Health care needs of older people living alone
Just over half of older patients in our study lived alone. Of the patients living alone, 50% had three or more long-term conditions and 25% had a mental health condition. Approximately 40% of patients living with others had three or more long-term conditions and 20% had a mental health condition. People living on their own were more likely to be older, had more long-term illnesses and were more likely to have a mental health condition.
The most interesting results from the study were that older patients living alone were 50% more likely to go to A&E compared with those who lived with friends or family (after adjusting for age, sex, deprivation and long-term conditions). In the general practice, the most frequent users of GP appointments visited once a month on average - this was 18% of patients aged 65 and over. Older patients living alone were 40% more likely to be in this ‘frequent user group’, compared with those who lived with others.
The data did not allow us to explore the reasons why older patients living alone go to the GP and A&E more often than those living with others. However, there are a few possibilities. One is that patients living alone are at greater risk of not engaging in preventative services, or are lonely, which can result in poor health. Another possibility is that patients living alone simply require additional support during periods of ill health, compared with those who may receive this support from a family member. Those living alone may need extra help from the NHS to coordinate their care or manage their conditions. It’s also possible that patients living alone may be lonely and visit the health service for social connection.
What can be done to support older people living alone?
Given there is a growing population of older people living alone with complex health needs, and that these patients make greater use of health services, the NHS needs to adapt.
The government’s strategy on loneliness promises support for all local health and care systems to implement social prescribing programmes by 2023. This means that GPs will be able to refer patients to community programmes, such as knit-and-natter groups and exercise clubs. This provides GPs with a range of non-medical options and allows them to think more holistically about patient care. However, further investigation and evaluation of the effectiveness of social prescribing for combating loneliness is needed to identify which interventions should be prioritised.
After many discussions, my gran decided that it was time to move, but only if Puggy (the last of the adoring dogs) came with her. Her children rallied round to find living arrangements that would work for her. However, not everyone is lucky enough to have that kind of support system.
Kathryn Dreyer is a Principal Data Analyst at the Health Foundation.
FAQs
While there are responsibilities that come with managing your own apartment, living alone offers independence, freedom, and peace. The advantages of having complete control over your space, lifestyle, and decisions often outweigh the challenges.
What are the disadvantages of living alone? ›
What No One Tells You About Living Alone
- More financial pressure. The worst negative of living alone, in my opinion? ...
- More responsibility. ...
- No invested helping hand. ...
- You may become less accommodating. ...
- You might feel lonely.
Loneliness can lead to various psychiatric disorders like depression, alcohol abuse, child abuse, sleep problems, personality disorders and Alzheimer's disease.
Why does living alone make you stronger? ›
Being alone often means you're the only one who can solve your problems. People who spend time alone develop a sense of self-reliance that can be incredibly empowering. This self-reliance spills over into all areas of life, and can make you a more confident and capable individual.
Why is being alone powerful? ›
One of the most significant reasons people who like being alone are considered tough is their ability to be self-reliant. They do not depend on others for their emotional well-being or self-esteem. Instead, they look inward and rely on their own strength to navigate through life's challenges.
How healthy is it to live alone? ›
Adults who live alone are more likely to feel depressed than adults who live with others, according to a new report released by the CDC's National Center for Health Statistics (NCHS).
Does living alone make you happier? ›
“Single women can focus on their needs and wants. If they prioritize their health and wellness, there is the space and opportunity to have these needs met,” adds Dr. Shelton. Solo living reclaims what society has poorly championed: Happiness in extended solitude.
When being alone is unhealthy? ›
Loneliness “can have serious mental and physical complications that worsen if ignored.” She added that, “social isolation and loneliness lead to higher risk of high blood pressure, heart disease, obesity, anxiety, depression, memory issues and even death.”
Why is living alone difficult? ›
Living alone can be challenging because you're the only one contributing to the household income. You must pay all the bills and make sure all the chores are done. This basic task can become monumentally more stressful if you don't live within your means.
What are the advantages of living alone? ›
It gives you time to focus on your interests. Being alone is an important part of self-development. It allows you to get to know yourself. When you are surrounded by others, you might set your own ideas and passions aside in order to appease the wants and needs of friends and family.
People prefer being single for many reasons.
These are people who “cherish freedom, independence, and even creativity and nonconformity more than others,” he says. Research backs that up.
What are the benefits of being alone? ›
Learning to be alone can give you space to think about your feelings, ideas, hopes, problems, and experiences. It's also a great opportunity to get to know yourself better and spend time resting and relaxing. It's not always easy to spend time alone though.
Why do humans need to be alone? ›
It's a time to let down your guard and be less self-conscious. Alone time encourages independence and helps build confidence in your ability to be alone, act alone, and find enjoyment alone. The solitude you find, whether it's physical or mental distance, lets you relax and relieve tension .
