Letitia (or Lettuce) Hughes (2487)

Admission Details for Patient: Letitia (or Lettuce) Hughes (2487)

Gender: Female Age: 70
Marital Status: Widowed Religion: Calvinist Methodist
Occupation: Charwoman
Address: Llanerchymedd (admitted from workhouse), Anglesey

Date of Admission: August 26, 1875
Date of Death: January 19, 1876
Cause of Death: Senile decay

Disease: Dementia
Supposed Cause: Intoxicating liquor

Medical Certificate:
She is quite an imbecile and does not even know the day of the week nor whether it is summer and winter at the present time etc etc. By others: Won't get out of bed to relieve nature alleging that she is unable to do so but can get up well enough when she likes to steal other inmates' rations. Tried to burn her dress one day. Wm Evans, Llanerchymedd.

Approximate duration of present attack: 6 months

Number of Previous Attacks: 0

Number of Previous Admissions: 0

Number of Subsequent Admissions: 0

Total Number of Admissions: 1

Relatives affected:

Epileptic: No

Suicidal: No

Dangerous: No except towards children

Clean Habit: Very filthy

Food Refusal: No

Sleep Habit: Good

Destructive Habit: Yes, tearing her clothing

Disposition: Dissipated habits

Education: Bad

Physical/Mental State at Examination: Very feeble, old and decrepit, lymphatic temperament. Senile emaciation and arcus senilis. Eats her food well, bowels acting involuntarily. Heart action normal. Emphysema and bronchitis. She was brought to the workhouse at Llanerchymedd about four months ago from Llangefni. She was then obliged to be carried into the workhouse. Her habits there were very filthy. The reason that she was sent here was that they could not find proper room and treatment in the workhouse. Used to be a hard drinker for years.

Current Diagnosis: Alzheimer's Disease (F00.2)

Case Notes

1875 Aug 27 - Quite imbecile.

Mind completely gone. Very filthy in her habits. Eats food ravenously.

Sleeps well at night.

Dec 20 - Has gradually been getting weaker.

She keeps to her bed now and has done so for the last fortnight.

1876 Jan 12 - Gradually becoming more feeble.

Jan 19 - Has been gradually sinking since last note and refusing her food and passing everything under her.

Died this morning.


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