scholarly journals Social isolation impact on the patients' treatment in Poland medical institutions

2020 ◽  
Vol 28 (4) ◽  
pp. 143-150
Author(s):  
Marcin Kesy ◽  
Dariusz Pawliszczy

Purpose – to demonstrate the links between social exclusion and the higher costs of treating customers depending on this social sector, unlike other customers who are neither unemployed nor live in poverty. Design/Method/Approach of the research. In the external study, a survey method was used, supplemented with a method of observation at the study site. The authors of the publication carried out research using the qualitative method, formalized interview with medical staff. This research was done in University Hospital in Wroclaw in 2018. Findings. Any health organization must create good relations inside the organization and mostly from outside. One of them is a patient that the author calls a "customer" as every person spends money on health organization leading to the proper hospital functioning. Decision-makers within the system continuously must make choices and seek alternative ways to measure illness costs. One of the factors that harm the optimization of the health services' scale is the social exclusion phenomenon, which is significantly affecting society. Socially isolated people's problems are deprivation, as a lack of access to the necessary level of high-quality, safe, and effective medical services, and cultural competence to provide such medical services. The ex-post analysis conclusions show that relationships between the analyzed areas and the social exclusion phenomenon have a medium and even large dependency and demonstrate cause-effect relationships. Management of customers with the disfunction of medical personnel social requires using other means of communication and building relationships on facts. The communication model between medical personnel and the customer should be founded on a moderate paternalistic model, which is based on facts and documents. The result will be a reduction in service time, which will affect consultation time, financial savings, and an increase in medical personnel efficiency. Originality/Value. In the research of socially isolated people's health problems, three aspects was distinguished: health problems caused by social isolation, health problems that cause social exclusion, and health conditions that are difficult to treat due to social isolation. Paper type – empirical.

The Autism Spectrum Disorder(ASD) are distinguished by persistent deficits in social communication and social interaction and restricted and repetitive patterns of behavior. Coronaviruses are an extremely common cause of colds and other upper respiratory infections. COVID-19, short for “coronavirus disease 2019”. The fast spread of the virus that causes COVID-19 has sparked alarm worldwide. The World Health Organization (WHO) has declared this rapidly spreading coronavirus outbreak a pandemic. Most of the countries around the world are adopting social distancing to slow the spread of coronavirus. There are several possible impacts of this pandemic on the daily lives of individuals with ASD, such as worsening of dysfunctional behaviors and regression of skills already acquired in different domains of development due to the social isolation. The objective of this article is to provide guidance to parents, health and education professionals that live or work with ASD individuals during the social isolation, on how to manage interventions that can be executed in the home environment, like remote training in language and social communication skills, behavioral strategies and sensory integration activities


Author(s):  
Aldona Żurek

In modern societies, the number of people who are socially isolated and experience constant feeling of loneliness is increasing. Main causes of this social isolation are associated with both inherent features of an individual and features of structures such as family and local community. An isolated person is a person who has limited number of significant others. Nevertheless, loneliness may also occur when a person is a part of a lot of social relations. The feeling of loneliness is therefore an individually experienced discomfort resulting from a subjective evaluation of the desired and the existing network of social relations. Both phenomena are threats to the welfare of individuals and at the same time are a challenge for organizations which are dealing with social policy. An analytical category which provides the diagnosis of loneliness and isolation is the social bond. The assessment of deficits associated with social bonds and can be performed measuring following criteria: quantity, quality and potency of the social bond.


2019 ◽  
Author(s):  
Eva Rens ◽  
Rudi D’Hooge ◽  
Ann Van der Jeugd

AbstractIn this study the effects of social isolation (SI) were investigated in APP/PS1 mice. It was found that SI during adolescence has an impact on anxiogenic behaviour, such that isolated animals tend to explore a threatening environment less than non-isolated animals as assessed with the EPM test, and that this holds for both AD and non-AD mice. While no evidence was found for any differences in short-term memory as assessed by the Y-maze, long-term memory seemed to be affected in a context-dependent manner. Object memory as assessed with the NOR test was affected in APP/PS1 mice compared to WT mice, but this deficit was not induced or influenced by SI. When it comes to social recognition memory however, we found that SI exacerbated the social memory deficit in AD mice, and even induced a deficit in WTs. Associative fear memory as assessed with the PA test suggested that WTs perform better when group housed, and APP/PS1 mice better when socially isolated. The link between isolation and AD, or cognition in general, may be more complex than initially thought. The effect of isolation may not be the same for AD versus non-AD subjects.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Mark Eddison

