Margaret Jones (2436)

Admission Details for Patient: Margaret Jones (2436)

Gender: Female Age: 38
Marital Status: Single Religion: Calvinist Methodist
Occupation: Seamstress
Address: Barmouth, Merioneth

Date of Admission: March 19, 1875
Date of Discharge: March 21, 1877
Discharge Category: Relieved

Disease: Chronic Mania
Supposed Cause: Fright

Medical Certificate:
She fancies there are knives within her body and is abusive in her language. Has a wild and excitable appearance. She does not appear to know me although I am intimate with her and speaks of her mother in the masculine gender. Her mother states that on the 16th inst. she attempted to throw her downstairs and was abusive to herself. Her attendant Griffith Evans states that on the 17th inst. she threw some bread and butter at her mother's face and was very irrational and wandering in her talk. Hugh James Lloyd, Barmouth.

Approximate duration of present attack: 4 days

Number of Previous Attacks: 999

Number of Previous Admissions: 0

Number of Subsequent Admissions: 0

Total Number of Admissions: 1

Relatives affected: Mother paralyzed

Number of Previous Attacks: 999

Epileptic: No

Suicidal: Yes

Dangerous: Yes

Clean Habit: Yes

Food Refusal: No

Sleep Habit: Good

Destructive Habit: Quiet since admission

Disposition: Cleanly and industrious

Education: None

Physical/Mental State at Examination: Free from bruises. Middle sized, nervous temperament. Emaciated. Tongue foul, breath offensive, appetite unimpaired. Heart sounds normal and pulse normal. Lungs somewhat emphysematous, coughing frequently. Genito-urinary system - no trace of albumen. Very excited and labouring under delusions. Thought she was at a relation's house and frequently called for tea. Would not return a sensible answer to any question and was unable to recognise anybody. Her sister accompanied her but she mistook her for an acquaintance. Does not eat her food well, sleeps fairly, not requiring any draughts.

Current Diagnosis: Schizophrenia (F20.1)

Case Notes

1875 Mar 25 - Somewhat better. Not so excited. Sits quietly at the first in No 4 Ward. Still very incoherent and unable to answer questions properly. Does not seem to be aware that she is in the Asylum.

Does not require any sleeping draughts and eats her food well. Apr 5 - Continues in the same condition.

Has been transferred from No 4 Ward to the Workroom where she is fairly industrious.

She fancies that she can see her dead relatives coming down from heaven, is rather shy, answers most questions reasonably but is very imbecile.

Apr 12 - Owing to her imbecility she could hardly do anything in the workroom so she was taken back to No 4.

Mentally she is just the same. (Notes to November indicate no further change).

Nov 9 - Has been in bed for over a week, is feeble, and takes food badly.

R. Sp.(irit) Ammon.(ia) Co.(mpound) w(ith) Tinct.(ure) Cardamom Co.(mpound) w(ith) aqua.

1876 Sept - Continues quiet but full of all her delusions of seeing spirits and angels. Bodily health rather feeble.

1877 Jan 4 - There is no change at all.

Mar 26 - Was this day discharged to the Union Improved.

Medications/Treatments: R. Sp. Ammon. Co (Smelling Salts) w Tinct Cardamom Co w aqua.