualitative Study ◽  
The Netherlands ◽  
Social Isolation

‘Patients come with two garbage bags full of problems and we have to sort them.’ A qualitative study of the experiences of healthcare professionals on patients admitted to short-term residential care in the Netherlands

2021 ◽  
Author(s):  
Judith H van den Besselaar ◽  
Linda Hartel ◽  
Joost D Wammes ◽  
Janet L MacNeil-Vroomen ◽  
Bianca M Buurman
Keyword(s):  
Older Adults ◽  
Qualitative Study ◽  
The Netherlands ◽  
Residential Care ◽  
General Health ◽  
Healthcare Professionals ◽  
Health Problems ◽  
Short Term ◽  
Patient Journey ◽  
Return Home

Abstract Background Short-term residential care (STRC) facilities were recently implemented in the Netherlands to provide temporary care to older adults with general health problems. The aim of STRC is to allow the individual to return home. However, 40% of patients are discharged to long-term care facilities. In-depth data about characteristics of patients admitted and challenges in providing STRC are missing. Objective To obtain perspectives of STRC professionals on the patient journey from admission to discharge. Design Qualitative study. Setting Eight nursing homes and three hospitals. Subjects A total of 28 healthcare professionals. Methods A total of 13 group interviews with in-depth reviews of 39 pseudonymised patient cases from admission to discharge. Interviews were analysed thematically. Results Many patients had complex problems that were underestimated at handover, making returning to home nearly impossible. The STRC eligibility criteria that patients have general health problems and can return home do not fit with current practice. This results in a mismatch between patient needs and the STRC that is provided. Therefore, planning care before and after discharge, such as advance care planning, social care and home adaptations, is important. Conclusions STRC is used by patients with complex health problems and pre-existing functional decline. Evidence-based guidelines, appropriate staffing and resources should be provided to STRC facilities. We need to consider the environmental context of the patient and healthcare system to enable older adults to live independently at home for longer.

scholarly journals Exploring the Experienced Impact of Studentification on Ageing-in-Place

2019 ◽  
Vol 4 (2) ◽  
pp. 96-105 ◽  
Author(s):  
Debbie Lager ◽  
Bettina Van Hoven
Keyword(s):  
Older Adults ◽  
Qualitative Study ◽  
Health Services ◽  
The Netherlands ◽  
Public Transport ◽  
Negative Experiences ◽  
Ageing In Place ◽  
Neighbourhood Change ◽  
Negative Impacts ◽  
Depth Interviews

In this qualitative study we explore the experienced impact of studentification on ageing-in-place (i.e., ageing in one’s own home and neighbourhood for as long as possible). Studentification, which refers to concentrations of students in residential neighbourhoods, has been associated with deteriorating community cohesion by several authors. This can negatively affect existing neighbourhood support structures. In examining this topic, we draw on in-depth interviews with 23 independently living older adults (65+) which were conducted in a studentified urban neighbourhood in the Netherlands. Our results show how the influx of students in the neighbourhood negatively affected older adults’ feelings of residential comfort. In spite of this, none of the participants expressed the desire to move; they experienced a sense of familiarity and valued the proximity of shops, public transport and health services, which allowed them to live independently. To retain a sense of residential mastery, our participants dealt with negative impacts of studentification, at least in part, by drawing on accommodative coping strategies that weigh in broader experiences of physical and social neighbourhood change. In doing so, they rationalised and reassessed their negative experiences resulting from studentification. We discuss the implications of our findings for the development of age-friendly neighbourhoods.

Impact of social isolation and coping strategies in older adults with mild cognitive impairment during the covid-19 pandemic: A qualitative study

2021 ◽  
pp. 1-22
Author(s):  
Maryam Farhang ◽  
Claudia Miranda-Castillo ◽  
Maria Isabel Behrens ◽  
Eduardo Castillo ◽  
Sandra Mosquera Amar ◽  
...  
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Qualitative Study ◽  
Coping Strategies ◽  
Social Isolation ◽  
And Coping

Loneliness and social isolation among older adults in a community exercise program: a qualitative study

2018 ◽  
Vol 23 (6) ◽  
pp. 736-742 ◽  
Author(s):  
Jiyoung Hwang ◽  
Lisa Wang ◽  
Jodi Siever ◽  
Talia Del Medico ◽  
Charlotte A. Jones
Keyword(s):  
Older Adults ◽  
Qualitative Study ◽  
Social Isolation ◽  
Exercise Program

Social isolation and health in older adults

2003 ◽  
Author(s):  
John T. Cacioppo ◽  
Louise C. Hawkley
Keyword(s):  
Older Adults ◽  
Social Isolation

Addressing Social Isolation To Improve the Health of Older Adults: A Rapid Review

2019 ◽  
Author(s):  
Stephanie Veazie ◽  
Jennifer Gilbert ◽  
Kara Winchell ◽  
Robin Paynter ◽  
Jeanne-Marie Guise
Keyword(s):  
Older Adults ◽  
Social Isolation ◽  
Rapid Review

Addressing COVID-19 Worry and Social Isolation in Home-Based Primary Care

2020 ◽  
Author(s):  
Rachel Elizabeth Weiskittle ◽  
Michelle Mlinac ◽  
LICSW Nicole Downing
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Primary Care ◽  
Social Workers ◽  
Social Isolation ◽  
Mental Health Providers ◽  
Health Providers ◽  
Home Based Primary Care ◽  
Home Based ◽  
Socially Isolated

Social distancing measures following the outbreak of COVID-19 have led to a rapid shift to virtual and telephone care. Social workers and mental health providers in VA home-based primary care (HBPC) teams face challenges providing psychosocial support to their homebound, medically complex, socially isolated patient population who are high risk for poor health outcomes related to COVID-19. We developed and disseminated an 8-week telephone or virtual group intervention for front-line HBPC social workers and mental health providers to use with socially isolated, medically complex older adults. The intervention draws on skills from evidence-based psychotherapies for older adults including Acceptance and Commitment Therapy, Cognitive-Behavioral Therapy, and Problem-Solving Therapy. The manual was disseminated to VA HBPC clinicians and geriatrics providers across the United States in March 2020 for expeditious implementation. Eighteen HBPC teams and three VA Primary Care teams reported immediate delivery of a local virtual or telephone group using the manual. In this paper we describe the manual’s development and clinical recommendations for its application across geriatric care settings. Future evaluation will identify ways to meet longer-term social isolation and evolving mental health needs for this patient population as the pandemic continues.

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