AbstractProlonged periods of forced social isolation is detrimental to well-being, yet we know little about which genes regulate susceptibility to its effects. In the fruit fly, Drosophila melanogaster, social isolation induces stark changes in behavior including increased aggression, locomotor activity, and resistance to ethanol sedation. To identify genes regulating sensitivity to isolation, I screened a collection of sixteen hundred P-element insertion lines for mutants with abnormal levels of all three isolation-induced behaviors. The screen identified three mutants whose affected genes are likely central to regulating the effects of isolation in flies. One mutant, sex pistol (sxp), became extremely aggressive and resistant to ethanol sedation when socially isolated. sxp also had a high level of male–male courtship. The mutation in sxp reduced the expression of two minor isoforms of the actin regulator hts (adducin), as well as mildly reducing expression of CalpA, a calcium-dependent protease. As a consequence, sxp also had increased expression of the insulin-like peptide, dILP5. Analysis of the social behavior of sxp suggests that these minor hts isoforms function to limit isolation-induced aggression, while chronically high levels of dILP5 increase male–male courtship.


2020 ◽  
Author(s):  
Juliana Marques de Abreu ◽  
Roberta Andrade de Souza ◽  
Livia Gomes Viana-Meireles ◽  
J. Landeira-Fernandez ◽  
Alberto Filgueiras

AbstractBackgroundA disease discovered in China, COVID-19, was characterized by the World Health Organization (WHO) as a pandemic in March 2020. Many countries in the world implemented social isolation as a strategy to contain the virus transmission. The same physical distancing which protects society from COVID-19 from spreading may have an impact on the mental health and well-being of the population This study aims to shed some light on this phenomenon by assessing the relationship between physical activity and SWB among individuals in the social isolation period of COVID-19.MethodsData were collected in Brazil between March 31st and April 2nd, 2020. All volunteers agreed to participate by digitally checking the option of agreement right after reading the Consent Terms. The inclusion criteria were participants over 18 years old who had been in social isolation for at least one week and agreed to the Consent Terms. Three instruments were used: a questionnaire was built for this study which aimed to assess the participants’ exercise routine. The second instrument called Psychosocial Aspects, Well-being and Exercise in Confinement (PAWEC) was also created by these researchers and aimed to assess the relationship between well-being and physical activity during the social isolation period. And the third measure was the Brazilian Portuguese-adapted version of the Positive and Negative Affect Schedule (PANAS).FindingsA total of 592 participants reported being in social isolation for an average of 14.4 (SD=3.3) days. The amount of participants who reported strength training as exercise increased from 31 (5.2%) before isolation to 82 (13.9%) during quarantine. The study shows that well-being related to the practice of physical activity during quarantine is linked to an established routine of physical activity prior to the social isolation period.InterpretationPeople who already practiced physical activity feel more motivated to continue practicing during this period and this causes the appearance of positive affects, unlike people who are only now starting to exercise; according to the study, negative aspects can occur for those who are only just starting. In a period of social isolation, it is important that the practice of physical activity is closer to previous habits, also finding that an obligation to exercise during this period when this was not a reality for the person can contribute to an increase in malaise.


REGION ◽  
2021 ◽  
Vol 8 (2) ◽  
pp. 83-97
Author(s):  
Lise Bourdeau Lepage ◽  
Balázs Kotosz

In response to the Covid‑19 health crisis, the French government has imposed various measures, referred to as social-distancing measures, including a lockdown with the primary objective of reducing face-to-face interactions between people in order to limit the spread of the virus. This paper seeks to determine if the social-distancing measures and lockdown lead to social isolation for certain people and have an impact on French people’s well-being. First, it reveals that the feelings of social isolation have substantially increased in France during this lockdown.  Second, it explores the factors that help to explain these changes by developing a predictive model and reveals that living alone, being a woman, being young are factors that explain this increase in felling of social isolation. Third, the estimation of the effects of changes in feelings of social isolation on changes in the reported level of well-being of French respondents during lockdown shows that people who reported feeling more socially isolated than others has the lowest levels of well-being among the French population; and that the increase in people’s feelings of social isolation during lockdown is a factor that has a negative impact on their level of well-being.


