Jane Peters (6510)

Admission Details for Patient: Jane Peters (6510)

Gender: Female Age: 61
Marital Status: Widowed Religion: Church of England
Occupation: Housewife
Address: Carnarvon Workhouse, Carnarvonshire

Date of Admission: February 20, 1905
Date of Death: March 17, 1928
Cause of Death:

Disease: Mania
Supposed Cause: Not known

Medical Certificate:
Has delusions, imagines her food to be poisoned and holds conversation with creatures of the lower order, rabbits, crows, etc. Refuses her food at times; invokes the aid of Government Department for her position. Similar delusions as observed by the Master, Mr. John Parry, threatened the attendants in various ways. Dr. T. Roberts, Penymaes, Carnarvon.

Approximate duration of present attack: 28 days

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: Yes

Sleep Habit: -

Destructive Habit: -

Disposition: -

Education: -

Physical/Mental State at Examination: Health moderate. This person has for a long time lived alone by herself supported on a small sum of money left her by her husband, and there is no doubt that she has been of unsound mind for some time past. She refused to take Parish Relief in money but did so when sent in kind. Recently she was taken to the Workhouse where she proved troublesome.

Current Diagnosis: Delusional disorder (F22.0)

Case Notes

1905 Feb 23 - Thin and poorly nourished woman of a little over medium height with iron grey hair and grey blue irides, equal pupils. Free from organic disease. Very incoherent and her statements are silly and almost unintelligible some being that she has had the sea cleaned out, that the English government are 'at her back', that her food has been poisoned etc. Very quiet and is in bed where she gives no trouble. Mar 1 - Gets up daily and sews a little. Quiet and orderly.

May 3 - Has become reconciled to her lot and is a very well behaved and useful woman in the Hospital Ward. Same delusions persist and are at times very evident. Improved health. Aug 5 - Very deluded. Useful. Healthy. Nov 4 - At times cross and bad tempered.

1906 Feb 5 -

Have had to move her from W6 to 7 as she was getting too troublesome there.

1906 June to 1908 June - No change. 1909 Jan - Just convalescent from a bad attack of Bronchitis consequent on Influenza.

Otherwise the same.

1911 June - Delusions are less obtrusive than they were, otherwise much the same.

1912 Mar 1913 September - No change. 1913 Dec 30 - Deluded and noisy. Abusive and threatening in manner. Fair health.

(Subsequent notes indicate that she remained deluded and threatening.

She made an attempt to escape on Christmas Eve 1915 - "A nurse engaged in carrying out bedding to a consumptive shelter at 7 am on Dec 24th neglected to close the ward door leading to the airing court.

The patient followed her and escaped through a gate which was under repair and could not be closed...She was recaptured about 11.30 am about 2 miles from the Asylum by the Police and brought back at 12 noon".

In Jan 1917 the official diagnosis was Chronic Mania, in Jan 1922 it was Dementia.

She was reported to be noisy and abusive at times, talking to herself.

Aural hallucinations were reported in Jan 1927.

Medications/Treatments: