Date of Award

8-1977

Document Type

Thesis

Degree Name

Master of Arts in Gerontology

Department

Gerontology

Abstract

The thesis, "A Study of Reality Orientation and a Program Design for a Geriatric Setting", explores the benefits of reality orientation for elderly individuals experiencing disorientation and confusion. Focused on designing a structured reality orientation program for the Jewish Center for Aged in St. Louis, the study emphasizes the potential for this approach to improve cognitive awareness in institutionalized elderly patients. The program consists of 24-hour orientation by all staff members and scheduled classroom sessions, which reinforce residents' sense of time, place, and identity. Key components include consistent repetition of basic facts, supportive materials like clocks and calendars, and family involvement to enhance the therapeutic effect. The thesis also addresses the lack of such programs in many long-term care facilities and suggests staff training as essential for success. Evaluation tools are proposed to measure patient progress and determine the program’s effectiveness. Ultimately, reality orientation aims to foster cognitive stability, improve patient-staff relationships, and potentially enhance residents' quality of life in long-term care environments.

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