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Loneliness has become as much a part of Americana as turkey on Thanksgiving - particularly for older Americans.

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This study examined the relationships between and among the variables of loneliness, social support, depression, and cognitive functioning in adults over 60, living in senior housing in a metropolitan area. Other variables, namely, life-satisfaction and ability to perform activities of daily living, were also measured. Although the research hypotheses were not supported, relationships between subjects' health status, life satisfaction, and self-assessment of health were significant. Assessment of these variables by community and advanced practice nurses who work with community elderly, to effect positive client outcomes, is presented within the context of Roy's adaptation model.

To determine the effects of preexisting levels of loneliness and social support on cognitive decline during hospitalization, 145 elderly subjects 65 to 92 years old without impaired cognition were tested for levels of loneliness, social support, and cognitive status on admission to an acute care hospital. Five days later, cognitive status was again measured in the remaining 86 patients. Loneliness was found to be inversely related to cognitive status on admission. In those with high loneliness scores on admission, cognitive status had improved significantly 5 days later. High social support was correlated with high cognitive status on admission and significant cognitive decline during hospitalization.