Margaret Jones (4203)

Admission Details for Patient: Margaret Jones (4203)

Name Mismatch: 4203 , 2436

Gender: Female Age: 63
Marital Status: Single Religion: Church of England
Occupation: Not known
Address: Union Workhouse Bangor, Carnarvonshire

Date of Admission: June 28, 1890
Date of Death: January 21, 1897
Cause of Death: senile debility

Disease: Mania with Imbecility
Supposed Cause: Not known

Medical Certificate:
1. She does not know her own name and refers me to her sister for it. She addresses me as her "heavenly father" and states that she has been carefully guarding herself that she may last till night time. When asked a question or two said she was too weak to answer, after being crushed by the magistrate and myself sitting by her. She told me that she prayed constantly to her "heavenly father" by whom she repeated, she meant myself. 2. Marian Jones, nurse, Union Hospital, states that this woman at night calls out continually say that the place is on fire, and that men are crowding around to abuse her; and that she is out of bed at all hours of the night, thumping the doors and rousing all, owing to the delusion that she is in some danger. June 25th 1890. Emyr Owen Price, Bangor.

Approximate duration of present attack: 36 years

Number of Previous Attacks: 0

Number of Previous Admissions: 1

Number of Subsequent Admissions: 0

Total Number of Admissions: 2

Relatives affected:

Epileptic: No

Suicidal: No

Dangerous: No

Clean Habit: -

Food Refusal: -

Sleep Habit: -

Destructive Habit: -

Disposition: -

Education: -

Physical/Mental State at Examination: Health feeble. Patient was discharged "relieved" to the Bangor and Beaumaris Workhouse on the 23rd May 1889; thence to the care of her sister and latterly when she became troublesome back to the Workhouse.

Current Diagnosis: Schizophrenia (F20.1)

Case Notes

1890 July 1 - This old woman is a striking example of the superiority of Asylum to Workhouse life. On leaving here she was a big well-nourished and healthy old woman. Now she is feeble and decrepit and shrunken to half her former size. Moreover she is very much more troublesome owing to many delusions that she has, that she is to be burnt etc. Moreover her habits have become dirty and her

appetite feeble.

(The dates of subsequent notes are obscured by Death Certificate).- Is improving in her appearance since admission. Otherwise the same.

- Gives much trouble, esp. at night as she is sleepless and talks much. - Very deluded being afraid that something is to be done to her etc. 1895 Mar 1 - Seems to be in failing health, otherwise the same. 1896 Jan 5 - This poor old woman tumbled downthe stairs this morning and broke her right patella.

There is not much displacement owing to the cause being traumatic. It is a wonder she has not sustained some other serious if not fatal injury.

She fell and was not pushed down. 21 -Suffering from obscure abdominal symptoms. Great distension, pain and elev. of temperature.

Prob. Peritonitis and put her on opium. It is impossible to do anything for her beyond putting leg on a back splint.

Feb 1 - A little better but is in a very precarious state. Owing to her demented state it is impossible to do much with her.

Mar 15 - Making a good recovery after all and there will be bony union in Patella. Still in bed.

Oct 3 - Is now up. Can just hobble along much the same as she did prior to accident. 1897 Jan 21 - Died today of Senile Debility and without any appreciable illness. Has been in bed for weeks.

Medications/Treatments: Opium

Additional Notes

No record of earlier admission.

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