Abstract

Social isolation is a widespread but undervalued problem in end-of-life care centres, affecting the emotional, psychological, and general well-being of terminally ill patients. This study discusses the frequency, pouring factors, and effects of social isolation in end–of–life care atmospheres, with a concentration on its implications for patient dignity, mental health, and quality of life. Through the literature review, this research discloses important institutional, environmental, and social determinants that raise palliative patients' isolation, especially those in hospitals and long-term care facilities. From a psychological perspective, isolation can exacerbate symptoms of depression, anxiety, identity loss, and existential distress among patients facing mortality. The results emphasize the importance of social support, digital interventions, and policy changes in alleviating isolation and promoting an integrated approach to end–of–life care. Addressing these challenges with specific psychological support frameworks, including therapeutic engagement, emotional validation, and resilience building programs, can reduce psychological distress, enhance patient well-being, and improve overall experience in end-of-life care centres.

Keywords: end-of-life care centers, social isolation, end-of-life care, quality of life, psychological distress, social support, patient–centered care