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How about using Naomi File's approach. She prefers
validation therapy rather than reality orientation. Use the who, what , why ,
where, how questions. For instance, if the resident tells you that he was a
tight rope walker in the circus, ask .."where did you travel," "how did it feel
to be up in the air," who did you work for." In the meantime, many years ago, I
had just such a case and was told by a kind nurse "the resident is
confabulating." In reviewing the med hx, I found that indeed he was a
circus performer!
"G"
----- Original Message -----
Sent: Friday, April 16, 2004 10:52
AM
Subject: RE: goal for confabulation
Are you talking about someone who is
delusional? Confabulate basically means to chat or to fill one�s memory
with things that are not true.
If the resident is demented or this is a
long standing problem, you will likely be able to do nothing to reverse this
trend. I would use the goal that the resident would respond to
redirection, etc.
Brenda W. Chance,
RN, RAC-C
MDS
Coordinator
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-----Original
Message-----
From: Terry
Elmstrom [mailto:[EMAIL PROTECTED]
Sent: Friday, April 16, 2004 9:31
AM
To: AANAC
Subject: goal for
confabulation
need some help for a goal for a
resident who confabulates
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