Loneliness and isolation in the older adult population is a growing concern.1,2 Long-term care residents may experience increased isolation and loneliness.3,4 With social distancing parameters and visitor restriction in long term care facilities (LTCFs) due to Coronavirus Disease 2019 (COVID-19), the risk for loneliness and isolation intensified.5 There are numerous well documented physical and psychological sequalae to loneliness and isolation such as cognitive and functional decline, poor health outcomes, increased rates of hospitalizations, and increased mortality.6,7 Growing evidence suggests engagement in meaningful activities can improve quality of life, mental health, and reduce complications such as frailty.8,9 Strategies to combat loneliness and promote connection in LTCFs have historically involved outside groups providing activities, music, and other events. Group gatherings within facilities were planned and encouraged by activity directors. Due to restrictions these types of activities were curtailed or modified during the pandemic. Evidence-based meaningful strategies to engage the older adult in the long-term care setting were needed even before the pandemic10 and continue as we progress to the endemic stage.

Person Centered Care is considered a priority in in long term care.11,12 Studies suggest person-centered care offers an evidence-based approach wherein health care workers can incorporate patient preferences, feelings, culture, and life history into patient interactions.13

One emphasis of person-centered care is nurturing relationships.14,15 Supporting relationship building can promote connection. Data suggest decreased feelings of social connection is linked to mental health issues including loneliness, cognitive decline, and depression.8