What is it about?

A case report of a 68-year-old female with a historical diagnosis of mild cognitive impairment presented with social isolation exacerbated by the COVID-19 pandemic. She participated in a telephone-based psychosocial intervention program called Connection’s Plans for 8 weeks. Motivational interviewing techniques were used to encourage the patient to pick goals to improve the mind, body, and connections. In her connections goal, the patient expressed a desire to make a spiritual reconnection. Connecting back to the patient’s spirituality was one of the key interventions in this patient. Social isolation, resilience, self-efficacy, and cognition were assessed using standardized rating scales before and after the completion of the intervention. The interventions included multiple touchpoints with the Veteran. Some goals for rural may have been to learn to use video technology for telehealth or get out and walk regulary even if at their local Wal-Mart.

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Why is it important?

Spiritual reconnection and improved physical and emotional engagement may serve as protective factors against social isolation exacerbated by the pandemic (or equally trauma-evoking events) in older adults. This is a timely article due to many sociopolitical changes during the last four years since the COVID-19 pandemic.

Perspectives

I have worked for the past 3 years post-Covid to reach out to Veterans developing a Connection Plan. This method of intervention was introduced through an article by Dr. Kimberly A. Van Orden, Ph.D. I will link this article to our resources. The intervention incorporates the use of Motivational Interviewing, ABC's CBT, and active listening, person-centered sessions. We have conducted most of these by phone and some by Virtual connect F2F meetings. A mailed-out packet was sent to each person after the baseline visit with multiple VA and community resources to help them achieve their goals for physical activity and social connectedness. Mind goals were established based on the needs of the individual and could be reframed using ABC's CBT, or these could target lower TeleMoCA scores to improve cognition. Jigsaw puzzles, crossword puzzles, artwork, word searches, and word game application suggestions were sent to the Veteran. Each initial packet also included COVID-19 safety information from the CDC and NIH exercise recommendations for older adults. We found local senior centers and libraries were great places for connection and activity. The positive effects of reconnection to spiritual resources as in a church are considered part of overall well-being. I hope this article makes what people might think is a slightly abstract area of spirituality and measuring things like health, activity, and socialization interesting and maybe even exciting. Because it is an issue that touches every human being on this planet in one way or another. More than anything else, and if nothing else, I hope you find this article thought-provoking.

Christina Crawford, LAC, CRC
Central Arkansas Veterans Healthcare System

Read the Original

This page is a summary of: Spirituality for Social Isolation in a Patient with Cognitive Impairment: A Case Report, Journal of Alzheimer s Disease Reports, March 2024, IOS Press,
DOI: 10.3233/adr-220028.
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