Reality Orientation:

How Do I Get Mom Back On Track?

When elderly people are confused, getting them back on track as much as possible is a major part of their care. Reality Orientation is a technique based on the useful tool of repetition.

Sometimes elderly people tend to withdraw from conversations as communication becomes more difficult. Try to draw them into conversation, using questions, pictures, or whatever may spark their interest. Ask only one simple question at a time, and allow time for response.

Here are some general rules to improve communication:

1. First, get the person's attention

2. Be patient, calm and kind

3. Speak slowly and clearly, using simple words and brief sentences

4. Allow time for processing information and response

5. Ask questions that can be answered with one word or gesture

6. Repeat and rephrase as often as necessary

Here are some useful tools that are part of Reality Orientation:

1. Repeat the person's name often, and introduce yourself each new contact with the person

2. Repeat the day, date and time often

3. Put calendars and clocks where the person can easily see them

4. Discuss familiar people, places and events

5. Open the drapes during the day, and close them at night

6. Encourage the person to watch TV or listen to the radio

7. Maintain a predictable routine and be consistent

8. Avoid changes; don't move the person's belongings or furniture

9. Encourage the person to enter social activity and do not permit them to isolate

Music can also be a very useful form of thereapy, as it communicates with people on a non-verbal level. Music may stimulate memories of people, events, places and feelings.