Using 24-Hour Reality Orientation

Hahn, Karen

doi:10.3928/0098-9134-19800301-07

Cited by 8 publications

(2 citation statements)

References 16 publications

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“…The nursing approaches were drawn from experience, discussion with orthopedic and gerontological nurses, results from the first phase of the study, and from the literature, particularly Wolanin and Phillips (1981), Trockman (1978), and Hahn (1980). Preventive approaches were related to six problems: strange environment, altered sensory input, loss of control and independence, disruption in life pattern, immobility and pain, and disruption in elimination patterns.…”

Section: Methodsmentioning

confidence: 99%

Reducing acute confusional states in elderly patients with hip fractures

Williams

Campbell

Raynor

et al. 1985

Research in Nursing & Health

128

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The extent to which the incidence of postoperative acute confusional states could be reduced in elderly (greater than or equal to age 60) patients with hip fractures was tested. Interpersonal and environmental nursing interventions were carried out with 57 patients on orthopedic units in three hospitals. The incidence of confusion was reduced from 51.5% in the comparison group (n = 170) to 43.9%. Analysis that controlled for risk factors in the two groups showed the drop in incidence to be significant (p less than .02). The most effective interventions appeared to be those that provided orientation and clarification, corrected sensory deficit, and increased continuity of care.

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Section: Methodsmentioning

confidence: 99%

Reducing acute confusional states in elderly patients with hip fractures

Williams

Campbell

Raynor

et al. 1985

Research in Nursing & Health

128

View full text Add to dashboard Cite

show abstract

“…The inspiration camefrom manyEnglisharticles about this approach and the findings of some authors who especiaJJy underlinedthe factthat nursesareverywell capableto applythesetechniques and skills. (5) Other authors like Drummond et aJ (6), Hahn (7) and Parker& Somers(8) described in a practicaJ way how to use Reality orientationon the wardduring the 24 hour approach.…”

Section: Reality Orientationmentioning

confidence: 99%

Reality Orientation, Validation and the Reality of the Disoriented Old Old

Kooij¹

1993

Nordic Journal of Nursing Research

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Approaches ofdisoriented elderly people canbe distinguished in two main perceptions, Reality Orientation and Validation. RealityOrientation appeals to stillexistingfunctions and helps people toget oriented toward the reality. Validation goes with people intotheirinner world, wherefeelings dominateand facts arenolonger important. In this articleboth approaches are explicated. Further, it isstated that measuring theeffects ofRealityOrientation or Validation havethesame pitfalls, such aslack ofadequate scales, unclear definitions ofthe behaviour and symptoms of patientsinvolved, and therisk of measuring a Hawthorne effect. The authorstates that Validation meets thedemands ofdisoriented people better than Reality Orientation. She argues tothink in-depth aboutthe aimsofpsychogeriatriccare, in order todefinewhateffects should bepursued and measured. Nursingdiagnoses should be used instead of medical diagnoses.

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Nursing care of the elderly mentally impaired patient

Martin¹

1987

Psychiatric Nursing

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Using 24-Hour Reality Orientation

Cited by 8 publications

References 16 publications

Reducing acute confusional states in elderly patients with hip fractures

Reducing acute confusional states in elderly patients with hip fractures

Reality Orientation, Validation and the Reality of the Disoriented Old Old

Nursing care of the elderly mentally impaired patient

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