Emma Roberts (4234)

Admission Details for Patient: Emma Roberts (4234)

Gender: Female Age: 60
Marital Status: Widowed Religion: Church of England
Occupation: None
Address: Holyhead (trans fr Stanley Hospital), Anglesey

Date of Admission: October 23, 1890
Date of Discharge: December 15, 1892
Discharge Category: Relieved

Disease: Dementia
Supposed Cause: Alcoholic drink

Medical Certificate:
1. She stated that she was living on the Manchester Ship Canal. That she was in hospital for 3 months. She did not know her own son and was incoherent in every way. 2. Hospital Nurse mentioned she has tried to escape from hospital - and requires constant watching. (Signed) Roland Philip Williams, LRCP and LRCS Ed., Holyhead. October 22nd 1890.

Approximate duration of present attack: 3 months

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: No

Clean Habit: -

Food Refusal: -

Sleep Habit: -

Destructive Habit: -

Disposition: -

Education: -

Physical/Mental State at Examination: Health feeble. About 5 years ago patient became addicted to intemperate habits which appear to have been incited by getting into bad company. She also had a little money left to her after her husband's death which she has squandered in drink. About 3 months ago is said to have had a stroke after which her mind became deranged and she has eventually become unmanageable at the Stanley Hospital where she was sent for treatment for about a month.

Current Diagnosis: Multi-infarct dementia (F01.1)

Case Notes

1890 Oct 29 - Patient is a feeble and decrepit looking old body with a vacant and demented expression. Medium height. Thin and poorly nourished.

Organs apparently sound but liver small in size.

Is very feeble on her feet owing to a form of incomplete Paraplegia with tremors of arms and legs probably due to chronic changes in the Meninges of Cord.

Her speech is quite incoherent and quite irrational. She cannot give any account of herself and mistakes the identity of those around her.

Is clean and so far easily manageable.

Nov 7 and 21 - No change. Dec 20 - Has improved a little - very docile and affectionate.

Tremors less apparent.

1891 Feb 10 - Silly and fatuous but quite harmless in every way. Works daily and is eager to be of use. May 3 - isq. Unfit for discharge.

Sept 23 - A Certificate has been sent today to Commiss. certifying her fitness for further detention.

1892 Sept 5 - Slowly becoming more demented.

Very nice and well conducted. Useless. Fair health.

Would do very well in a Workhouse.

Dec 15 - This old woman was today discharged to the care of her son - A Chemist at Runcorn.

Silly and semi-demented but very inoffensive and clean habits. Fair health and condition.

Discharged "Relieved" Dec 15th 1892.


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