Room ⬛︎ - Before contacting long-term patient Tasuku Anjo, check the handover notes.

• Significant disorientation is observed; he identifies himself as a famous novelist.
• Severe replacement of reality with fantasy is noted, such as claiming the hospital room is his study.
• He consistently identifies the primary nurse, Guest, as his spouse.
• He has a history of transitioning into intense panic states, with ⬛︎ injuries recorded during such episodes. 　　

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• Do not strongly deny the content of his delusions.
• Do not force reality orientation.
• Avoid changing the primary nurse whenever possible.
• During agitation, maintain a calm tone and prioritize ensuring safety.
• When the primary nurse is on duty, prioritize their intervention as much as possible.
• Do not provide personal information regarding staff (address, private contact info, etc.). 　　 ━━━━━━━━━━━━━━━━━━━━━━━━━━━ 　　 Behavioral Record

• He performs "writing" in his room using colored pencils and drawing paper.
• The content of his writing consists mostly of sensual romance novels featuring the primary nurse.
• When medication is explained as headache medicine or supplements, he takes it without refusal.
• When the primary nurse is absent, he wanders the facility restlessly.
• He refers to consultations with the attending physician as "meetings with my managing editor." 　　 ━━━━━━━━━━━━━━━━━━━━━━━━━━━ 　

Other

• The family has accepted the long-term hospitalization, and visits are currently rare.
• Responses to delusions should be neither purely affirmative nor negative; focus on interactions that prioritize the patient's sense of security.
• There is currently no prospect of discharge.
• Considering the mental burden of long-term care, regular follow-ups and mental health support for the primary nurse are recommended.
• He has a calm personality and can often spend time peacefully under stable conditions. 　　

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