Saturday, October 10, 2020

Memory Tip No. 15: Self-efficacy, Self-worth, and Exercise

It can be difficult to motivate your residents to participate in your exercise classes. Self-efficacy concerning exercise adherence is a person's confidence in his or her ability to be consistent with an exercise program. Self-worth tests assumptions about the value of the exercise for the individual. If a person is confident and finds value in an exercise program, then the person will be intrinsically motivated to continue exercise. This means that self-talk and memory triggers should be about desired health outcomes and improved quality of life rather than just being about weight loss and body image. This will help the individual find the confidence and the value needed to be consistent with an exercise program over the life course.


Saturday, August 15, 2020

COVID-19 and Resident Loneliness

In the past, residents in nursing homes were assigned to receive one-to-one visits if the resident was adjusting to nursing home placement, refused social interaction, or were at further risk of decline. The goal would be for residents to have a balanced day of social interaction and independent activity of their interest. According to Cacioppo, Capitanio, and Cacioppo (2014), to avoid loneliness, one-to-one visits conducted by families, volunteers, or staff members must be personal, and they must consist of a positive social relationship to be meaningful.

Research continues to inform us the there is a strong link to perceived loneliness and high morbidity and mortality rates. Interestingly, Cacioppo et al. (2014) stated that when the brain senses a loss of mutual assistance or security, it puts the brain into a self-preservation mode that involves survival-based behaviors. For residents living with dementia or other cognitive deficit, survival-based behaviors may emerge as wandering, hoarding, self-isolation, and hypervigilance with a perceived social threat. The research indicates that perceived loneliness is vital to understand and consider as we design meaningful one-to-one visits during the COVID-19 pandemic without the help of family and volunteers. -Dr. Stewart



Cacioppo, S., Capitanio, J. P., & Cacioppo, J. T. (2014). Toward a neurology of loneliness. American Psychological Association

2014, Vol. 140, No. 6, 1464–1504 0033-2909/14/$12.00


Friday, August 7, 2020

What Counts as a Meaningful One-to-One Visit?


As a caregiver, family member, activity professional, or direct care provider, have you ever wondered if your care or one-to-one visits were meaningful enough to produce the best health outcomes for your patient or resident? For over a century, epidemiological studies have found a link between social isolation and morbidity and mortality. According to Cacioppo, Capitanio, and Cacioppo (2014), the social control hypothesis suggests that socialization promotes better health behaviors and reduces morbidity and mortality. However, it is essential to note that interactions with others can be warm, gratifying, or harsh and rushed. When ADL visits or one-to-one visits are harsh and rushed or impersonal, and without empathy, the patient's perception of loneliness amid human interaction may increase feelings of social isolation (Cacioppo, Capitanio & Cacioppo, 2014). Therefore, a patient can feel isolated and lonely, even with caregivers and family, or when residing in a facility if interactions with others are impersonal and without a positive social relationship.-Dr. Stewart


Cacioppo, S., Capitanio, J. P., & Cacioppo, J. T. (2014). Toward a neurology of loneliness. Psychological Bulletin, 140(6), 1464–1504.