In a nutshell, each approach has its place in dementia care. However, there are particular cautions to be aware of in using reality orientation. It’s important to first understand what is involved with both options and when they might be most beneficial. Living in an alternate reality is quite common for someone in the mid to later stages of dementia. The person may believe they are a young adult engaged in their previous career (or a different one altogether), with a spouse and young children to care for. Going along with their perception of reality helps them maintain a sense of purpose and self-worth. It instills peace and comfort, and is often the recommended approach. Reality orientation, on the other hand, involves providing prompts and cues about the current time, date, and location. Studies have shown that it can improve cognitive functioning, especially when paired with donepezil, and help with some of the more challenging aspects of dementia.