Case 10 of 40
Plan support and follow-up when delirium persists at discharge
Example case for staff education
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Mrs Quinn, 81, improves after pneumonia. Attention still varies.
Read the case transcript
Page 1
Panel 1
Mrs Quinn, 81, improves after pneumonia. Attention still varies.
Mrs Quinn: I feel clearer, but I lose track.
Panel 2
The team assesses daily function, medicines and home circumstances.
Nurse: What help will you need with meals, walking and tablets?
Panel 3
They confirm that the agreed help is available.
Daughter: I can stay and help with meals and medicines.
Panel 4
The doctor explains the continuing delirium symptoms.
Doctor: Recovery can take time. We will arrange further review.
Panel 5
The discharge letter records causes, remaining symptoms and the care plan.
Nurse: We have shared this with your GP.
Panel 6
The team agrees discharge is safe with these arrangements.
Nurse: The community nurse will visit in two days.
Panel 7
At home, the nurse finds improvement with persisting symptoms.
Mrs Quinn: I still lose track, especially in the evenings.
Panel 8
She reviews symptoms, medicines and support, and contacts the GP.
Nurse: Your GP will review you again on Friday.
Panel 9
Mrs Quinn and her daughter receive clear advice.
Nurse: Seek urgent medical help for new or worsening confusion or drowsiness.
Commentary
Before discharge, assess whether the person will be safe and what help they need. Record the delirium episode and confirm that the agreed support is available. Arrange follow-up and explain when to seek urgent medical help.