The decision to relocate or to age in place can be a difficult one, mitigated by a variety of influencing factors such as finances, physical abilities, as well as social and instrumental support from family and others. This study focuses on the stresses of residential relocation to independent and assisted living facilities among older women living in Lexington, Kentucky. Participation entailed three semi-structured interviews as well as saliva and blood sampling over a period of 6 months, beginning within one month of the move. Measures of cortisol were used as indicators of stress reactivity. Distinct patterns of cortisol response have been identified, with those who indicated the relocation was the result of health issues or anticipated health issues showing the greatest degree of physiological stress reactivity. The majority of women reveal satisfactory psychosocial adjustment, with women indicating the move was facilitated by need for caring for ailing family showing the least amount of facility integration. Significant life events appear to be related to social integration, stress reactivity, and perceptions of facility life over the course of the first six months in residence. These results have implications for facility managers with regard to facilitation of new and prospective resident acclimation and possible interventions aimed at reducing adaptation time among those on waitlists for such facilities.

Relocation to a personal care home is a stressful experience and may occur at a traumatic moment in life. The effects of relocation to a PCH on nutritional status are unknown, yet under-nutrition is common among PCH residents. Objectives: To explore the effect of relocating to a PCH on the nutritional status, eating habits, and nutrition attitudes of adults aged 60 years and older. Methods: Fourteen Caucasian older adults (F = 57%) with a mean age of 83 years (SD = 9.79) consented to participate. Sixty-four percent of participants experienced inter-institutional relocation. Anthropometric, biochemical, clinical and dietary information was collected at Time Points A (2-3 months following relocation) and B (6-7 months following relocation) through face-to-face interviews, medical chart reviews and communications with nursing staff. Results: At Time B, cognitive function declined (z = -2.185, p < .05) and the number of medications prescribed increased (z = -2.00, p < .05). Levels of 25-hydroxyvitamin D were insufficient among 83% of participants at both time points. Mean serum albumin was 34.4 ± 7.2 g/L at Time B and the prevalence of nutritional risk increased from 57% to 77%. Dietary intake was inadequate according to Canada’s Food Guide recommendations. Nutrition attitudes did not change. Implications & Conclusions: Six months following relocation, nutritional risk was more prevalent, with early evidence of possible protein-energy malnutrition. Nutritional inadequacies may result if dietary intakes do not improve. A collaborative approach is needed to assess environmental, psychosocial and nutritional factors that contribute to poor dietary intake and will assist in the development of an intervention program. / May 2009

Relocation to a personal care home is a stressful experience and may occur at a traumatic moment in life. The effects of relocation to a PCH on nutritional status are unknown, yet under-nutrition is common among PCH residents. Objectives: To explore the effect of relocating to a PCH on the nutritional status, eating habits, and nutrition attitudes of adults aged 60 years and older. Methods: Fourteen Caucasian older adults (F = 57%) with a mean age of 83 years (SD = 9.79) consented to participate. Sixty-four percent of participants experienced inter-institutional relocation. Anthropometric, biochemical, clinical and dietary information was collected at Time Points A (2-3 months following relocation) and B (6-7 months following relocation) through face-to-face interviews, medical chart reviews and communications with nursing staff. Results: At Time B, cognitive function declined (z = -2.185, p < .05) and the number of medications prescribed increased (z = -2.00, p < .05). Levels of 25-hydroxyvitamin D were insufficient among 83% of participants at both time points. Mean serum albumin was 34.4 ± 7.2 g/L at Time B and the prevalence of nutritional risk increased from 57% to 77%. Dietary intake was inadequate according to Canada’s Food Guide recommendations. Nutrition attitudes did not change. Implications & Conclusions: Six months following relocation, nutritional risk was more prevalent, with early evidence of possible protein-energy malnutrition. Nutritional inadequacies may result if dietary intakes do not improve. A collaborative approach is needed to assess environmental, psychosocial and nutritional factors that contribute to poor dietary intake and will assist in the development of an intervention program.

Relocation to a personal care home is a stressful experience and may occur at a traumatic moment in life. The effects of relocation to a PCH on nutritional status are unknown, yet under-nutrition is common among PCH residents. Objectives: To explore the effect of relocating to a PCH on the nutritional status, eating habits, and nutrition attitudes of adults aged 60 years and older. Methods: Fourteen Caucasian older adults (F = 57%) with a mean age of 83 years (SD = 9.79) consented to participate. Sixty-four percent of participants experienced inter-institutional relocation. Anthropometric, biochemical, clinical and dietary information was collected at Time Points A (2-3 months following relocation) and B (6-7 months following relocation) through face-to-face interviews, medical chart reviews and communications with nursing staff. Results: At Time B, cognitive function declined (z = -2.185, p < .05) and the number of medications prescribed increased (z = -2.00, p < .05). Levels of 25-hydroxyvitamin D were insufficient among 83% of participants at both time points. Mean serum albumin was 34.4 ± 7.2 g/L at Time B and the prevalence of nutritional risk increased from 57% to 77%. Dietary intake was inadequate according to Canada’s Food Guide recommendations. Nutrition attitudes did not change. Implications & Conclusions: Six months following relocation, nutritional risk was more prevalent, with early evidence of possible protein-energy malnutrition. Nutritional inadequacies may result if dietary intakes do not improve. A collaborative approach is needed to assess environmental, psychosocial and nutritional factors that contribute to poor dietary intake and will assist in the development of an intervention program.

Thesis (M.Ed.(Education Management and Policy Studies))-University of Pretoria, 2004. / Includes bibliographical references. Available on the Internet via the World Wide Web.

