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The label in the notes

Illustrated Story C04, with a text transcript.

Read story C04: The label in the notes (image and text)
Six-panel illustrated story: The label in the notes. A new sleepy, inattentive change is assessed instead of being attributed to an existing BPSD label.

BPSD or delirium? A new change still needs assessment

Marian’s records mention BPSD because she has longstanding periods of restlessness. Today she is unusually sleepy and can’t follow a familiar conversation. Her niece describes the difference. An old label does not explain a new change: the team assesses her promptly and identifies delirium alongside her dementia. BPSD means behavioural and psychological symptoms of dementia.

Example case. Names and dialogue are illustrative. Individual experiences and recovery vary.

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Story text

  1. Panel 1. Marian’s evening restlessness is recorded as BPSD—behavioural and psychological symptoms of dementia.

  2. Panel 2.

    • Jo: Auntie? It’s Jo.

  3. Panel 3.

    • Care worker: The notes mention BPSD.

  4. Panel 4.

    • Jo: Restlessness is familiar. This sleepiness and not following me are new.

  5. Panel 5.

    • Nurse: You’re right. We need to assess this change now.

  6. Panel 6.

    • Doctor: She has delirium as well as dementia. We’re looking for the causes.

Bottom band. A BPSD label must not explain away a new change. Ask about delirium.

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