The core principle revolves around accepting the reality and personal truth of another individual, particularly those experiencing cognitive decline or dementia. It emphasizes understanding and acknowledging a person’s feelings and experiences without attempting to correct or reorient them to current time or place. The goal is to create a connection based on empathy and respect, thus reducing anxiety and behavioral issues. For instance, if a resident in a care facility believes they need to go home to care for their children, instead of stating that their children are grown, a caregiver might ask about the children and reminisce about those experiences.
This approach fosters dignity and self-esteem in individuals whose cognitive abilities are compromised. By valuing their emotions and experiences, it aims to improve communication and reduce challenging behaviors like agitation and resistance to care. Historically, traditional methods often focused on reality orientation, which can be frustrating and upsetting for those with cognitive impairments. The shift towards this method represents a recognition of the psychological and emotional needs of these individuals, acknowledging that their subjective reality is valid and important.
