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      Moving to an assisted living facility can be a traumatic experience. Not only for the individual, but for the caregiver as well. This is especially so if the new resident has any form of dementia. However, several things that can be done to make the transition go more smoothly. "Approach the transition in a way that will create a positive experience for the individual," says Thomas Kirk, M.S.S.A. Transition is generally easier if a family member or friend spends time with the new resident at the time of the move in and during the days following. Here are steps you can take before and during the transition to help a new resident adjust more easily:

Personalize the room before admission
Decorate the room with personal items such as pictures, a favorite chair, end table or bedspread. Familiar items provide reassurance.

Choose the right time for the move
Try to arrange the admission time during the new resident's "best" time of day. Mid-morning hours are usually best for older persons.

Try not to show fear and sadness
Do your best not to be outwardly upset. Individuals with dementia can be very perceptive of the emotions of those around them.

For the well-being of the caregiver
Relinquishing day-to-day responsibility sometimes makes the caregiver feel worried and guilty. However, family caregivers can still remain active because they no longer have to worry about routine care.

Ask the administrator of the assisted living facility how you can be involved. The following tips can help you cope with transition:

Plan ahead
Research the assisted living facilities available in your community, as soon as you begin to feel that your parent or friend is reaching the point at which living independently may not be feasible. Many facilities are fully occupied so it is important to get your name on the waiting list before a crisis occurs.

Define your new caregiving role
Your role changes (but doesn't end) when a parent or friend moves into an assisted living facility. You may want to join them for meals or share in an activity. However, it is also good to pursue your own interests, and not make the assisted living facility the focal point of your life. This is crucial to your health and well-being. Enjoying yourself in no way means that you are abandoning or forgetting your parent or friend.

Maintain good communication with staff
Share your concerns and suggestions with staff. Ask the administrator how, and to whom, concerns and suggestions, should be presented.

Rehearse the entire transition in your mind before it happens
Rehearse what it will be like telling your parent or friend about your concerns. How you will feel before and after they move to an assisted living facility? How your parent or friend will react to the entire process, and especially, how you will respond. Select visiting times that are comfortable for you. Visit with a friend or family member if it is too difficult to visit alone. (This is a good way to involve other members of the family in the person's care.) Talk with others about your feelings and emotions. Many people find it helpful to join a support group. Recent studies suggest that people who participate in support groups are healthier and have increased life expectancy. Interestingly, according to the Johns Hopkins Medical Report, it doesn't matter what the support group is. The group may or may not relate to the problem at hand. What counts is sharing experiences with other people. Bottom line is: don't bury your feelings.

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