Gwen Jones (2516)

Admission Details for Patient: Gwen Jones (2516)

Gender: Female Age: 70
Marital Status: Married Religion: Calvinist Methodist
Occupation: Domestic servant
Address: Llanrwst, Carnarvonshire

Date of Admission: December 2, 1875
Date of Discharge: March 23, 1876
Discharge Category: Relieved

Disease: Acute mania
Supposed Cause: Heredity/Old age

Medical Certificate:
She tells one that Hannah Ellis is going to take her life, that she may marry her husband. Her daughter tells one that her mother attempted to stab her with a knife and that she is furious on many occasions, also that she is constantly wandering about. (Says that) Ann Hughes Capel Curig had £50 for drowning her son.

Approximate duration of present attack: 3 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: Yes

Clean Habit:

Food Refusal: Refuses all food

Sleep Habit:

Destructive Habit: Tore down wooden beading in padded room



Physical/Mental State at Examination: Fair health, nutrition fair. Mental state: Very violent when disturbed but otherwise lies quiet in bed. Talks incoherently. Wets her bed.

Current Diagnosis: Organic Delusional Disorder (F06.2)

Case Notes

1875 Dec 24 - Refuses all food and fed with stomach pump. Is quiet but does not sleep. Seems heavy and stupid. 1876 Jan 6 - She now takes her food without the stomach pump.

Jan 9 - She now takes her food well and eagerly. Keeps her bed remaining in a semi drowsy state but on being roused she twitches with her hands and mutters incoherently. Jan 20 - She is now quiet and very cheerful.

She says she would like to get up but that some thieves have stolen her clothes. Is very deaf. Jan 21 - Has remained well and cheerful till today after dinner when with no warning she was attacked with sickness and diarrhoea. She was cold and shivering but an ounce of brandy soon set her right and she had no return.

Jan 28 - The diarrhoea has continued up till today at intervals.

Today she has been pretty free.

Has had T. Opium and Acid Sulph. with Brandy 2 oz a day and fluid nourishment.

She has not lost much strength and is very cheerful.

Feb 26 - Is frequently low spirited, crying and asking to go home.

Mar 23 - Had continued in just the same state and, as she was very quiet and tractable, was discharged to her friends today.

Medications/Treatments: Stomach pump, T. Opium and Acid Sulph., Brandy

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