Catherine Jones (4242)

Admission Details for Patient: Catherine Jones (4242)

Name Mismatch: 4242 , 2521

Gender: Female Age: 36
Marital Status: Single Religion: Independent
Occupation: Cook
Address: Port Amlwch, Anglesey

Date of Admission: November 10, 1890
Date of Death: April 22, 1906
Cause of Death: Phthisis

Disease: Mania
Supposed Cause: Hered.

Medical Certificate:
1. I have attended Catherine Jones for some six weeks and during that time I found her incoherent in her talk, would not give reasons for refusing to get up from bed, refusing to take food. Latterly she refused to see me and said I wanted to do her harm. Could not converse rationally when spoken to, talking about her money and suspicious that people were going to take it away from her. Tried to get her to sign note withdrawing money from Post Office Savings Bank, but refused without getting money first. Said she had been in Liverpool where people knew what they were about, the people here knew nothing, could not (speak) English, or do any business. 2. Facts communicated by William Jones, brother, Well St, Port Amlwch. Could not get her to speak about herself or any subject. Attacked her sister and stripped some clothes from her. Was foaming at the mouth looking very wild. Pushed her sister in law out of the house. Signed Thomas Evan Jones, Amlwch. November 8th 1890.

Approximate duration of present attack: 2 months

Number of Previous Attacks: 0

Number of Previous Admissions: 0

Number of Subsequent Admissions: 0

Total Number of Admissions: 1

Relatives affected: Cousin, viz Miss Jones, Private Patient*

Epileptic: No

Suicidal: No

Dangerous: Yes

Clean Habit: -

Food Refusal: -

Sleep Habit: -

Destructive Habit: -

Disposition: -

Education: -

Physical/Mental State at Examination: Health moderate, sanguine temperament. Patient has been in service as cook in Liverpool. Was in her last situation about 2 months, but had previously held more permanent posts. It is supposed that she has had some trouble about a young man with whom she kept company, about 11 weeks ago returned to her home at Amlwch. Has taken a violent dislike towards her brother and sister and believes that they are scheming to take some property from her left to her by her father: that her tea is not as it should be and has been tampered with.

Current Diagnosis: Schizophrenia (F20.0)

Case Notes

1890 Nov 13 - Patient is a tall well built and nourished woman dark brown hair and irides, fresh complexion.

Her mind is in a confused condition and her appearance is listless and apathetic. She imagines that this place is a Post Office and that she has come here to obtain £20 which is deposited in her name.

Conversation rambling and irrational.

Organs healthy. Prognosis: bad.

(Dates of notes to 1896 are obscured by Death Certificate).

- Wanders about aimlessly and will not sew.

- Still thinks this is a Post Office and quite irrational.

- Has lately become bad tempered and cross. Has struck her fellow patients and is very anxious to get away.

No mental improvement.

Says she is ill but cannot detect anything amiss.

Walks about smiling and talking to herself. - A little more settled and communicative.

- Still deluded but brighter, more sociable and industrious than she used to be. Quite unable to understand what this place is or why she is here.

- Is quieter and not too cross and passionate, but still deluded and there is some imbecility also present. - A clean and well conducted woman. Semi demented and same delusions present. - Very deluded. Thinks she is married and often asks to be allowed to go home to her children. (Notes from May 1896 to May 1903 - no change).

1904 Oct - Has been suffering from symptoms of Phthisis for some months but the disease now appears to be stationary and even retrogressive.

She is a very difficult patient to do with and intolerant even of examination in the sick ward.

1905 Mar - If anything better but gets very breathless if in anyway excited and is allowed to do very much as she likes 1906 Jan - Has been suffering from Abscess of a tubercular nature about the right wrist and elbow. Is becoming feebler.

Very cross and objects to examination. Mar - She is now very weak and never gets up. April 22 - Died today of exhaustion.

Medications/Treatments:

Additional Notes

*Mary Catherine Jones of Amlwch (admission no. 502), who had been admitted in April 1890. She was still at Denbigh when Catherine Jones was admitted but discharged a few weeks later.

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