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Another review in the hospice

Illustrated Story B43, with a text transcript.

Includes end-of-life care

Read story B43: Another review in the hospice (image and text)
Eight-panel illustrated story, Another review in the hospice. Zahra, an older British Pakistani woman with advanced cancer and delirium, remains frightened. Her daughter says the first plan has not helped enough. Nurse and doctor reassess discomfort, causes and medicines, and plan to seek specialist advice. Some distress eases but symptoms return. The nurse continues to listen and review. Footer: Distress with delirium deserves review when the first plan has not helped.

Distress caused by delirium does not always settle with the first approach. If someone remains frightened or uncomfortable, tell the team what you are seeing and ask the team to check again.

In a hospice, this may include another look at discomfort, possible causes and medicines, with specialist advice when needed. Care should reflect the person’s condition and wishes. Some symptoms may ease while others continue. People with delirium and their families still deserve attention, explanations and support throughout.

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Story text

  1. Panel 1. Zahra has advanced cancer and delirium.

  2. Panel 2.

    • Maryam: She’s still very frightened. The first plan hasn’t helped enough.
  3. Panel 3. The nurse checks discomfort and immediate needs.

  4. Panel 4. The doctor reviews causes and medicines again.

  5. Panel 5.

    • Maryam: Being comfortable matters most to her.
  6. Panel 6.

    • Doctor: We’ll get specialist advice and revise the plan.
  7. Panel 7. Some distress eases. Symptoms still return.

  8. Panel 8.

    • Nurse: Keep telling us what you notice. We’ll review her again.

Bottom band. Distress with delirium deserves review when the first plan has not helped.

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