Case 16 of 40
Frightening memories may persist after delirium in intensive care
Example case for staff education
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Mrs Lewis, 62, had delirium during intensive care.
Read the case transcript
Page 1
Panel 1
Mrs Lewis, 62, had delirium during intensive care.
Mrs Lewis: I thought people were keeping me prisoner.
Panel 2
Her attention is steadier on the ward. Fear remains.
Mrs Lewis: I know I am in hospital, but it still feels real.
Panel 3
The nurse asks about sleep and what troubles her.
Nurse Green: What happens when you try to sleep?
Panel 4
The doctor checks her current cognition and recent course.
Doctor Khan: We need to assess the confusion and the distress separately.
Panel 5
Staff explain delirium without dismissing her experience.
Nurse Green: Those experiences can feel very real when you are ill.
Panel 6
With her agreement, her husband joins the conversation.
Husband: I did not realise how frightening it had been.
Panel 7
The team reviews sleep, anxiety and rehabilitation needs.
Doctor Khan: We will arrange support for the problems you are having.
Panel 8
At a later review, she still fears falling asleep.
Mrs Lewis: Talking helped, but the nights are still difficult.
Panel 9
Staff arrange further support and critical-care follow-up.
Nurse Green: Tell us promptly if the confusion returns or worsens.
Commentary
After critical illness and delirium, assess the person’s current memory, thinking and distress. Explain delirium, discuss frightening memories and arrange appropriate support and follow-up.