John Jones (4209)

Admission Details for Patient: John Jones (4209)

Name Mismatch: 4209 , 2456, 2465, 2485, 6487

Gender: Male Age: 59
Marital Status: Married Religion: Calvinist Methodist
Occupation: Cowman
Address: Llanbedrog, Carnarvonshire

Date of Admission: July 14, 1890
Date of Death: December 10, 1890
Cause of Death: Pulm. cong/exhaustion

Disease: Senile Mania
Supposed Cause: Not known

Medical Certificate:
1. Hallucinations of sight and hearing. He has a delusion that he is going to procure some bull. He does not appear to know his age. He is undoing his clothing and is very restless. 2. Humphrey Griffith Morris, who attended to the patient last night, states that he did not sleep but very little, was talking nonsense about the supposed bull. He also said that he had been to fetch a scythe on Sunday, which is incorrect. July 14th 1890. David Griffith Evans, MD. Denbigh.

Approximate duration of present attack: 9 days

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: -

Sleep Habit: -

Destructive Habit: -

Disposition: -

Education: -

Physical/Mental State at Examination: Health feeble. This patient was brought here with an invalid order. Was sent to town and there re-certified. The accompanying PC could give no particulars regarding patient's history.

Current Diagnosis: Alzheimer's Disease (F00.0)

Case Notes

1890 July 17 - Patient is a tall respectable looking old man of a pleasant and cheerful disposition. Is suffering from mania. Conversation rambling and foolish. Does not know where he is but has a vague idea that he has come here to be cured and is very persistent in his demands for medicine. He also thinks that he has brought 3 bulls here and is full of schemes for getting them away safely. Sings hymns at the top of his voice. Very easily managed in every way. Has been a big strong man but is now feeble. No marked organic disease but heart's action is weak.

25 - Harmless and inoffensive. Eats and sleeps well.

Aug 1 - Has been working out and seems to be improving.

(undated) - Very much better - During last week a change for the worse has shown itself. Has become torpid and stupid. Refusing food and wet in habits. Has been in bed for a few days and is decidedly better for the rest. - Slowly breaking down in both mind and body. Irritable and difficult to manage. Wet and dirty.

- During the last fortnight has been in bed with congestion of the lungs which is gradually spreading.

Takes food and medicine readily. Has become almost demented and has no idea of making himself comfortable.

Dec 10 - Died today.


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