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The elderly persons in Kenya are faced with stress emanating from a host of problems that vary from economic, health, social to personal problems (Olum, 2014). It is highlighted that 43% of adults experience hostile health effects from stress. This outcome contributes to 75-90% of hospital visits associated with stress-related conditions and complaints including high blood pressure and poor sleep (Bruno, 2013; Harvard Health Publications [HHP], 2009; Olum, 2014). Relaxation techniques for the older persons include a number of practices such as progressive relaxation, autogenic training, guided imagery, biofeedback, self-hypnosis, and deep breathing exercises (Benson, Casey & Dadoly, 2008; HHP, 2009; National Center for Complementary and Integrative Health [NCCIH], 2016). One of the most effective techniques is the Progressive Muscle Relaxation (PMR) exercise, which is not only simple to perform but also has better reported results oriented towards managing distress and poor sleep quality associated with stress in this population (Barnes, Powell-Griner, McFann & Nahin, 2004; Muriungi & Ndetei, 2013; Shinde et al., 2013).

Effects of Relaxation Exercise and Sleep Environment Modification on Stress among Institutionalized Elderly in Nairobi City, Kenya