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Relocation of older people to recovery phase rehabilitation wards: adaptation patterns according to the presence of dementia

Misa Komatsu (Associate Professor, based at School of Nursing, Yokkaichi Nursing and Medical Care University, Yakkaichi, Japan)
Akiko Hamahata (Professor, based at Department of Nursing, Asahi University School of Health Sciences, Mizuho, Japan)

Working with Older People

ISSN: 1366-3666

Article publication date: 2 December 2014




The purpose of this paper is to use an assessment sheet clarifying the characteristics related to adaptation in order to support the relocation of older people to recovery phase rehabilitation wards (RPRW).


A survey was conducted with older people aged 70 and above two weeks after relocation. Nurses responsible for the older people were asked to complete the sheet. Of the 44 items on the sheet, the 38 items not directly related to basic attributes constituted the scale of the state of adaptation. A total of 336 valid response sheets were analyzed.


Higher scores on the scale represented higher levels of adaptation, and when scores were analyzed, results showed that there was a tendency for the scores of older people aged 80 and above and older people with dementia to be significantly lower. Items that showed differences according to the presence of dementia included those showing adaptive tasks, such as “Condition has deteriorated since the time of relocation” and “Experiencing difficulties when nurses are giving care.” The tendencies of older people to adapt to relocation depending on the presence of dementia were clarified through the items on the scale.


It is necessary to pay attention to older people's physical and social environmental factors, adaptive tasks, and coping skills when they relocate to RPRW. The authors suggest that an approach based on the results of this study could help older people adapt to their new environment.



The cooperation of the nurses, the older adults, and their families who participated in the study is deeply appreciated. This study is part of a 2012 Grant-in-Aid for Scientific Research project (Grant no. 24593542).


Komatsu, M. and Hamahata, A. (2014), "Relocation of older people to recovery phase rehabilitation wards: adaptation patterns according to the presence of dementia", Working with Older People, Vol. 18 No. 4, pp. 205-213.



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