Jane Roberts (2494)

Admission Details for Patient: Jane Roberts (2494)

Gender: Female Age: 23
Marital Status: Single Religion: Calvinist Methodist
Occupation: Domestic servant
Address: Penrhyndeudraeth (admitted from workhouse), Merioneth

Date of Admission: September 15, 1875
Date of Discharge: August 25, 1876
Discharge Category: Recovered

Disease: Acute mania
Supposed Cause: Fright, falling into a pond

Medical Certificate:
Her actions, manner and appearance plainly testify to the unsound state of her mind. She sleeps but little and when awake she talks incessantly and incoherently. By others: Her neighbours inform me that at times she would break out into violent fits of passion threatening and frightening them and in consequence she has been taken care of in the workhouse for four weeks but does not become any better. Robert Roberts, Portmadoc.

Approximate duration of present attack: 2 months

Number of Previous Attacks: 0

Number of Previous Admissions: 0

Number of Subsequent Admissions: 1

Total Number of Admissions: 2

Relatives affected:

Epileptic: No

Suicidal: No

Dangerous: Yes, attacking those about her

Clean Habit: Yes

Food Refusal: No

Sleep Habit: Bad

Destructive Habit: Yes, breaking windows

Disposition: Religious and well conducted

Education: Bad

Physical/Mental State at Examination: Moderate health, dwarfed and badly formed, nervous temperament. Fairly nourished. A number of scrofulous cicatrices surrounding the neck. Eats well. Heart sounds feeble but normal. Respiration normal. On admission she was in a state of great excitement tossing her arms about and talking incoherently and without ceasing. She had a brass ring on her finger and was continually saying that she had been married and had two children, which was a delusion. Sometime before last Xmas she fell into a pond and was much frightened. She then got silent and melancholy and at the commencement of the present attack was so bad as to necessitate her employers to discharge her. She has since been at home except for the last three months which she spent in the workhouse.

Current Diagnosis: Schizophrenia (F20.1)

Case Notes

1875 Sept 16 - Most excited and noisy at night.

Eats well.

Using very bad language. Ordered Chloral H.S.

Sept 17 - Continually shouting and singing incoherently. Rep. Haust Chloral.

Sept 24 - No better. Very indecent in behaviour.

Noisy at night.

Oct 1 - No improvement.

Has been placed in single room. Noisy and turbulent, using obscene language, dancing and talking incessantly. 1876 Jan - Is now fairly quiet and working in the kitchen of a day.

Apr 5 - Has much improved. Acts rationally but constantly chattering and singing. In excellent health.

June 20 - No change since last report.

Medications/Treatments: Chloral H.S.

Additional Notes

Readmission:

21st August 1886 (no. 3749).

Medical certificate reads:

Ever since her admission to the Workhouse three years ago she has been most taciturn but about three weeks since she has become very restless and garrulous, talking and pointing to imaginary individuals and disturbing the other inmates, and such other symptoms indicating unsoundness of mind.

One of the attendants informs me that she was bitten by her yesterday when asking her to take food. Robert Roberts, Portmadoc, 20th August 1886.

Jane remained in care until her death from pancreatic cancer on 13th January 1914.