Reality Orientation in Dementia: The Pro and the Cons

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A caregiver helps guide a senior with dementia through reality orientation.

Reality orientation can help loved ones with dementia through confusion.

Did you ever wake up in the middle of a dream and wonder, just for a moment, if what you were dreaming about was real? It can feel very disorienting until you open your eyes and take in your familiar surroundings. An experience like this can give you just a brief glimpse into the ongoing disorientation for a person with dementia. When confusion about time, place, and even identity settle in for a person you love, you’re faced with two options for responding: either stepping into their reality with them, or practicing reality orientation for someone with dementia.

Which Reality Is Best?

In a nutshell, each approach has its place in dementia care. However, there are specific cautions to understand when using reality orientation for someone with dementia. It is important to first understand what is involved with both options and when they could be most appropriate.

Accepting Their Reality

Living in an alternate reality is quite typical for a person in the mid to later stages of dementia. The individual may believe they are a young adult engaged in their previous career (or a different one altogether), with a spouse and young children to look after. Going along with their perception of reality helps them maintain a feeling of self-worth and purpose. It instills comfort and peace, and it is often the recommended approach.

Orienting Them to Your Reality

On the other hand, reality orientation involves providing cues and prompts about the current time, date, and place. Studies have shown that it can improve cognitive functioning, especially when combined with donepezil, and help with some of the more difficult aspects of dementia.

However, reality orientation should be handled gently with compassion, skill, and awareness of the person’s emotional state. For example, if the person asks where their mother is, it could be extremely harmful to respond, “Why, she died 40 years ago! You are 95 years old, so there is no way your mother could still be alive.” In contrast, reality orientation may be effective in ordinary conversations. For instance, if the individual wakes up and asks what day it is, you might respond, “Today is Friday, the day you have your exercise class and then dinner with Steve.”

If the person seems to become agitated or anxious with reality, it’s always best to join them in the perceived reality that feels comfortable to them.

Our specially trained caregivers are pros at knowing how to effectively engage someone with dementia and make each day the best it can be. We utilize imaginative, customized approaches that help with memory, communication, safety, and comfort, while encouraging independence and a sense of purpose and self-worth.

Reach out to us at (954) 486-6440 for more information on our dementia care in Fort Lauderdale, Deerfield Beach, Plantation, and the surrounding areas.

 

Keeping a Sense of Purpose for Seniors Leads to a More Fulfilling Life

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Learn the importance of maintaining a sense of purpose for seniors.

What motivates you to push forward every day? If you are part of the sandwich generation, taking care of both older and younger loved ones, your list is probably quite long! However, for aging adults, as the nest empties, it becomes important to redefine their identity and learn new ways to bring meaning to each day. Read more

Health Concerns That Can Cause Negative Mood Changes in a Senior

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Everyone goes through good days and bad days, and everyone is entitled to negative thinking or irritability every now and then. If you are caring for an older adult who appears to have fallen into a routine of continual negativity and complaining, there could be a reason for it. It’s worthwhile to explore whether or not a health issue may be the culprit for negative mood changes in a senior.

The following are several possibilities for chronic negative mood changes in a senior and how you can help.

  1. Urinary tract infections. A UTI’s classic signs and symptoms of pain, burning, and urgency to urinate may include additional side effects for seniors, including angry outbursts, irritability, confusion, as well as other alterations in behavior or mood. Speak with the physician to rule out a urinary tract infection if you observe these types of uncharacteristic behaviors.
  2. Pain. A recent research study discovered that participants who are experiencing chronic pain reported an increase in negative moods, including fatigue, anger, tension, depression, anxiety, and more. It’s worthwhile to share any of these mood changes with the physician, as these kinds of mood changes actually impact the effectiveness of pain management treatments.
  3. Dementia. Mood and personality changes are typical in dementia. It is crucial to understand that these changes are a symptom of the physiological changes in the brain, and are not a representation of the person’s own choices and decisions. There are medicinal and natural treatment choices that can help the person feel calmer and less agitated that you may desire to explore.
  4. Medication side effects. A number of medications – including those designed to help with mood, such as antidepressants – may cause troublesome mood swings. Medications for blood pressure, inflammation, and seizures may cause personality and behavioral changes in some people. Again, talk with the physician and go through the senior’s prescriptions to determine if the problem stems from one medication, or possibly the interaction of multiple meds together.

Negative mood changes in a senior can arise from loneliness or boredom, too. No matter the reason, constant negativity can be taxing for a caregiver’s personal sense of wellbeing. It is important to be able to step away from your caregiving role on a regular basis, and to make this time away a top priority. The senior will also benefit from the chance to spend time with different friends, family members, or a professional caregiver. These breaks are a healthy part of your caregiver/care receiver relationship – for both of you.

Responsive Home Care’s caregivers are wonderful companions to help brighten the mood of the older adults we serve. All of our care staff are fully trained, background checked, and experienced in a wide range of in-home care services for seniors. If you’re looking for an award-winning home care company in Ft. Lauderdale, FL or the nearby areas, contact us online or at (954) 486-6440 to learn how we can help someone you love, while allowing you the time you need to rest and rejuvenate.