Example case 2 of 40
Clearer this morning
Include the overnight history
Overnight Mr Reid, 77, was disoriented and afraid.
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Page 1
Panel 1
Overnight Mr Reid, 77, was disoriented and afraid.
Night nurse: At 3 a.m. he did not know where he was.
Panel 2
On the ward round he answers clearly.
Doctor: Good morning. Can you tell me where you are?
Mr Reid: In hospital, after my fall. It is Tuesday.
Panel 3
The overnight change still needs assessment.
Doctor: Thank you. We still need to find what changed overnight.
Panel 4
He is assessed for delirium and its causes, with review planned.
Ward nurse: We will keep watching and repeat the checks today.
Commentary
Include the recent history when assessing delirium. Clearer answers at one moment do not rule it out.
An anonymised composite case that does not describe one identifiable person and is not research evidence.