This thesis reports the results of an empirical research, conducted for the displaced communities located on the Arrow Lakes in British Columbia. Emphasis was given to that part of the displaced population that relocated away from the Arrow Lakes region. Ethnographic, data, including community-dynamics, culture and history, and intensive personal interviews with formerly displaced people was collected in order to assess the effects relocation had upon the displaced population. The rationale for the study stems from the fact that to date the planning process has not given due regard to the comprehensive identification of social impacts resulting from construction and operation of large scale development projects. Some impacts have been expected; however, other impacts, which were given little consideration in planning stages and which have come about in a completely unexpected manner, may be documented for virtually every large development project. Any contribution towards ensuring identification of impacts which might otherwise occur unexpectedly should serve to improve the planning process. Ideally, it would be valuable to be able to recognize previously unanticipated effects during the pre-operational planning period. In this particular research recognition of secondary effects during the preplanning period have not explicitly been studied, however, identifying impacts "after the fact" (as a follow-up) has certain validity. It can serve in a nominal way as an indicator for predicting the range of probable consequences of subsequent development projects. It is also necessary as a feed-back or checking mechanism. Often times predictions are proven wrong and secondary effects go undetected, thus a follow-up component within the process is a necessary requisite. Post relocation addresses and whereabouts have been traced for twenty-three households or approximately eighteen per cent of the total displaced population that did not relocate within the Arrow Lakes region. Thus, the following conclusion has been formulated regarding displacement from the large scale power development project in the Arrow Lakes region of British Columbia: Individuals that have commitments to a community and are displaced from communities that display a strong sense of identity and cohesion are more adversely affected than those with no commitments and from communities that lack a strong sense of identity. And finally, a step-by-step approach for relocation planning was identified and discussed. / Applied Science, Faculty of / Community and Regional Planning (SCARP), School of / Graduate

With its growing popularity, most church leaders believe the multisite church is not going anywhere. Regardless of one’s belief about whether a multisite church meets the definition of “one church” or “multiple churches,” all multisite churches must deal with the fact that their senior leaders will eventually depart. While numerous examples of single-site pastoral succession exist, there are few examples of multisite pastoral succession from which to learn. The ultimate purpose of this research was to help multisite churches (or churches that are considering multisite) better understand and implement pastoral succession from the first generation of pastoral leadership to the second. To accomplish this goal, a two-phase sequential mixed-methods study was developed. Phase 1 of the research built a survey to better understand multisite succession, which was administered to 21 of 35 churches that were discovered through snowball sampling. Phase 2 built upon the survey information and utilized a Delphi Panel in order to project best practices for multisite churches undergoing pastoral succession. This phase had 76 practices gain consensus after three rounds of expert feedback. The results included practices for first generation pastors, practices for second generation pastors, and practices for the organization as a whole.

Displacement has continuously plagued communities for as long as society has existed. The refugee in response to climate change creates a relatively new facet in approaching relocation of a community due to circumstances that negate self-infliction and are product of irreversible external factors. As the coastal periphery of our nation continues to sink at nauseating rates, with it takes homes, green space, agriculture, and economic practices. In addition to a drastic alteration in the way of life, an emotional phenomenon of place attachment becomes dramatically exposed as mother nature strips a community of their native geography. Though proposals to relocate can be beneficial in the mere sense of avoiding the inevitable, the need to preserve a familiar landscape creates a set of design issues of architectural mimicry placed in differing context than its original intent. Structure is designed according to contextual parameters that aim to make ease of living and circulation. One must be aware of the nostalgia built form and its competition with a new set of parameters. Especially when reliance on urbanized economical growth and networking is introduced. This thesis takes a critical look at the approach and practicality of displacement and relocation, its relationship to the new breed of global climate change refugees, and its overall necessity in an age of vast technological advances. Architectural intervention will be investigated at the root of the problem rather than by proposition of dislocating geography based culture. In order to prevent further urbanization issues in respect to sprawl and social integration, what would it take, or start to look like, to keep a population at heir original disappearing settlement? The Isle de Jean Charles and the Biloxi-Chitimacha-Choctaw tribe will act as the specific case study in developing a resilient and sustainable architectural catalyst. / 0 / SPK / specialcollections@tulane.edu

Univ., Diss.--Groningen, 2005. / Zsfassung in niederl. Sprache.

Background: This paper focuses on firm relocation for SMEs. A process that due to changing requirements for businesses as well as changing customer needs is a very contemporary issue. Municipalities in both Sweden and the Netherlands have seen that businesses are moving away to the larger regions, mainly due to favourable business location factors in these areas. Over 20% of businesses have considered relocating in the near future. Current literature mainly focuses on business perspectives and specific industries. Research on this topic from the municipality perspective will provide new insights on the topic of relocations. Purpose: The purpose of this study is to explore how and where municipalities can increase their influence in the relocation process in order to increase the relocation of more small and medium sized businesses to their regions. Method: This thesis makes use of a multiple case study approach, while conducting semi-structured interviews with a wide variety of SMEs from different industries that have moved in the past five years. A qualitative study will be used to research the topic, and to create a theory that can be used be municipalities on how to influence relocating SMEs. The gathered data was researched using a thematic content analysis. Conclusion: Results show that municipalities are able to increase their influence on the relocation process in several ways. Firstly, by being proactive when it comes to location drivers, ensuring that their current businesses do not leave. Proactive information provision through several channels to the SMEs that are considering relocation can positively influence relocation. Lastly municipality politics has a clear influence on relocations as it can help keep businesses embedded in their current regions. Or stimulate businesses from outside a region to relocate due to creating favourable regional characteristics.