Jane Thomas (4252)

Admission Details for Patient: Jane Thomas (4252)

Gender: Female Age: 46
Marital Status: Single Religion: Calvinist Methodist
Occupation: Dressmaker
Address: Union Workhouse Bangor, Carnarvonshire

Date of Admission: December 9, 1890
Date of Death: July 30, 1901
Cause of Death: Acute dysentery/exhaustion

Disease: Mania (subacute)
Supposed Cause: Intemperance

Medical Certificate:
1. She states that she is in Carnarvon Jail, really in the female Receiving Ward. Slept in Jesus, going off to London to be Queen, going, going, moving all the time towards London. She sings and talks incoherently, says she is crucified, gives the details. She says she has bound the devil so as to free Margaret "Llandinas" from sin. 2. Mr Greenley, Master of the Workhouse, states that when she first came in, she began to take off her clothes until prevented by him. Then she sang saying Mr. Greenley was to be King and to be married to the Queen. Yesterday, the 8th inst., she took off all her clothing and burnt them in spite of the two female attendants who were present. Emyr Owen Price, Bangor. December 9th 1890.

Approximate duration of present attack: 4 weeks

Number of Previous Attacks: 2

Number of Previous Admissions: 2

Number of Subsequent Admissions: 0

Total Number of Admissions: 3

Relatives affected:

Number of Previous Attacks: 2

Epileptic: No

Suicidal: No

Dangerous: Yes

Clean Habit: -

Food Refusal: -

Sleep Habit: -

Destructive Habit: -

Disposition: Irregular and intemperate habits

Education:

Physical/Mental State at Examination: Health moderate. The patient has apparently lead a very irregular and intemperate life for some years and is said to have been in gaol on several occasions for drunkenness and prostitution. Has been engaged as a dressmaker at Llanfair PG, living with her father, and is to a great extent dependent upon him.

Current Diagnosis: Personality Disorder (F60.3)

Case Notes

1890 Dec 12 - Patient a tall and angular woman with iron grey hair and prominent features and is in a state of mental excitement with incoherence of speech and confusion of ideas.

Nothing reliable concerning her previous history is to be got out of her and she imagines that she is the Queen of the World and that she is endowed with everlasting life etc.

Thin and poorly nourished.

(Dates of subsequent notes obscured by Death Certificate)

- Noisy and excited and night and gives much trouble.

- A little quieter. - Violent and bad tempered. Foulmouthed and abusive. Quite unfit for discharge.

- Incurable. Does a little work. Dangerous and troublesome. - A chronic maniac of dangerous and violent temperament. Filthy spoken. Useless. Untidy. (July 1894 to April 1897 - Notes indicate no change). 1898 Jan - Very much quieter than she used to be and more useful.

Well conducted and would do in Workhouse if continues thus.

(Aug 1897 to Jan 1901 - No further change).

1901 July - Patient died yesterday from Acute Colitis of about 10 days duration. The symptoms were acute and pronounced and treatment afforded no relief. She sank slowly and died of exhaustion.

Medications/Treatments:

Additional Notes

Previous admissions:

3rd December 1880 (no. 3038) with mania. The supposed cause was drink and the Medical Certificate reads: 1. Personal appearance. Threatening the lives of her father and mother, wandering constantly about the neighbourhood, also giving unreasonable answers on being examined.

2. The parents and neighbours state: She is violent in the house and constantly threatening their lives. Discharged 18th January 1881 recovered.

Another admission on 10th December 1881 until 6th January 1882 (no. 3208).

The diagnosis was melancholia and she was discharged recovered but there are no case notes for this admission.