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Case 8 of 40

Assess delirium even when a relative is not yet available

Example case for staff education

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Four-panel clear-line comic. Panel 1: Mr Osei, 76, lives alone. Triage noted him chatting normally. Panel 2: At 2 a.m. he is drowsy and cannot keep attention. Panel 3: No family member is available yet. Earlier notes document his alertness. Panel 4: Assessment and treatment start now. Staff continue to seek further history.
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Mr Osei, 76, lives alone. Triage noted him chatting normally.

Commentary

Staff observations and earlier records can show a recent change in attention or alertness. Continue assessment and care while seeking more information about how the person usually is.

Read the case transcript

Page 1

Panel 1

Mr Osei, 76, lives alone. Triage noted him chatting normally.

Triage nurse: 10 p.m. Alert, joking with the porters.

Panel 2

At 2 a.m. he is drowsy and cannot keep attention.

Night nurse: Mr Osei? Can you tell me your name?

Panel 3

No family member is available yet. Earlier notes document his alertness.

Night nurse: The change is clear in the records. We will not wait.

Panel 4

Assessment and treatment start now. Staff continue to seek further history.

Sources