Jane Owen (4155)

Admission Details for Patient: Jane Owen (4155)

Name Mismatch: 4155 , 2464

Gender: Female Age: 46
Marital Status: Married Religion: Congregationalist
Occupation: Housewife
Address: Llanrwst (admitted from workhouse), Carnarvonshire

Date of Admission: February 13, 1890
Date of Death: August 29, 1893
Cause of Death: Cancer of liver

Disease: Mania
Supposed Cause: Not known

Medical Certificate:
1. (i) Incoherent in her general conversation. Tells me that the devil with another person brought her through the wall from another room; also that she is the Queen and that she rules her subjects from her throne on her bed. (ii) William Owen, her husband, tells me that she wanted him to burn her youngest daughter in the fire as a sacrifice for her, also that she wanders from home in the middle of the night. Ellen Elias, the workhouse nurse, informs me that she is violent at times, burns her clothes and breaks the windows. February 12th, 1890. Owen Evans, MRCS Eng.Llanrwst.

Approximate duration of present attack: 1 month

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, at times

Clean Habit: -

Food Refusal: -

Sleep Habit: -

Destructive Habit: -

Disposition: -

Education: -

Physical/Mental State at Examination: Health moderate. Patient was admitted into the Llanrwst Workhouse about a week ago. Is said to have been insane about a month but from the history given it would seem that she has always been weak minded and has had many attacks somewhat similar to the present. Violent and destructive in the workhouse.

Current Diagnosis: Unspecified nonorganic psychosis (F29.0)

Case Notes

1890 Feb 17 - This patient has been troublesome and restless in her general conduct since her admission and her ideas are confused and incoherent. She can give no reliable account of her past history and has no idea of her present circumstances and surroundings. (A death certificate is pasted over the notes up to 1891).The admissions register notes that the Reception Order lapsed in February 1891 and undated notes read as follows: In accordance with Lunacy Act 1890 a special report has today been forwarded to the Commissioners in Lunacy. This case shows no permanent improvement. She enjoys short and variable periods of comparative mental tranquillity, again breaking out into wild noisy and mischievous conduct, requiring constant control and supervision.

Ideas still deluded.

General health good.

1891 Feb 13 - This patient has today been re-admitted on a new Order and Med. Cert., the originals having inadvertently fallen out of date and become invalid according to the New Lunacy Act 1890.

1892 Feb 9 - Very much the same in every way.

Apr 6 - Has lately become quieter and not so full of mischief and has been employed in sewing room. Silly and incoherent. Fair health. 1893 Apr - Silly and incoherent.

Good health.

Aug 29 - Patient died today of Exhaustion consequent upon Hepatic Cancer. The first symptom to attract attention was Jaundice which showed itself suddenly about two months ago, became persistent and slowly more intense. Pain and gradual increase in Liver with the usual symptoms of Cancer. Towards the end Ascites with oedema of legs etc.

The cancer is probably of the soft and quick growing variety.

Her illness was born in the bravest and most uncomplaining manner.


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