Social Isolation as a Barrier to Healthcare Provision Among the Elderly


Social isolation is a major issue affecting the aging population in America. One of the aspects that renders the prevalence of the problem is the quality of health care services among senior citizens. It is crucial to assess the key variables that influence the effective treatment quotient among the counterparts to boost the medication process. In this case, Lewis et al. (2019) articulate that the core factor attributing to the improvement in service delivery entails integrating strategies that improve cognitive behavior among the practitioners and the old adults. Apart from the concept, other practices that elevate the quality of care include incorporating meta paradigms and technological instruments to improve decision-making (Lewis et al., 2019). Primarily, poor care provision within the facilities renders a profound difficulty during the physicians’ expertise and interaction with the adults.

Definition of Problem

The elderly in the United States encounter a prominent challenge concerning social seclusion. The causative aspect of the practice engulfs the impact of industrialization and capitalism that led to the limitation in family time and the accountability scale towards the elderly (Lewis et al., 2019). In this case, a significant percentage of individuals checked in their old age relatives in care homes. It is an initiative that fosters a profound benefit due to the prominent attention from the physicians and the interaction with peers. In a different spectrum, Kuluski et al. (2019) depict that the significant factor affecting the health of senior citizens in homecare facilities is social isolation. It is a form of neglect under four different levels: community, relationship, societal, and individual. Primarily, it is the responsibility of the management to enhance the performance among the medical practitioners to enhance the quality of care to the elderly.

Affected Population

Over the decades, the evolution of human society rendered prominent ideologies regarding care among elders. One of the significant challenges posed involves the quality of attention by nurses in care homes in the United States of America. On the one hand, the institution provides a solution for the handling of senior citizens. On the other hand, poor service delivery increases the risk of death among individuals based on social isolation and intervention mechanisms. According to Lewis et al. (2019), the neglected paradigm within the healthcare sector fosters a significant impact on the treatment of sick people. It is essential to establish initiatives that enhance the living quotient among the aging populace to boost society’s health index.

Cultural Implications

There is a significant interdependent relationship between healthcare quality and leadership toward addressing issues among aging. The cultural perspective in healthcare enshrines the optimal involvement of the administrative team in engaging practitioners toward advancing care among the elderly. It is the mandate of the management to monitor and ensure the proficient implementation of policies and the use of resources. Patient care is a service-oriented phenomenon encompassing the optimal exploitation of dynamic approaches to enhance the experience between all personnel (Kuluski et al., 2019). An excellent example of a practice that relies on the executive’s participation is implementing a meta paradigm mainframe that asserts the level of treatment and recovery among all clients. The governance system highly determines the hallmark of medication within the industry, hence integrating the two major entities.

Financial/Legal/Ethical Implications for the Aging Care Provision

There are dynamic financial, legal, and ethical implications that influence care among the elderly. The monetary impact enshrines expenses in advancing nurses’ proficiency through training. The legal consequence involves the promotion of social equity based on affordable medical services for senior citizens hence the importance of boosting productivity among practitioners. It is ethical for the specialists to optimally consider consent among the clients to boost recovery and treatment based on efficient interaction (Kuluski et al., 2019). On the one hand, educating the patients about the procedures asserts the prominence of observing preventive measures to avoid re-admission for similar cases. On the other hand, creating awareness fosters ethical and moral codes in the industry based on the invasion of an individual’s body parts.

Intervention Approaches

The different intervention methods to the core problem encompass a redefinition of the functional healthcare structures and metaparadigm of nursing. The first step in addressing the issue of heavy workload and poorly installed technological resources involves restructuring the institutional systems. In this case, the technical experts upgrade the resources to boost the efficiency of internet connectivity. The second step entails changing the human resource scheduling structure. It is an initiative that fosters the nurses’ availability for the training sessions and the interaction with artificial intelligence technology (Bélanger et al., 2018). Enhancing the familiarization with the upgraded system gears the proactive measure during the hospital’s operations. The third step includes developing a monitoring and evaluation procedure to ensure the effective utilization of the new technology in the institution.

