Relocation of the Elderly Relocation of the Elderly Person Person

Presented byPresented byDr. Soad H. Abd El Hamid El TantawyDr. Soad H. Abd El Hamid El Tantawy

Lecturer of Gerontological NursingLecturer of Gerontological NursingFaculty of Nursing Faculty of Nursing

Mansoura UniversityMansoura University

Out lines: Out lines: Introduction Introduction

Definition of relocationDefinition of relocation

Types of relocation Types of relocation

Factors affecting adjustment to relocationFactors affecting adjustment to relocation

Relocation stress syndromeRelocation stress syndrome

Risk factors of relocation stress syndromeRisk factors of relocation stress syndrome

Characteristics of relocation stress syndromeCharacteristics of relocation stress syndrome

Nursing intervention to cope with relocationNursing intervention to cope with relocation

Definition Definition

Relocation has been defined as the Relocation has been defined as the change in environment that takes place change in environment that takes place when people move their primary living when people move their primary living space from one location to anotherspace from one location to another. .

Types of relocationTypes of relocation

1. Residential: movement of elderly person from one home to another

2. Institutional: movement of elderly person from his home to an institution and vice versa.

3. Interinstitiutional: movement of elderly person from one institution to another.

4. Intrainstitutional: movement of elderly person from one room to another within the same institution.

Factors affecting adjustment to Factors affecting adjustment to relocationrelocation..

Decline in life satisfaction have been found among older Decline in life satisfaction have been found among older adults when relocate to extreme environmentadults when relocate to extreme environmentWhen relocation is involuntary When relocation is involuntary When the older adult is not prepared for relocation. When the older adult is not prepared for relocation.

These in turn can lead to improper adjustment. This These in turn can lead to improper adjustment. This

may lead to "Relocation Stress Syndrome (RSS)" or may lead to "Relocation Stress Syndrome (RSS)" or "Transportation shock""Transportation shock"

The North American Nursing Diagnosis Association (NANDA) has defined relocation Stress Syndrome as "Physiological and / or psychological disturbance as s result of transfer from one environment to another.

Relocation Stress Syndrome Relocation Stress Syndrome ((RSSRSS))

Risk factors of Risk factors of ( ( RSSRSS))1.1. Previous relocation experiences Previous relocation experiences 2.2. Length of time spent in previous residenceLength of time spent in previous residence..3.3. Extent of environment change in the current Extent of environment change in the current

relocation. relocation. 4.4. Willingness to relocate Willingness to relocate 5.5. Inadequate preparation for relocation. Inadequate preparation for relocation. 6.6. Loss of loved ones, resources, physical and / or Loss of loved ones, resources, physical and / or

mental health, functional ability. mental health, functional ability. 7.7. Feeling of powerlessness and lack of an adequate Feeling of powerlessness and lack of an adequate

support system.support system.

Characteristics of Characteristics of ((RSSRSS))

MinorMinor::

Change in eating Change in eating habitshabits

Gastrointestinal Gastrointestinal disturbancesdisturbances

DependencyDependency

Lack of trustLack of trust

RestlessnessRestlessness

Weight changeWeight change

Sleep disturbancesSleep disturbances

InsecurityInsecurity

Increase verbalization Increase verbalization of needsof needs

WithdrawalWithdrawal

Sad effectSad effect

Characteristics of Characteristics of ((RSSRSS))

Major:Major:

1.1. LonelinessLoneliness

2.2. ApprehensionApprehension

3.3. DepressionDepression

4.4. AnxietyAnxiety

Nursing measures to help the elders Nursing measures to help the elders cope with relocation processcope with relocation process

1.1. Preparation for the move included informing the Preparation for the move included informing the residents several months prior to the moveresidents several months prior to the move. . This can be This can be achieved through describing the move to their close achieved through describing the move to their close family membersfamily members..

2.2. Orientation of the elderly to the environment, home daily Orientation of the elderly to the environment, home daily routine, administrative staff, working personal and other routine, administrative staff, working personal and other residents particularly his or her roommates.residents particularly his or her roommates.

3.3. Relocation stress can be decreased through careful Relocation stress can be decreased through careful screening, selection and place the new elders with old screening, selection and place the new elders with old residents in one room.residents in one room.

4.4. Allow elders to move personal belonging with them.Allow elders to move personal belonging with them.

5.5. Encourage elderly to express his feelingsEncourage elderly to express his feelings..

6.6. Encourage elderly person to focus on positive Encourage elderly person to focus on positive aspect of relocation.aspect of relocation.

7.7. Assist elderly person by spending more time with Assist elderly person by spending more time with them.them.

8.8. Maintain the environment more familiar as Maintain the environment more familiar as possiblepossible

9.9. Encourage the elders choosing room location; Encourage the elders choosing room location; color and furnishings, participating in a residence's color and furnishings, participating in a residence's council (a mean of communicating opinions), and council (a mean of communicating opinions), and selecting menus for daily meals have been found selecting menus for daily meals have been found to enhance adjustment to relocation.to enhance adjustment to relocation.

10.10.Close interpersonal relationships with friends living Close interpersonal relationships with friends living in the nursingin the nursing home facilities stability of life, home facilities stability of life, physical and mental health and psychological physical and mental health and psychological adaptation of older relocating adults.adaptation of older relocating adults.

11.11.Use of religious beliefs and practices as well as social Use of religious beliefs and practices as well as social support have also been found to decrease the stress.support have also been found to decrease the stress.

12.12.Close follow up and observation to any changes in Close follow up and observation to any changes in eating habits, activities and sleep pattern, it is critical eating habits, activities and sleep pattern, it is critical that nurses intervene in order to advocate for as much that nurses intervene in order to advocate for as much control as possible by older adults over their process control as possible by older adults over their process of relocation.of relocation.

How to Help the Elderly Deal with StressHow to Help the Elderly Deal with Stress

Provide strong and persistent verbal reassurance. Provide strong and persistent verbal reassurance.

Assist with recovery of physical possessions as is safe, Assist with recovery of physical possessions as is safe, make frequent home visits, and arrange for companions. make frequent home visits, and arrange for companions.

Give special attention to suitable residential relocation, Give special attention to suitable residential relocation, ideally in familiar surroundings with friends or ideally in familiar surroundings with friends or acquaintances. acquaintances.

Help re-establish contact with family and friends. Help re-establish contact with family and friends.

Assist in obtaining medical and financial assistance. Assist in obtaining medical and financial assistance.

Help re-establish medication and any dietary regimens. Help re-establish medication and any dietary regimens.

Provide transportation to the doctor, grocery store, etc. Provide transportation to the doctor, grocery store, etc.

Thank you Thank you