reality orientation


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Related to reality orientation: validation therapy

reality orientation

 
1. a program designed to improve cognitive and psychomotor function in persons who are confused or disoriented. It is often employed in long-term facilities to create an environment in which perceptions of the environment in relation to the external world are directed toward the reality of that world. Aids such as calendars and clocks and sensory stimuli such as distinctive sights, sounds, and smells are used to improve sensory awareness. The expected outcome of such programs for severely impaired persons is improvement in intellect and language skills, and increased participation in activities of daily living.
2. in the nursing interventions classification, a nursing intervention defined as promotion of the patient's awareness of personal identity, time, and environment. See also reality testing.

reality orientation

An intervention to orient people with early dementia or delirium. It involves repetition of verbal and nonverbal information. The environment remains constant, and the person is reminded about names, dates, weather, and other pertinent information.
References in periodicals archive ?
With a sense of reality orientation, all three of these
not seem to have a highly developed sense of reality orientation. She
One facilitation technique was rated more critical as an entry level skill in PM&R: reality orientation. Reality orientation F(3, 269) = 4.51, p < .004 was rated significantly more critical in PM&R (4.37) than in Other populations (3.78).
Reality orientation F(3, 262) = 5.10, p < .002 was less critical in other populations (3.62) than in mental health (4.22), older adults (4.34), and PM&R (4.37).
It would seem logical though, that if these old people who live in the "difficult circumstances" to which Coleman alludes, were given a more stimulating and satisfying quality of life, they would then have more reason to mentally exist in the real present and, ironically, just as reality orientation would become more relevant, it would at the same time become less necessary.
Advocates of "milieu" or "reality orientation" therapy for demented patients[4,20] recommend that patients be involved in activities which, as much as possible, are extensions of their pre-morbid lives.
Caring touch helps elderly compensate for bereavement, dependency, and altered body image.|5~ It has been found to be therapeutic as a form of nonverbal communication and as a means of decreasing sensory deprivation, increasing reality orientation and alleviating pain.|6~ Nurturing touch is also effective in helping the elderly person feel less isolated and vulnerable during periods of intense personal stress.|7~
For example, the social worker can reinforce a sensory stimulation goal during visits with the resident by utilizing tactile stimulation, reality orientation, or reminiscence as part of the visit.