A Guide for Families: Making the
Transition to Nursing Facility Life
For the person who is about to
enter a nursing facility, and for caring family and friends, the days
just before and during the move can be traumatic. Anticipation, fear
and guilt often combined with illness or the recent loss of
a loved one mean that the individual faces the future with
fear and doubt.
This is not unusual. With love,
understanding, help and planning, the uncertainty of entering and
adjusting to life in a nursing facility can be greatly minimized.
Planning
Ahead
Though not always possible, the involvement of the
resident in selecting a nursing facility can make a critical difference
in the final adjustment. If able, the resident should have input into
choosing a nursing facility that fits the resident's personal style
of living.
The resident also should have the opportunity to speak
with the admissions director or administrator. The resident may have
questions regarding care that family members may not be able to answer.
As far in advance as you can, begin planning for the
move. To the extent possible, plan the move with the help and participation
of the resident. Remember, the professionally trained staff understands
your concerns and is eager to help you make this period as calm and
positive as possible.
Tell The Facility About The Resident
Your family physician can provide the nursing facility
with much of this information. The more they know, the better they
can help the resident adjust to daily life in the facility. Provide
them with written details about individual habits and practices. Include
information about:
- Diet
Is the resident a good eater?
Does the resident have any dietary restrictions: religious,
medical or allergy-related?
At what times is the resident used to eating, and how much does
he or she eat?
What about likes and dislikes?
- Mobility
To what extent can the resident get around independently?
Does the resident need help because of poor eyesight?
Will he or she accept help from a staff person or resent it?
- Personal Care
To how much privacy is the resident accustomed?
What types of activities can the resident perform independently?
Can the resident manage personal bathing and grooming?
Up to now, has the resident preferred a bath or a shower?
- Living Conditions
What was it like where the resident used to live?
Did the resident share a room or bathroom?
Has the resident always prepared his or her own meals?
Does the resident like eating with others?
Is the resident concerned about having a roommate?
What, if any, habits should we know about that might help in
finding a compatible roommate?
- Mental State
Does the resident become fearful in strange surroundings or
at night?
Is the resident always aware of who he or she is, where he or
she is, or what day it is?
- Religion
Is religion an important part of the resident's life?
Does the resident usually attend religious services?
Does the resident want to continue attending religious services?
Will a particular clergy member come to visit?
Would the resident welcome or be hesitant of a visit by a new
clergy member?
- Habits and Practices
Does the resident smoke or drink?
Does the resident have a set routine that involves activities
that are enjoyed and anticipated, such as watching a particular
television show, going for a walk after breakfast or reading
a particular newspaper?
- Special Interests
How does the resident currently keep busy?
Does the resident have any hobbies?
Does the resident enjoy membership in clubs and social groups?
Does the resident have a special interest in sports, music,
arts and crafts or gardening?
While some changes in lifestyle are going to be necessary,
facility staff will do their best to help the resident to maintain
a particular custom, practice or reassuring habit.