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He does not use many words

Illustrated Story C25, with a text transcript.

Read story C25: He does not use many words (image and text)
Six-panel illustrated story: He does not use many words. A support worker describes an acute change from an adult’s usual communication and abilities.

Delirium in a person with a learning disability: noticing their own change

Ben usually communicates through short phrases, gestures and familiar routines. Today he is unusually withdrawn and can’t engage in those routines. His support worker explains what is different. Assessment should fit Ben’s communication and compare him with his own usual abilities, not assume the change is part of his disability.

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

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Story text

  1. Panel 1. Ben uses short phrases and gestures. People who know him understand his routine.

  2. Panel 2.

    • Ella: This is not usual for Ben.
  3. Panel 3.

    • Ella: He normally shows us what he wants. Today he cannot follow familiar things.
  4. Panel 4.

    • Nurse: We’ll adapt the assessment and check what has changed.
  5. Panel 5. His usual communication does not explain away a new illness.

  6. Panel 6.

    • Ruth: He understands better when one person speaks and waits.

Bottom band. Compare the person with their own usual abilities. A learning disability does not explain a sudden change.

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