Ashwin Kotwal

speaker
265 appearances 4 recordings 1 series first heard May 2020 last heard Oct 2022

Ashwin Kotwal’s voice in public audio — every appearance, attributed to the second.

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Yeah, that that's a great question.
I mean, I think
It's just easier to wrap your head around loneliness sometimes.
It's by definition, it's distress, right?
People are unhappy with their social situation.
They, you know, feel like they lack companionship.
They're left out.
Um, and so it's easier sometimes to
um wrap that into psychological risk profiles, you know, depression, anxiety, it can be very related to that.
um sometimes we're thinking about what might help them feel better.
I think social isolation
It has many distinct mechanisms of how it impacts health.
You know, I think a lot about people's access to resources to help them cope, especially during external stressors like the pandemic, right?
So when when people don't
Aren't married.
They may not have clear resources to help handle emotional distress or a caregiver to help when they fall and they break their hip or they're hospitalized and they need extra support.
They may not have someone to provide transportation to healthcare visits.
One of the key requirements for accessing home hospice though is uh having a 24 hour home caregiver.
Um, and so if you don't have that, it's hard to access.
Um, what's a really vital service at the end of life?
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