Related Experiment Videos
Interventions for confusion and dementia. 2: Reality orientation
1Middlesex University, Centre for Old Age Studies (COAST), Whittington Education Centre, London.
British Journal of Nursing (Mark Allen Publishing)
|November 27, 1998
Summary
Reality Orientation (RO) was a common intervention for confusion but may disempower patients. This article reviews its history, benefits, and drawbacks, noting it is now less common than newer therapies.
Area of Science:
- Gerontology
- Psychiatry
- Nursing
Background:
- Confusional states are a significant concern in patient care.
- Reality Orientation (RO) has historically been a widely adopted intervention.
- Concerns exist regarding RO's impact on patient empowerment and passivity.
Purpose of the Study:
- To explore the development and historical use of Reality Orientation.
- To critically evaluate the strengths and weaknesses of RO as an intervention.
- To contextualize RO within the broader landscape of interventions for confusional states.
Main Methods:
- Literature review of historical and anecdotal evidence on Reality Orientation.
- Analysis of the theoretical underpinnings and practical application of RO.
- Comparison of RO with alternative interventions like reminiscence and validation therapy.
Main Results:
- Reality Orientation was prevalent for decades in managing confusion.
- RO's efficacy is debated, with potential negative impacts on patient autonomy.
- The existing literature on RO is largely anecdotal and outdated.
Conclusions:
- Reality Orientation, while historically significant, has limitations.
- RO may foster patient disempowerment, a critical consideration in therapeutic approaches.
- Modern interventions like reminiscence and validation therapy have largely replaced RO.