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Jacqulyn avatar
Jacqulyn Activity Program Coordinator

HISTORICAL LONERS in a SNF...

We have a group of Residents that are "historical loners". They do not like to socialize with others. If they do, it might be for 5-10 minute or less(only when smoking). They only come out of their rooms for smoking, at various times, then go back into their rooms and watch TV or sleep. Trying to engage them into participate with the activities, that they themselves stated they like to do (upon admission and besides smoking) is very difficult. Please, if anyone has any suggestions as to what I can offer, please toss them to me, I think I'm a pretty good catcher(ha, ha)!

Veronica avatar

You can always try one on one activities with them. Or when they are eating in a diningroom, try a game of trivia with everyone while they eat. Or bring in a few different options for activities they can do on their own. You can't really make them socialize if they don't want to.

Sara avatar

Hi! Does your facility allow pets? We have had employees (my Activities Coordinator) bring her dog in and do room visits with her to those residents who don't really come out for any of the programs. The residents really seemed to enjoy the pet visit. Pre COVID we had Pets on Wheels come in and do visits, but they didn't go to individual room.

Would any of the loners be interested in a pen pal program? We did one before that went really well. Or would any of them be interested in a service type project? Putting together care packages/writing notes for service workers?

Good luck! :)

Susan avatar

Hi Jacqulyn

This can be a difficult problem

The one thing you want to do is to write thorough progress notes telling what the resident told you that he liked how often you offered it to him and how often he refused

You want to do this to protect yourself if someone questions you

This can be your proof

Have you read these articles??

https://www.goldencarers.com/15-activities-for-loners-and-introverted-seniors/4274/

https://www.goldencarers.com/one-on-one/

https://www.goldencarers.com/how-to-motivate-residents-in-long-term-care/3742/

https://www.goldencarers.com/portable-activity-ideas-to-reach-every-resident-everyday-/5745/

Of course you want to find out why the person likes to be alone

You can ask them for their help in some projects that you are doing

I like to make cards on the computer that need to be folded and copy them

Then give the resident some of the skirts to fold

If they complete the task offer them some reward

Food and drink are good motivators

The cart can celebrate special days and I would include some simple questions on them

Collect all the cards that have answers on them from the residents

All residents can participate but strongly encourage those loners to answer the questions

Them pick a winner at an activity

Even if the loner only comes when you pick the winner at least that is a start

Invite their family or friends to come to an activity and they can go together

Here is another article that might help

https://www.goldencarers.com/how-to-get-reluctant-residents-to-attend-activities/5980/

Let me know if you need more help

Susan avatar

Thank you Veronica and Sara for sharing your ideas I think they will be a help to Jacqulyn

Stephanie avatar

Great question and I find with Covid we are facing new challenges! What we do for our "loners" is we put together an activity packet that consists of a daily chronicle, coloring pages, crossword puzzles, etc. and we provided them each with a pencil case of colored pencils and pens to do said activities as well as a sharpener. Since all of our residents are confined to their rooms for infection control policies we put together a cart with a theme each day and provide snacks, happy hour, or an activity that is manageable. I am finding that our isolators enjoy these carts especially as we are coming to them and they don't have to leave their room or socialize with anyone else. We also offer one on one and ask if they want to be read to, sit outside on the patio for awhile, play a card game, etc. However, there are always going to be those residents who prefer to be left alone and they don't mind the isolation and we respect their wishes to do so. We just make sure to care plan and document in progress notes so that we are covered and it's known we try and they aren't neglected but that they just refuse. You can only do so much! Hope this helps!

Susan avatar

Hi Stephanie

Thank you for your input

You have some great ideas and suggestions

Always appreciated

Heather avatar

Last year I had this problem on a unit I was covering over the summer time. And it really got to me as they were always asking what are the other residents were up to and what programs were happening on a daily bases. But they would never come to the group programs. All they wanted to do was chat which was ok as I got to know them better. Then I thought what about Special take out lunch. and I did it just for these residents. first one swiss chalet, then kfc, then pizza.

I invited them personally, the room was set up formally and they got to know each other.

After doing this I started to notice that they would be going to each others rooms and checking in on each other.

Jacqulyn avatar
Jacqulyn Activity Program Coordinator

Thank you all for your wonderful suggestions, I will try as many as I can. Thanks a Bunch!

Susan avatar

Hi Heather

Thank you for your input

This can work sometimes but I am glad it did in your situation

Thanks again

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Marjorie Luker
Activities Assistant United States Flag
Marjorie Luker

I always appreciate your new ideas and suggestions. It certainly helps in the creativity and idea areas immensely. Keep up the great emotional support that you provide!