Treatment of Decreased Social Participation

Last updated on 26/01/2023

There is no one-size-fits-all approach to improving social participation for individuals with dementia. Support strategies should be personalised based on assessments of each resident’s needs, personality, and abilities. A well-structured social environment can help residents feel engaged, valued, and connected.

Supporting Participation and Family

  • Encourage regular visits and communication with loved ones.
  • Facilitate meaningful interactions between residents and their families.

Quality Activities

  • Offer tailored activities that match residents' interests and changing abilities.
  • Ensure activities are varied and inclusive to accommodate different needs.
  • Assign trained staff to lead and adapt activities for residents.

One-on-One Engagement

  • Some residents, especially those who are introverted, may prefer smaller or individual activities over large group settings.
  • Residents going through difficult transitions may need extra time and effort to build trust with staff.
  • Those with advanced cognitive decline may struggle to participate in group activities and benefit from individualised support.

Outings and Changes of Scene

  • Whenever possible, arrange outings that provide stimulation and a change of scenery.
  • Experiencing different environments can enhance outlook, quality of life and bring a sense of excitement.

Creativity and Interests

  • Encourage participation in gardening, art, sensory activities, and hands-on projects suited to individual abilities.
  • Incorporate reminders of past roles (e.g., a former mechanic using a safe toolbox, a florist potting plants).
  • Animal therapy can provide emotional comfort and stimulate memories for those who enjoy animals.
  • Use music therapy, personalised playlists, and relaxation apps to stimulate memory and emotions.
  • Offer structured, ongoing projects (e.g., pottery, large Lego or Meccano builds) as part of the care plan to maintain engagement.

Reminiscing and Reflection

  • Provide opportunities for storytelling in one-on-one or group settings to help residents connect with their past.
  • Use reminiscence therapy, which involves discussing past experiences, to foster emotional well-being and engagement.

By creating a nurturing and adaptable social environment, nursing homes can enhance the well-being of residents and promote meaningful social participation.