Jane Hughes (2496)

Admission Details for Patient: Jane Hughes (2496)

Gender: Female Age: 71
Marital Status: Married Religion: Calvinist Methodist
Occupation: Domestic servant
Address: Conway, Carnarvonshire

Date of Admission: September 21, 1875
Date of Death: October 9, 1875
Cause of Death: Pneumonia/General debility

Disease: Senile dementia
Supposed Cause: Disease of the brain

Medical Certificate:
Suffered about five years ago or more from inflammation of the brain and its membranes. Perfectly imbecile for many years. By her husband. Richard Arthur Pritchard, Conway

Approximate duration of present attack: 5 years

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

Clean Habit: Dirty habits

Food Refusal: No

Sleep Habit:

Destructive Habit: No

Disposition: Honest and industrious

Education: Bad

Physical/Mental State at Examination: Extremely feeble, old and decrepit, phlegmatic temperament. Emaciated. Must be fed and that is done with difficulty. Heart's action feeble. Emphysema and bronchitis. Body covered with psoriasis. Insanity commenced with an attack of acute meningitis five years ago since which she has gradually been getting demented. The mind is now completely lost. There is loss of identity, memory etc and she is of very filthy habits and incapable of assisting herself in any way. She was obliged to be carried upstairs to the sick ward on admission.

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

Case Notes

1875 Sept 22 - Must be fed. Has extras - beef tea and bread and milk. Sept 29 - Completely helpless and everything must be done for her.

Oct 8 - Evidence of pneumonia. Ordered linseed meal poultice, wine, nourishment etc.

Very filthy.

Oct 9 - Gradually sank and died.

Medications/Treatments: Linseed meal poultice