Royce Shook

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Loneliness in the time of COVID Conclusion and Resources

The following is part five of an article written by a friend of mine, Ken who shared it with his community, the Tri-Cities Seniors Action Society, of which I am on the Board.

Conclusions

Preventing loneliness in institutionalized persons is at least as important as helping them with personal hygiene. This is especially important during the COVID-19 pandemic when residents are not allowed contact with other individuals to reduce the risk of infection. Implementation of some of the strategies listed in this article requires education of staff members and supply of required items; however, this effort can significantly improve the quality of life of residents affected by pandemic restrictions.

Results: What interventions/strategies might support social connection for people living in LTC homes in the context of infectious disease outbreaks like COVID-19?

Interventions/strategies to support social connection for people living in LTC homes in the context of COVID-19

· Opportunities for creative expressions, like art, music or storytelling: COVID-19 Context:

Individualized creative activities based on the residents.

personhood; including music & art.

Individualized Activity Kits (14-day isolation period); using information from completed personhood tools to put together while the person remains in hospital/community.

Challenges: inability to share products; needing to dedicate limited supplies to one resident; the architecture of some LTC homes; staffing.

Exercise:

COVID-19 Context:

Using pre-recorded, freely available online videos to assist with instructing residents in one-on-one exercise (with supervision).

Building “activity circuits” inside residents’ rooms, incorporating multiple tasks (e.g., bean bag toss, light exercises, folding laundry, etc.).

· Maintain religious and cultural practices: COVID-19 Context:

Using telephone or videoconference to connect with a religious community.

Offering residents online or pre-recorded videos of religious observances.

In Indigenous LTC homes, incorporating traditional wellness practices, such as residents making cedar tea as an individualized activity.

· Garden, either indoors or outside COVID-19 Context:

In-Room gardening; use of real and artificial plants.

Outdoor vegetable gardening (individual activity instead of a group.

· Visit with pets:

COVID-19 Context:

Encouraging families to bring pets to window visits.

Continuing community-based pet therapy programs through window visits; visits from some larger animals, like goats and horses.

Alternative solutions to incorporate animals: robotic pets.

· Use technology to communicate: COVID-19 Context:

Facilitating video calls between residents and their families and friends, mostly using tablets; weekly videoconference schedules, with allocated time (e.g., 45-minutes) for each resident.

Creating specific email addresses for families and friends to send emails, photos and videos to residents during times where they could not visit. Email messages were printed from inside the LTC Home and delivered to the resident and, in some cases, read aloud by LTC Team Members to the resident. Photos and videos were shared via tablets. Initiating ways for residents to use tablets to respond to emails with a short voice and/or video messages.

Using projectors and projection systems to engage in interactive virtual activities.

· Laugh together:

COVID-19 Context:

Adding joy and humour to window visits, such as with a ‘kissing booth’, games (e.g., tic tac toe with dry erase markers) and parades from local organizations.

Using the spaces and activities within homes for fun and enjoyment, such as makeshift ice cream trucks, hallway ‘Happy Hours’ and decorated ‘Tuck Shops on Wheels’.

· Reminisce about people, places and events COVID-19 Context:

Involving community-based programs providing virtual programming via videoconference or telephone, such as reminiscence programs on specific topics (e.g., travel, hobbies, etc.) Creating personalized tools for residents; one LTC home developed a ‘Talking Points Key Ring’ for a resident, with laminated cards containing favourite photos, artworks, sayings and conversation topics and that could spark conversations.

· Communicate non-verbally:

COVID-19 Context:

Facilitating pen pal programs whereby residents to write to one another.

Encouraging letter mail exchange between residents and family and friends.

Supporting ‘Friendly Letter’ programs, whereby individuals outside the LTC home would exchange letters with residents, sometimes in collaboration with organizations (e.g., local Alzheimer Society).

References:

Strict COVID-19 protocols are leaving seniors lonely, depressed and wondering: Is it worth it? - Macleans.ca

Social connection in residents of long-term care homes: mental health impacts and strategies during COVID-19 (brainxchange.ca)

Social connection in residents of long-term care homes on Vimeo

HOME | Caregivers4Change

Loneliness and Isolation in Long-term Care and the COVID-19 Pandemic (nih.gov)

Loneliness in the time of COVID Conclusion and Resources

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