Elizabeth Parry (4167)

Admission Details for Patient: Elizabeth Parry (4167)

Gender: Female Age: 39
Marital Status: Married Religion: Church of England
Occupation: Wife of a gardener
Address: Carnarvon (admitted from workhouse), Carnarvonshire

Date of Admission: March 10, 1890
Date of Death: June 23, 1900
Cause of Death: Myelitis/Pneumonia

Disease: Mania with Imbecility
Supposed Cause: Not known

Medical Certificate:
1. She talks incoherently and wildly and has threatened me on several occasions. 2. The Matron, Mrs. Jones, says that she attempted to strike her. The husband says that she has been going out on a frosty night in her nightdress to wash a few dusters. March 8th 1890. Wm. Jones Williams, LRCPh. Edin and LFPh. Glasgow, Carnarvon.

Approximate duration of present attack: 3 or 4 days

Number of Previous Attacks: 1

Number of Previous Admissions: 0

Number of Subsequent Admissions: 0

Total Number of Admissions: 1

Relatives affected:

Number of Previous Attacks: 1

Epileptic: No

Suicidal: Yes, has attempted

Dangerous: Yes

Clean Habit: Yes

Food Refusal: No

Sleep Habit: Badly

Destructive Habit: No

Disposition: Sober and hardworking

Education: Poor

Physical/Mental State at Examination: Health moderate. Patient is said to have never been of even average intelligence. Is said to be married to a man much older than herself and with whom she continually quarrels. Two years ago attempted to drown herself in the sea. The parish Med. Off. has more than once during the last two years refused to certify to her Insanity. Some days ago she became very violent and being removed to the Workhouse the Med. Off. there stated that she was insane.

Current Diagnosis: Learning Disability

Case Notes

1890 Mar 17 - Since admission patient has been quiet.

She appears to be suffering from Maniac Imbecility. She is incoherent and can give but little acct. of herself prior to admission here.

Is fairly strong and healthy and have sent her to the Laundry to work.

Apr 2 - Has been returned as she becomes at times violently excited and is dangerous. An imbecile.

June 10 - In Sewing Room. Excited oft times without obvious reason and has to be secluded. Good health.

Aug 5 - Silly and incoherent. Frequently passionate and violent. Quite unfit for discharge. Fair health. Nov 13 - Has been confined to bed for nearly 3 weeks with what seemed to be a mild form of Enteritis. Is now better and up again. Mentally the same.

1891 Sept - At times very passionate and violent and is quite unfit for discharge. (Notes to December 1892 indicate little change).

1893 Apr - At times very excited and violent. Has to be secluded. Useless. 1894 July to 1897 June - No change. 1898 Jan 17 - Thyroid slowly enlarging. At annexe. 1899 Feb - Violent and passionate. Thyroid still enlarging. 1900 Feb 3 - Thyroid very large. Violent temper. Useful. Cleanly.

July 7 - This patient died on the 23rd June of Pneumonia, the primary cause Myelitis of about two months duration.

A paralytic bedsore had formed some time before and would not heal.

Medications/Treatments: Treatment for enlarged thyroid.