Cited by 44Dementia and Cognitive Impairment ResearchMigration, Health and TraumaGeriatric Care and Nursing Homes

Health Effects of the Relocation of Patients With Dementia: A Scoping Review to Inform Medical and Policy Decision-Making

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Ryman, Frida V M, Erisman, Jetske C, Darvey, Lea M, Osborne, Jacob, Swartsenburg, Ella, Syurina, Elena V·2019·The Gerontologist

Abstract

Background and Objectives: Research into the relocation (including international relocation) of people with dementia is increasingly important due to the aging population and latest developments in the international politics (including globalization and concerns over international migration). There is need for an overview of the health effects of relocation to facilitate and inform decision- and policy-making regarding these relocations. The aim of this literature review was to provide insight into the physical, psychological, and social consequences of varied types of relocations of older adults suffering from dementia. Research Design and Methods: A scoping literature review with a systematic search was performed in PubMed, Web of Science, PsychInfo, JSTOR, and ScienceDirect. The articles dealing with subject of relocation of older adults from 1994 to 2017 were included and analyzed. Methodological quality assessment was performed for all articles. Results: Final list included 13 articles. The effects of relocation were discussed in terms of mortality and morbidity. In most studies, the health effects of the relocation of older adults suffering from dementia were negative. A decline in physical, mental, behavioral, and functional well-being was reported. The most recurring effect was a higher level of stress, which is more problematic for patients with dementia. In general, unless it is carefully planned, it is best to avoid changing lives of people with dementia and it is recommended to actively work to reduce their exposure to stress. Discussion and Implications: The outcomes of the study suggest definite evidence for the negative effects of relocation of the older adults. This research aims to be used as the support of the legal and medical decisions of relocation of patients with dementia.

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  • Fragmented transitions can lower physical and psychological wellbeing of those with MLTCiD and unpaid carers.

    “Fragmented transitions can also lower physical and psychological wellbeing of those with MLTCiD and unpaid carers (referred to as ‘carers’) [18, 19].”

    From Do hospital-to-home transitions work for older adults with multiple long-term conditions including dementia? A realist review (2025) · cites this paper as [18]

    The Physical Effects and Psychological and/or Social Effects sections (pages not provided) report declines in physical and psychological well-being after relocation, while Negative Impact links disrupted continuity of care to harm in patients with dementia. The review concerns relocation of people with dementia, not fragmented transitions across the broader MLTCiD population; it mentions stress and burden for family members but does not establish declines in unpaid carers’ physical and psychological well-being. (LLM, conf=0.87)

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Research works printed but not linked: 2

  1. La Torre, G., Backhaus, I., & Alice, M. (2015). Rating for narrative literature reviews: Concept and development of the international narrative systematic assessment tool. Senses and Sciences, 2, 31- 35. doi:10.14616/sands-2015-1-3135 · DOI
  2. Morse, D. L. (2000). Relocation stress syndrome is real. A move to a nursing home can worsen health and hasten death. The American Journal of Nursing, 100, 24AAAA + 24BBBB + 24DDDD. doi:10.2307/3522152 · DOI

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Authors
Ryman, F. V. M., Erisman, J. C., Darvey, L. M., Osborne, J., Swartsenburg, E., & Syurina, E. V.
Affiliations
  • Vrije Universiteit Amsterdam (NL)
  • Athena Institute, Faculty of Science, Vrije Universiteit Amsterdam, The Netherlands
Corresponding author
Syurina, Elena V
Venue
The Gerontologist
Published
2018-04-28
Volume
59
Issue
6
Pages
e674-e682
ISSN
  • 0016-9013 (ISSN-L)
  • 1758-5341
OpenAlex
W2802162748
Cited by
44
References
26
Citations by year
2026: 10 · 2025: 5 · 2024: 10 · 2023: 4 · 2022: 7 · 2021: 4 · 2020: 4
FWCI
0.30
Type
journal article
Language
en
Open access
Locations
  • The Gerontologist (publishedVersion)
  • PubMed (publishedVersion)
  • VU Research Portal (publishedVersion, other-oa)
  • Data Archiving and Networked Services (DANS) (submittedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
  • Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
Keywords
dementia, relocation, international relocation, older adults, health effects, stress, mortality, morbidity, well-being, functional decline, dementia policy
MeSH terms
Aged, Decision Making, Dementia, Health Policy, Humans, Policy Making, Transportation of Patients

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