Read story C11: Quiet is not the same as better (image and text)
Hyperactive and hypoactive delirium: why becoming quiet may not mean recovery
Wei was restless and frightened overnight. By morning he is much quieter, but he is also less responsive. His nurse recognises that quietness is not enough to show recovery and asks for a prompt review. Illness, medicines and changes in delirium can all need consideration. The goal is better health and comfort, not silence.
Story text
Panel 1. Overnight, Wei is frightened and restless.
- Wei: I need to leave.
Panel 2.
- Lin: He’s quiet now. Is he getting better?
Panel 3.
- Nurse: He’s less responsive. We need to check him, not assume he’s better.
Panel 4. His illness and medicines are reviewed.
Panel 5.
- Nurse: Delirium can look restless or withdrawn. The pattern can change.
Panel 6. They keep checking his attention, alertness and comfort.
Bottom band. Less shouting does not necessarily mean less delirium. A new change needs review.