Reality orientation, when used appropriately and with compassion, can also benefit those living withAlzheimer’s diseaseandother dementias.

Reality orientation also has been shown to improve cognition when accompanied by medication.

There may be further benefits as well.

A Nurse Reorienting Gentleman with Dementia

Cultura RM Exclusive / Tim MacPherson Cultura Exclusive 145083639 / Getty Images

In contrast to reality orientation, validation therapy emphasizes the feelings behind the behaviors or statements.

“validation orientation establishes the context by which to frame the response.

You’re 92, and your mother couldn’t possibly be alive today.”

Broadly speaking, reality orientation may be better suited for people with mild to moderate cognitive impairment.

A Word from Verywell

Clearly, those who use reality orientation must apply sensitivity and wisdom.

In clinical and home prefs, an understanding of both validation therapy and reality orientation is beneficial.

The goal of reality orientation is to improve cognitive and psychomotor function.

In addition, the use of reality orientation can help to delay nursing home placement.

To use a reality orientation approach, include information about time, place, and names in conversation.

These things can help refresh the persons memory in a way that does not make them feel self-conscious.

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2016;15(5):1184-1204. doi:10.1177/1471301214556489