Mrs. G. is a 75 year old Hispanic woman who has been relatively well all of her life. She had been married for 50 years and had five children. Her children are grown with families of their own. All but one of her children live in other states. Mrs. G.’s husband passed away last year, which was devastating for her. She had been very close to him and relied upon him for everything. He was “the life of the party” she always said and was a loving and caring man. Since his passing, Mrs. G. has continued to live in the house they shared for 35 years. In the last month, Mrs. G. has fallen twice sustaining injuries, though minimal. Her home health nurse comes weekly to check in on her. Mrs. G. likes her very much and wishes she could come more often. Mrs. G.’s daughter who lives in the next town over, has been worried and decided with the urging of her siblings and the doctor to start looking for an assisted living facility for her mother. She found one last week and talked with the Director who said she would be happy to help in whatever way was best. The daughter decided to tell her mother that it was time for her to move, so she can be cared for and be safe. When she told her mother, Mrs. G. cried and said, “This will not happen ever. I plan to stay in this house of loving memories for the remainder of my life.” In 3 – 4 pages answer the following questions:

Title: Exploring the Resistance to Relocating an Elderly Individual to an Assisted Living Facility

The decision to move an elderly individual to an assisted living facility can be challenging and emotionally charged. This case study focuses on Mrs. G., a 75-year-old Hispanic woman who has recently experienced a decline in physical health and independence following the loss of her husband. Despite concerns expressed by her family and healthcare professionals, Mrs. G. vehemently opposes the idea of leaving her cherished home. This paper aims to analyze the reasons behind Mrs. G.’s resistance to relocating and explore potential strategies to address her concerns effectively.

Factors Influencing Mrs. G.’s Resistance:

1. Emotional Attachment:
Mrs. G.’s strong emotional attachment to her home, which she shared with her late husband for 35 years, appears to be a significant factor contributing to her resistance. The house represents a collection of loving memories and symbolizes the life they built together. In her mind, leaving the house could also mean leaving behind the legacy of her husband and the life they shared. This emotional attachment can create a sense of loss and grief, making it challenging for Mrs. G. to consider relocating.

2. Loss of Independence:
Mrs. G. has been relatively independent throughout her life, relying on her husband for support. The recent falls she experienced likely left her feeling vulnerable and reliant on others for assistance. The prospect of moving to an assisted living facility may further amplify Mrs. G.’s perception of losing control over her life. She may fear losing her ability to make decisions, feeling as though she is being forced into a situation she did not choose.

3. Fear of Change:
Resistance to change is a common psychological response, particularly among older adults. Change can disrupt familiar routines and surroundings, leading to anxiety and even a fear of the unknown. Mrs. G.’s reluctance to move may stem from a fear of having to adjust to a new environment, establish new relationships, and adapt to a different way of life. Change, in her perception, may also imply a loss of personal identity and a breaking of connections to her past.

Strategies for Addressing Mrs. G.’s Concerns:

1. Empathetic Communication:
To effectively address Mrs. G.’s resistance, open and empathetic communication is essential. The daughter should listen attentively to her mother’s concerns and express genuine understanding and empathy. Acknowledging the emotional significance of the house and expressing appreciation for the memories created can help foster a sense of validation for Mrs. G. This approach may allow her to feel heard and understood, potentially opening the door for further discussion about alternative options.

2. Emotional Support:
Mrs. G.’s attachment to her late husband and the loss she experienced necessitate adequate emotional support. Encouraging Mrs. G. to connect with a grief counselor or join a support group of individuals who have experienced similar losses can be beneficial. These avenues can provide her with an opportunity to process her emotions, share her thoughts, and gain support from others who can empathize with her situation. Emotional support can help Mrs. G. feel more prepared to navigate the potential changes associated with relocating.

3. Involving Mrs. G. in Decision-Making:
Including Mrs. G. in the decision-making process can help her maintain a sense of control and autonomy. The daughter, with the assistance of healthcare professionals, can provide Mrs. G. with information about the benefits of an assisted living facility, including enhanced safety measures, access to social activities, and on-site medical support. Mrs. G. should be allowed to ask questions, express her concerns, and have her opinions acknowledged. Involving her in the decision-making process may increase her willingness to consider alternative living arrangements.

4. Gradual Transition:
Instead of abruptly moving Mrs. G. from her home to an assisted living facility, a gradual transition approach may be more effective. This strategy involves introducing Mrs. G. to the concept of assisted living by suggesting short-term trial stays or respite care. These temporary stays can provide her with an opportunity to experience the new environment and assess its suitability without committing to a permanent move. Gradual transitions allow her to become gradually familiarized with the facility, establish connections, and develop a comfort level.

Mrs. G.’s resistance to relocating to an assisted living facility is influenced by various factors, including emotional attachment, loss of independence, and fear of change. By employing strategies such as empathetic communication, emotional support, involving her in decision-making, and implementing a gradual transition approach, Mrs. G.’s concerns can be addressed effectively. Ultimately, the goal is to balance Mrs. G.’s desire to preserve her cherished memories with her need for safety, care, and support in her later years.