Jane Jones (2452)

Admission Details for Patient: Jane Jones (2452)

Gender: Female Age: 34
Marital Status: Single Religion: Methodist
Occupation: Domestic servant
Address: Port Amlwch, Anglesey

Date of Admission: May 15, 1875
Date of Death: August 9, 1876
Cause of Death: Phthisis

Disease: Recurrent mania
Supposed Cause: Heredity influence

Medical Certificate:
She came into my house and demanded money and food and threatened to strike some people in the house, pointing her hands, showing her teeth and otherwise conducting herself as an insane person having a wild expression of countenance. The Revd. Henry Lloyd informed me that she is wandering about and that she struck a woman this morning at the Relieving Officer's office. She has been wandering about the streets for some time, conducting herself as an insane person. Thos. Hughes MD

Approximate duration of present attack: 6 weeks

Number of Previous Attacks: 2

Number of Previous Admissions: 2

Number of Subsequent Admissions: 0

Total Number of Admissions: 3

Relatives affected: Cousin drowned himself abroad

Number of Previous Attacks: 2

Epileptic: No

Suicidal: No

Dangerous: Yes

Clean Habit:

Food Refusal: Yes

Sleep Habit: Fair

Destructive Habit: No

Disposition: Sober industrious and honest

Education:

Physical/Mental State at Examination: Free from bruises. Not strong. Short and slender, nervous temperament. Considerably emaciated. High cheekbones, looks delicate. Tongue clean, eats well, bowels open. Heart sound normal in rhythm. Sharp and abrupt, impulse feeble and accelerated. Respiratory system, tubercular depression on both sides. Very resonant with bronchophony. Calm and free from excitement on admission and conversed without difficulty. Aware that she was in the Asylum and that she was brought here in consequence of her misconduct in Amlwch and that she could not help herself. Labouring under delusions about Dr Morris, the resident officer during her previous stay here, that he is continually following and beating and abusing her. Has dark hazel eyes, pupils extremely dilated but equal. Has the appearance of a delicate and consumptive woman and wore a plaster on her chest.

Current Diagnosis: Organic Delusional Disorder (F06.2)

Case Notes

1875 May 16 - Slept well during the night and partook freely of nutrients.

Cleanly in her habits. Free from all excitement and except for the delusion talks sensibly. May 20 - Wants to go down to the kitchen very much to work.

She used to be there when here before (two previous admissions are noted.

Is incoherent sometimes.

May 26 - Was today seized suddenly with excitement walking rapidly about, rambling incoherently in her speech and rather violent.

Fancied that I was Dr. Hughes of Amlwch and was rather amorous.

Placed in No 6 in single room.

Chloral.

June 13 - Much improved.

Quiet but rather stupefied and foolish. Has occasional draughts. Eats well.

July 31 - Has suffered severely from diarrhoea the last week. Took M. Creta Co. (chalk compound) which stopped the discharge at times. Tr.(tincture of) opium - Acid Sulph. dil. ex aq.(diluted in water) t.d. was more efficacious.

She undresses herself, walks about restless and is become more feeble.

Aug 6 - Today sat upon the fire, burning her dress, but her underclothes and self were saved.

She gives no answer, nor much attention to anything said to her. Diarrhoea still continues.

1876 Jan 9 - The menstrual flow has set in after an absence of several years.

She is much excited and keeps her bed. Has broken the windows in her cell at night. A shutter placed over window.

Jan 21 - The excitement has ceased as well as the uterine discharge. Now quiet and fairly rational.

Feb 12 - Complains of pain in the head and put to bed.

Feb 25 - Still depressed and in bed.

Apr 4 - Has remained in bed since last note, making no complaints but staying there by preference. Takes her food well.

May 16 - She coughs much and expectorates.

June 12 - Is gradually becoming weaker, coughs and expectorates much. She is much emaciated and there are signs of tubercular disease all over back of left lung.

June 28 - Is gradually becoming more feeble, has frequent and exhausting attacks of diarrhoea.

July 6 - Coughs and spits much and has all kinds of fancies for nasty and indigestible things.

Medications/Treatments: Chloral, M. Creta (chalk) Co, T.opium, Acid Sulph. dil ex aq

Additional Notes

No record of previous admissions so possibly before 1875