Resources Available to Improve the Problem

Decision-making is an essential factor within an organization due to the necessity to align operations upon attaining the business goals. Integrating technological advancements with an establishment’s activities and engagements with employees fostered dynamic elevations in the quality of services. An excellent example of an industry that encounters a proficient increment in care is healthcare. Different software and platforms facilitate the supervisory exercise, such as clinical decision, executive, and decision support systems (Fazio et al., 2018). The utilization of dynamic components nurtures improved performance among the staff in delivery due to providing in-depth and objective details regarding alternative solutions to specific problems.

Costs Associated with the Identified Interventions

The healthcare sector prominently incurs distinct costs in the implementation of the interventions. According to Nunn et al. (2020), the American government significantly spends in the healthcare sector with a marked 24% of the national budget. The researchers further articulate that by 2018, the U.S expenditure in the medical department was at 17.7% of the economy. Since the advancement in service delivery, an individual accessing out-of-pocket medical treatment in old age incurs approximately $10,000. The expenditure among citizens with poor health index uses more finances and government resources. In this case, the rise in the cost reflects the intensification towards elevating the quality-of-service experience. Therefore, the cost for the implementation of the three interventions echoes the emergent trend encompassing an increase in at least 5% of the healthcare sectors’ expenditure within the American allotment framework.

Sustainability of the Interventions

Sustainability is a multifaceted phenomenon that significantly influences the quality of living among people. It is an essential mainframe within the healthcare sector since it attributes the measures to determine efficiency scale. According to Lewis et al. (2019), it is the responsibility of the managerial team in practice to ensure a boost in the operationalization of distinctive processes. Integration of the interventions enhances effective treatment and recovery among the elderly. Apart from enhancing proficiency among the nurses, the restructuring of the systems fosters adept affordability and accessibility to sufficient medical care.


Consequently, there is a significant impact of person-centered care among the aging population in the U.S. It is the responsibility of care providers to establish institutions that enhance the interaction and effective treatment of illnesses. An old person faces the challenge of mental, psychological, and physical state due to reduced immunity. As a result, it is essential to enhance objective decision-making under the spectral view of the metaparadigm of nursing for the aging populace.


Bélanger, E., Pérez-Zepeda, M. U., Castrejón-Pérez, R. C., Ahmed, T., Moullec, G., Phillips, S. P., & Zunzunegui, M. V. (2018). Domains and determinants of a person-centered index of aging well in Canada: a mixed-methods study. Canadian Journal of Public Health, 109(5), 855-865. Web.

Fazio, S., Pace, D., Flinner, J., & Kallmyer, B. (2018). The fundamentals of person-centered care for individuals with dementia. The Gerontologist, 58(1), S10-S19. Web.

Kuluski, K., Peckham, A., Gill, A., Gagnon, D., Wong-Cornall, C., McKillop, A., Parsons, J., & Sheridan, N. (2019). What is important to older people with multimorbidity and their caregivers? Identifying attributes of person centered care from the user perspective. International Journal of Integrated Care, 19(3). Web.

Lewis, R. A., Benzies, K. M., MacRae, J., Thomas, C., & Tonelli, M. (2019). An exploratory study of person-centered care in Canada’s large urban hemodialysis program using a qualitative case-study methodology. Canadian Journal of Kidney Health and Disease, 6, 2054358119871539. Web.

Nunn, R., Parsons, J., & Shambaugh, J. (2020). A dozen facts about the economics of the US health-care system. Brookings. Web.

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NursingBird. (2022) 'Social Isolation as a Barrier to Healthcare Provision Among the Elderly'. 17 December.


NursingBird. 2022. "Social Isolation as a Barrier to Healthcare Provision Among the Elderly." December 17, 2022.

1. NursingBird. "Social Isolation as a Barrier to Healthcare Provision Among the Elderly." December 17, 2022.


NursingBird. "Social Isolation as a Barrier to Healthcare Provision Among the Elderly." December 17, 2022.