Elizabeth Jones (2484)

Admission Details for Patient: Elizabeth Jones (2484)

Gender: Female Age: 65
Marital Status: Widowed Religion: Wesleyan Methodist
Occupation: Widow of a mariner
Address: Barmouth, Merioneth

Date of Admission: August 18, 1875
Date of Discharge: March 23, 1876
Discharge Category: Relieved

Disease: Melancholia (mania crossed out)
Supposed Cause: Sickness and religious excitement

Medical Certificate:
She tore her chemise and when asked why she did it, she said something compelled her to do it. She talks always upon the same subject, mainly that she will be sent to the Asylum. Mrs Roberts her attendant says that she has attempted on several occasions to commit suicide and that she handles the children about roughly. Hughes James Lloyd, Barmouth.

Approximate duration of present attack: 2 months

Number of Previous Attacks: 1

Number of Previous Admissions: 1

Number of Subsequent Admissions: 0

Total Number of Admissions: 2

Relatives affected: One nephew suffered from fits

Number of Previous Attacks: 1

Epileptic: No

Suicidal: Yes threatened to drown herself

Dangerous: No

Clean Habit: No

Food Refusal: No

Sleep Habit: Bad

Destructive Habit: Yes, tearing own clothes

Disposition: Honest, sober and industrious

Education: Fair

Physical/Mental State at Examination: Feeble condition. No arcus. Well marked aortic bruit, pulse accelerated, impulse strong. Respiration somewhat loud. Oedema of both legs with chronic odaematous ulcers. Quiet and rational on admission but appeared to be under the impression that she had been brought here to consult the doctor and to procure advice. She admits to have suffered from attacks of great excitement several times during which she is very violent and uses very bad language. She appears to be an exceptionally intelligent old woman and thinks that the present attack has been brought on by hard study. She says that she is too fond of reading books on religious principles.

Current Diagnosis: Severe Depressive Episode (F32,2)

Case Notes

1875 Aug 19 - Slept well during the night. Takes nourishment freely.

Ordered bread and milk and beef tea as she is in feeble health.

Quite rational and calm. Aug 20 - Is quite coherent and calm but very much depressed and longs for home. Still, she is quite willing to stay if she can benefit by the asylum.

Aug 27 - Has a slight attack of erysipelas of knee. Ordered to remain in bed and apply linseed meal poultice.

Also Mist. Zinci to the ulcers on the leg.

Ordered Mist. Quin. w Ferr. Sept 4 - Still confined to bed but not from necessity. It will assist the ulcers on the leg to heal.

She has been all along quite free from excitement and talks sensibly on every subject.

Rather depressed.

Oct 8 - Very fidgety and impatient about getting home.

Jan 1876 - Continues very fidgety, constantly asking to go home.

She is fairly rational and would be quite fit to do so were it not for her suicidal tendency. March 23 - Has continued for some months in the same quiet state and so was discharged this day relieved.

Medications/Treatments: Linseed meal poultice, Mist. Zinci, Mist. Quin. w Ferri.

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