When a client with dementia says something untrue to us — "I need to pick up my children" — how should you respond? Two approaches help.
Reality Orientation
Gently reminding the person of facts — date, place, who you are. Helpful in early dementia, when reminders don't cause distress.
Validation
Acknowledging the person's feelings rather than correcting facts. In later dementia, insisting "your children are grown" only causes pain. Instead: "Tell me about your children."
Choosing the Approach
- If correcting calms them, gentle orientation can help.
- If it distresses them, switch to validation.
- Never argue or repeatedly correct.
- Focus on the emotion behind the words.
The Goal
Comfort, not "winning." Meeting the person in their reality is often kindest.
🔑 Key Takeaways
- Reality orientation suits early dementia.
- Validation acknowledges feelings, not facts.
- If correcting distresses, switch to validation.
- Goal is comfort, not winning.