Jane Thomas (4243)

Admission Details for Patient: Jane Thomas (4243)

Gender: Female Age: 32
Marital Status: Single Religion: Calvinist Methodist
Occupation: Servant maid
Address: Llangefni, Anglesey

Date of Admission: November 15, 1890
Date of Death: November 1, 1892
Cause of Death: GPI/pneumonia

Disease: Mania
Supposed Cause: Operation of the eyes

Medical Certificate:
1. She appeared to be suffering from the delusion that people were going to kill her, especially that her mother was going to drown her. She was also under the impression that her neighbours are plotting against her so as to do her some great injury. 2. Her mother, Lydia Thomas, said she had great difficulty to keep her from wandering, and that she had threatened to commit suicide several times. Evan Williams, Llangefni, Anglesey. November 10th 1890.

Approximate duration of present attack: 10 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: Yes, threatened

Dangerous: No

Clean Habit: Yes

Food Refusal: No

Sleep Habit: Bad

Destructive Habit: -

Disposition: -

Education: -

Physical/Mental State at Examination: Health good. This patient has been a domestic in London for some years and about 12 months ago injured her eye and has been operated (on). Shortly after began to show symptoms of Insanity. But little is known about her by the persons who brought her except that she wanders about and has threatened to throw herself in the river.

Current Diagnosis: General Paralysis of the Insane

Case Notes

1890 Nov 18 - Patient is somewhat below medium ht. Stoutly built. Facial expression etc much resembling that of a General Paralytic. No delusions apparent. Conversation childish and simple, as is her manner.

At times cross and irritable.

Will doubtless show more definite symptoms ere long.

(Subsequent notes obscured by Death Certificate). - Fretful and peevish.

Noisy and talkative by night and will strike if annoyed in any way. Good appetite.

- Little change.

A general paralytic without the usual delusions attending that disorder.

- Gait more unsteady and is also becoming wet and dirty in her habits. Cross and passionate.

Silly and childish in every way but non deluded.

- Patient's condition is very similar to what it was a couple of months ago. Gives but little trouble.

Useless.

- Is becoming very feeble and may have a "stroke" at any time. Habits dirty.

- Losing flesh. Noisy and destructive.

- Feeble and helpless.

Cannot live very much longer.

- Died today after a very short illness of acute pneumonia.

Medications/Treatments: