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Elderly's Moving Woes
Cited By Specialist

NEW '94
GRAND AM SE

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met staff members and partic-
ipated in programming.
"At first I was rather skep-
tical about how much good we
were doing," Mr. Pastalan said.
`The residents didn't seem par-
ticularly happy or unhappy."
The visitations, however,
showed merit later on in the
study.
Although the 50 percent of
residents who did not visit their
new home before moving were
shown pictures of it and coun-
seled, their death rate was still
50 percent higher than the oth-
ers.
Those most negatively im-
pacted were people over 80 with
cognitive-impairments, like
Alzheimer's. Less healthy inch-
viduals were shown more like-
ly to die during or after the
move.
Site visitations help elderly
people for several reasons, Pro-
fessor Pastalan says. First, they
allow residents to create "cog-
nitive road maps" of their new
facility. Feeling oriented —

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knowing where the recreation
room, dining room, restrooms
are — gives residents a sense of
control.
"The more control a person
has in the relocation process,
the better the outcome," Pro-
fessor Pastalan said.
Visitations also help resi-
dents feel special: "There's a lot
of individual attention given to
each patient. The residents
know that someone is looking
out for their interests," he said.
On moving day, residents
should be transported with
roommates and their clothing
and other possessions. It helps
if family members are by their
side, unless a certain son or
daughter has been estranged
from their elderly relative for a
long time. In such cases, a "sud-
den appearance" might be prob-
lematic, Professor Pastalan
says.
Staff from both institutions
— the new and old — should be
trained to be ultra-sensitive to
residents' needs. Sometimes,
staff from a soon-to-be-closed
institution become lax because
they know their employment is
MOVING page 20

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"Relocation is a
very dangerous
process."

Professor Leon Pastalan

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niversity of Michigan
Professor Leon Pastalan
once met an elderly
woman who spoke in
numbers.
The woman suffered from de-
mentia and seemed oblivious to
the world around her. She lived
in a Washtenaw nursing home.
One day, administrators at
the home announced that the
facility was closing. All resi-
dents would be relocated else-
where.
The "number caller" didn't
seem to get the message. To her
friends and caregivers, she ap-
peared typically out-of-touch —
until the day nurses took her to
visit her abode-to-be, another
nursing home in the area. Af-
terward, the woman turned to
her roommate and spoke: "Sara,
we're going to move."
"For the first time in months
and months, she used words,"
Professor Pastalan said. 'To me,
. that was very significant."
A specialist in nursing-home
relocations, Professor Pastalan
recommends that nursing-home
staff exercise utmost care in
moving elderly people from one
facility to the next. This is es-
pecially important in nursing
homes like the soon-to-be-closed
Borman Hall, where most res-
idents are over the age of 80.
"The best relocation is no re-
location. But when it has to
happen, there needs to be a
recognition that relocation is a
very dangerous process," he
said. "It needs to be handled in
a sensitive and informed way."
Professor Pastalan worked
for 10 years with the Depart-
ment of Social Welfare in Penn-
sylvania where he supervised
the relocation of more than
2,000 nursing home residents.
His expertise also stems from
his participation in a nursing-
home study sponsored by the
National Institute of Mental
Health during the early 1970s.
The study aimed to determine
how a change to residents' phys-
ical environment would affect
their physical and emotional
health.
"We showed that mortality
and morbidity rates were sig-
nificantly increased as a result
of change," he said. "Change is
traumatic. Fear of the unknown
is a very critical element."
To mitigate residents' anxi-
eties, researchers working on
the study arranged for half of
them to frequent their new fa-
cility before actually moving
there. During the course of five
visits, residents went on tours,

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