Admission Details for Patient: Jane Roberts (4192)
Name Mismatch: 4192 , 2494
Gender: Female Age: 42
Marital Status: Married Religion: Calvinist Methodist
Occupation: Labourer's wife
Address: Blaenau Festiniog, Merioneth
Date of Admission: May 29, 1890
Date of Discharge: August 23, 1890
Discharge Category: Recovered
Disease: Mania (subacute)
Supposed Cause: Loss of child and slander
Medical Certificate:
Find her in bed and exposing herself and talking quite incoherently. Facts communicated by her husband Owen Roberts, she was low spirited after death of her daughter, slandered by neighbours which troubled her much, she went suddenly bad 2 weeks ago. Griffith John Roberts, Bron y Graig, BF.
Approximate duration of present attack: 14 days
Number of Previous Attacks: 0
Number of Previous Admissions: 0
Number of Subsequent Admissions: 0
Total Number of Admissions: 1
Relatives affected:
Epileptic: -
Suicidal: -
Dangerous: -
Clean Habit: Yes
Food Refusal: Yes
Sleep Habit: Bad
Destructive Habit: No
Disposition: Sober and industrious
Education: Can read
Physical/Mental State at Examination: Patient is a Quarryman's wife. Became suddenly insane 14 days ago. The symptoms being those of ordinary acute mania, it is said that a slanderous report which has lately been circulating about her has given her much anxiety and she also lost a child 2 years ago to whom she was much attached.
Current Diagnosis: 32.2
Case Notes
1890 June 2 This patient since her admission has been in a state of general excitement and restlessness, speech rambling and incoherent and she is incapable of uttering any intelligible sentences. Her conduct is boisterous and unruly. She obstinately resists every effort to compose her and persistently refuses to keep quiet in her room - arranging and rearranging her bedding in an aimless manner and endeavouring to undress herself of her clothing. Has to be fed regularly with spoon and by this means takes ample nourishment. Passes sleepless and restless nights unless sedated. Is slightly built, poorly nourished woman, anaemic in appearance and tongue coated and furred, her digestive functions being much troubled. Face and back marked by a thick crop of acne pustules. Has been confined to bed in the hospital ward.
11 - Patient has during the past 2 or 3 days become more composed and rational in conduct, appears to comprehend and pay attention to what is said to her at times and can be more easily fed and looked after. General bodily health is also improving, ordered up for a few hours daily and has today been out of doors. 23 - Since last entry has improved very much and she is now quite rational in every way and very useful in the ward. Is putting on flesh and the acne spots are fast vanishing. July 18 - Is now quite rational in every way and has become stout and strong. Working in ward 6 daily.
Aug 10 - Quite recovered and looking forward to her return home.
Medications/Treatments: Chloral. Full extra diet with stimulants.
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