Mary Roberts (6488)

Admission Details for Patient: Mary Roberts (6488)

Gender: Female Age: 74
Marital Status: Single Religion: Baptist
Occupation: Lodging house keeper
Address: Llandudno, Carnarvon

Date of Admission: January 19, 1905
Date of Death: February 3, 1905
Cause of Death: Morbus Cordis/Influenza/Syncope certified COD.

Disease: Senile Dementia
Supposed Cause: (None stated)

Medical Certificate:
She chatted away in a very loud voice in a rambling manner; bawled at me in a threatening way not to dare to touch her and said she did not want any of my medicine, which was poison; she told me she was being starved by "them" which was a delusion. Jane Armson, her sister, states that she is very abusive, noisy and violent in her conduct, threw a wine bottle at her niece's head without any provocation; that she will often sing hymns and quote passages of scripture at the top of her voice. T. L. Kendrick Davies, Glan Menai, Llandudno.

Approximate duration of present attack: 12 years

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: Yes

Food Refusal: No

Sleep Habit: -

Destructive Habit: -

Disposition: -

Education: -

Physical/Mental State at Examination: Health feeble. Patient has kept a Lodging house and got into difficulties. She became depressed and during the past 12 years has been cared for by her married sister. During this period her behaviour has been variable but latterly she has become unmanageable and unfit to be cared for in a private house.

Current Diagnosis: Unspecified dementia (F03)

Case Notes

1905 Jan 23 - A large framed old woman of average height. Heart's action regular but has a well marked Mitral Systolic Bruit. Brown irides, equal pupils. She is very demented and unable to answer any simple question, talks very loudly about a "Bobby" and about doing your duty. She thinks she is in Bangor and has been here five weeks. Her remarks generally are wandering and unintelligible and she is very noisy and troublesome.

She is also very deaf.

(The dates of subsequent notes are obscured by the Death Certificate)

- A very troublesome old woman. Like most deaf persons she talks at the top of her voice and makes as much noise as possible.

Gets up daily and spends most of her time crawling about or lying on the sofa.

Feb 3 - Patient was found dead in bed this morning by the Charge Nurse of her Ward. She was much as usual the day previous and had been rather noisy during the night and appeared to the night nurse who visited her at 5.45 am to be going to sleep.

At 8.10 (am) she was found lying on her side and appeared to have died quietly of Syncope.

The nurse had not visited her thinking she was going to sleep and had, before doing so, attended to all her other patients.

Moreover, the patient was not regarded as being ill or requiring any particular care and attention.

I should say she must have died shortly after the Night Att. saw her.

Died Feb 3 1905.

Medications/Treatments:

Additional Notes

Special Report signed by Dr Herbert is attached to the Case Book. It effectively repeats what is in the notes.