William Brierley (2475)

Admission Details for Patient: William Brierley (2475)

Gender: Male Age: 85
Marital Status: Married Religion: Church of England
Occupation: Platelayer
Address: Penmaenbach, Carnarvonshire

Date of Admission: June 29, 1875
Date of Death: July 23, 1875
Cause of Death: Senile decay

Disease: Senile dementia
Supposed Cause:

Medical Certificate:
A mark on the face of his wife from his violence. The floor in the house is covered with crockery broken, wearing apparel and furniture marked. There are marks on his face done in endeavouring to do what he was unable to perform. By Mr Hugh Davies, Lay Reader: From having occasion to visit him he has observed him rambling in his conversation and going out of the house when he had no occasion. Robert Jones MRCS Eng, Bron Eryr. Conway.

Approximate duration of present attack: 3 weeks

Number of Previous Attacks: 999

Number of Previous Admissions: 0

Number of Subsequent Admissions: 0

Total Number of Admissions: 1

Relatives affected:

Number of Previous Attacks: 999

Epileptic:

Suicidal:

Dangerous:

Clean Habit:

Food Refusal:

Sleep Habit:

Destructive Habit:

Disposition:

Education:

Physical/Mental State at Examination: Very feeble. Considerably emaciated. Arcus Senilis well marked. Impulse of heart feeble, Emphysema. The police officer found him this morning in bed and he was so feeble as to be obliged to be carried into the carriage. He was unable to dress himself. Has been worse for the last three weeks but has only been very violent since Sunday frightening his wife out of the house on that night. Officer first saw him on Monday morning. He was then in a violent temper and destroying everything within his reach. Came with the officer quietly and did not say a word all the way. On his arrival here he had to be supported between two men into the ward. He was accompanied by Joseph Thomas, P. C. No 19, Carnarvonshire Constabulary. His wife states that he has frequently threatened to kill himself. Very quiet on admission. Incoherent. Thinks that he is resting in bed after having been platelaying at Rhyl. Very difficult to make him comprehend questions. Taken to bed at once to the Infirmary Ward. Ate a bowl of beef tea. Pupils equal, eyes hazel.

Current Diagnosis: Alzheimer's Disease (F00.1)

Case Notes

1875 June 30 - Sleeping in the large bedroom. Was very noisy during the night and continually getting out of bed.

Fancied today that he was resting in bed after having been at work platelaying in Rhyl.

Eats well and has extras.

July 1 - Incoherent.

In consequence of his restlessness at night he was removed to single room and had a chloral draught. Slept better. Is very hard of hearing. July 2 - Sleeps much better and eats his food well. July 9 - Getting dirty in his habits, no control over rectum or bladder.

Bodily condition very feeble.

Has been in bed for the last two days.

No bedsores.

July 16 - Gradually getting more feeble. There is a great deal of muscular tremor. Has been sitting in his chair for the last week on a water cushion. Has never exhibited any excitement since his admission.

Medications/Treatments: Chloral