No Man (or Woman) Is an Island

What happens when a patient has no one to go home to – either by choice or by chance? 

Loneliness becomes much more common as we grow older.  We retire and often lose a huge part of what defined us.  Our children have grown and moved across the country. Our partners and old friends die. Health problems leave us unable to do the things that brought us enjoyment in the past.  Our vision diminishes and our reaction time slows.  Our mobility becomes limited as driving a car is not only dangerous but the upkeep is costly.   Consequently, we are increasingly alone.

Social isolation has a significant impact on our physical and emotional well-being.  Men are at a higher risk than women of isolating themselves from others.  Many men make their occupations the focus of their lives, and their social contacts are often work-related.  Women have a tendency to have wider circles of contacts; work, church, social, their children’s school and community contacts.   

Studies now indicate that isolation has health risks comparable to smoking, obesity, inactivity and alcohol abuse.  We know that these behaviors lead to an increased risk of heart disease and strokes.  Research has now shown that social isolation carries the same risk:  50% of heart patients who are loners die in 5 years after a cardiac event, compared to 18% of those who have the support of family and friends.

Isolation can also increase the risk of depression, insomnia and a faster progression of dementia.

On the other hand, a good social network of family and friends can actually improve health.  Physicians now agree that that they can see a difference in a patient’s response, healing, and mood when they are cared for and touched in a loving way.  It has also been noted that a doctor’s reassuring touch, pat on the shoulder, or touch on the arm are important elements to encourage healing.  The patient who feels love and cared for improves.  Companionship also decreases stress levels and often leads to improved health habits.

A recent example of the power of touch is the recovery of Representive Gabrielle Giffords; her husband was a constant presence at her bedside, holding her hand; Gabby  responded by touching his wedding band and rubbing his neck even before she opened her eyes.