2018 ◽  
Vol 18 (1) ◽  
pp. 16-20 ◽  
Author(s):  
Hiroshi Saito ◽  
Nobuyuki Kagiyama ◽  
Noriko Nagano ◽  
Kozue Matsumoto ◽  
Kenji Yoshioka ◽  
...  

Background: Social isolation has been reported to be associated with decreased quality of life and the onset of organic diseases. The objective of this study was to investigate the prevalence of social isolation in patients with heart failure and whether it is associated with rehospitalization. Methods and results: The study included consecutive patients aged ⩾55 years who were hospitalized due to heart failure. Social isolation was assessed using total scores less than 12 on an abbreviated version of the Lubben Social Network Scale. The endpoint was heart failure rehospitalization within 90 days after discharge. Among 148 patients with heart failure (80±8 years old, 51% male), 73 (49%) were socially isolated. The patients with social isolation had similar comorbidities compared with those without social isolation. Heart failure rehospitalization occurred within 90 days for 25 patients and the heart failure rehospitalization rate was significantly higher in the social isolation group ( p=0.036). LASSO (least absolute shrinkage and selection operator) regression confirmed that social isolation was one of the strongest predictors of heart failure rehospitalization, showing larger effects than living alone, being unemployed, and other established risk factors. Conclusion: Half of the patients with heart failure reported social isolation, which had a strong association with heart failure rehospitalization.


2020 ◽  
pp. 095001702096790
Author(s):  
Jan Eckhard

Using longitudinal data from the German Socio-Economic Panel, the study examines whether the impact of unemployment on the risk of becoming socially isolated is different for women and men and whether it can be traced back to financial straits. An isolating effect of unemployment is found only with regard to men, to long-term unemployment, and to social isolation in terms of scarce contact to friends and family. There is no such effect with regard to women, to short-time unemployment, and to social isolation in terms of a non-participation in civic associations. It is also found that the isolating impact of unemployment is only to a small extent attributable to the financial situation of the unemployed.


2017 ◽  
Vol 36 (3) ◽  
pp. 925-939 ◽  
Author(s):  
Nancy E. G. Newall ◽  
Verena H. Menec

Research shows that social isolation and loneliness are important health issues for older adults. This message is increasingly being recognized by policy makers and service providers. Although the concepts of loneliness and social isolation are often discussed and compared with one another, they are largely examined separately, even if they are both included in the same study. In the present article, we argue for bringing together these two related concepts. For example, focusing only on social isolation overlooks differences between those older adults who are socially isolated and lonely versus socially isolated but not lonely. Consequently, we discuss four groups of older adults: isolated, but not lonely; lonely in a crowd; isolated and lonely; and not isolated or lonely. We argue that considering loneliness and social isolation together will aid in the understanding of the social situation of older adults and can provide new directions for research and intervention programs for older adults.


2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Dr. Shankarlinge Gowda ◽  
Dr. Chandrakant Jamadar

The present study aims to find out the prevalence of shyness among adolescents in tribal and rural areas as well as to find out the relationship between of occupational preference among adolescents of tribal and rural areas, influence of shyness levels, gender, and income on job preference among the adolescents. The experience of shyness can occur at any or all of the following levels: cognitive, affective, physiological and behavioural and may be triggered by a wide variety of situational cues. Since shyness could affect any dimension, the present study aims to identify the influence of shyness on occupational preference of the adolescents. The study of adolescent shyness has implications for understanding some of the more extreme examples of adolescent violence as exhibited by recent high school shootings perpetrated by shy, socially isolated, angry adolescents labeled as “cynically shy” (Carducci, 2000) and the development of strategies for reducing the social isolation experienced by such socially disenfranchised adolescents. Finally, severe shyness that continues into the later years of life can result in chronic social isolation that leads to increasingly severe loneliness and related psychopathology, and even to chronic illness and a shorter life span. Lastly, after studying the shyness aspects and relationship with other variables, an attempt will be made to suggest few remedial measures for shyness.


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