To the average person, moving is a great deal of trouble; for a nursing home resident, it may be life-threatening. According to a study sponsored by the National Institute on Aging, room transfers within a facility impose a greater mortality risk for some patients. Transfers were associated with equally positive outcomes for residents with high and low competency scores (ratings of mental and physical abilities), but they did produce disorientation problems. The effect was less positive in moderately competent patients, who suffered from relocation stress and an increased mortality risk. Moderately competent residents depend on their environments for cues, and when these are removed, their ability to adapt diminishes [National Institute on Aging. Special Report on Aging 1988-1989. Washington, DC: 1989;40].