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Element Care PACE participants engage socially to combat isolation. (Element Care PACE)

PACE tackles senior isolation

Jackie Manno

December 3, 2025 by Jackie Manno

LYNN — Element Care PACE (Program of All-Inclusive Care for the Elderly) is combating isolation for seniors during the holidays by offering social engagement and healthcare integration options.

The holiday season increases the risks that come with isolation for seniors, according to Chief Medical Officer of Element Care PACE Dr. Anthony Zizza.

“For many older adults, the holiday season — often portrayed as a time of joy and togetherness — can be one of the most emotionally challenging periods of the year. The holidays can trigger grief and loss as seniors remember loved ones who have passed away, with holiday cards often bringing news of illness or death from lifelong friends,” Zizza said.

He added, “Many seniors experience a sense of disconnection from their communities — particularly those who no longer live in the homes they cared for over many years, have lost independence, or face mobility and energy issues.”

Zizza explained how emotional isolation for seniors during the holidays can impact their physical health.

“Seniors may experience persistent sadness, withdrawal from social activities, slowed thinking, and changes in sleep patterns. Physical symptoms often include fatigue and low energy, changes in appetite and weight, and digestive problems that persist despite treatment,” he said.

He added, “The scientific evidence linking social isolation and loneliness to physical health deterioration is extensive and alarming. Research has established that loneliness influences health more than being obese, physically inactive, or an alcoholic — combined. The health effects are equivalent to smoking 15 cigarettes a day.”

Zizza also said that older adults who lack frequent social contact are at significantly greater risk of Alzheimer’s and dementia.

“Social activity stimulates the brain, maintaining memory, communication, and problem-solving skills — insufficient mental stimulation accelerates cognitive impairment and dependence,” he said.

According to Zizza, the proportion of individuals aged 65 or older living in poverty in Lynn is approximately 21% — more than double the statewide rate of 9% — and 40% of these people live alone throughout the Greater Lynn service area.

“This creates significant barriers to accessing transportation, social activities, and healthcare that could alleviate isolation,” Zizza said. “Consumer informants in the community have specifically reported missing activities, support, and camaraderie of senior centers and finding it difficult to create meaningful daily routines during extended periods of social distancing.”

The PACE model at Element Care helps prevent this by centering on Adult Day Health Centers where participants can attend regularly to receive medical care, share meals, make new friends, participate in activities, and join groups.

Initiatives include daily meetings where the Element Care team reviews any changes in participant health, psychiatric services, and support for grief and loss. Activities include exercise, arts and crafts, cooking, games, music, guest speakers, field trips, and celebrations.

“This creates a built-in social structure that isolated seniors desperately need,” Zizza said. “This team approach treats the whole person, not just the symptoms, addressing medical, functional, and psychosocial needs comprehensively.”

He added, “The holiday season presents both heightened risks and unique opportunities. By connecting seniors with programs that provide consistent social engagement, comprehensive healthcare, and genuine community belonging, we can transform what might be a lonely, isolating time into one of connection, purpose, and care.”

  • Jackie Manno
    Jackie Manno

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