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Palliative Medicine
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*Stress
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Relocation stress syndrome: the case of palliative care patients

Davina Porock

Nurse Lecturer, School of Nursing, Edith Cowan University, Churchlands,

Karen Martin

WA Hospice Palliative Care Association Research Group

Lynn Oldham

Faculty of Health and Human Sciences, Edith Cowan University, Churchlands

Rod Underwood

Faculty of Health and Human Sciences, Edith Cowan University, Churchlands

Transfer of patients from palliative care services to nursing homes is necessary at present when a patient is relatively stable, but does not have adequate support systems at home. With the ageing of the population and the increasing incidence of cancer, the need for inpatient palliative care beds is growing with corresponding pressure for patients to be transferred to nursing homes. Transfer to a nursing home in the general population has been described extensively in the gerontology literature where a critical early phase of relocation has been identified by a high incidence of morbidity and mortality. The vulnerability of terminally ill patients means that they are at increased risk of suffering from stress associated with a transfer. The prognosis of a patient may be shorter than the time required for adjustment to the patient's new home. The issues surrounding transfer of palliative care patients to nursing homes and possible strategies designed to reduce distress associated with transfers are explored.

Key Words: hospice care • morbidity • nursing homes • patient transfer • stress • psychological

Palliative Medicine, Vol. 11, No. 6, 444-450 (1997)
DOI: 10.1177/026921639701100603
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Home page
 Journal of Social WorkHome page
M. Reith and C. Lucas
Questioning the Evidence for Service Assumptions: Audit of Transfers from a Hospice to Nursing Home Care
Journal of Social Work, July 1, 2008; 8(3): 233 - 245.
[Abstract] [PDF]