Ann Jones (6530)

Admission Details for Patient: Ann Jones (6530)

Gender: Female Age: 31
Marital Status: Married Religion: Wesleyan Methodist
Occupation: Farmer's wife
Address: Colwyn Bay, Carnarvonshire

Date of Admission: March 7, 1905
Date of Death: April 12, 1905
Cause of Death: Acute Pneumonia certified COD.

Disease: Acute Mania
Supposed Cause: Religious excitement

Medical Certificate:
She is incessantly preaching, talking and in a most excited condition, her mind being almost entirely on religious matters. Has no sleep and constantly requires 2 persons at least to control her. Owen Jones, her husband, says she has been bad for over a week, she had been attending religious revival meetings in the neighbourhood. He says that they cannot possibly control her. Dr. Price Morris, Old Colwyn.

Approximate duration of present attack: 7 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: Yes

Clean Habit: -

Food Refusal: Yes

Sleep Habit: Bad

Destructive Habit: -

Disposition: Respectable

Education: -

Physical/Mental State at Examination: Health moderate. Patient began to show symptoms a week ago consequent upon frequent attendance upon the revival meetings held in her district.

Current Diagnosis: Delirium (F05.0)

Case Notes

1905 Mar 10 - A thin and poorly nourished woman of average height. Brown hair and blue grey irides, pupils equal. Tongue dry. She had on admission a temperature of 101, which has persisted in an irreg. manner. She had some crepitation also here and there, esp. in right lung. It is possible she is Tubercular. She is very incoherent, has no idea of where she is, and as she is very violet and excited has to be secluded. She has slept well all during night after Paraldehyde and she, with feeding, takes plenty of liquids.

13 - Crepitation in lungs more evident. Temperature irreg.

Wasting tho takes much nourishment. Very excited and troublesome. The lung mischief is evidently a patchy Pneumonia.

Takes plenty of liquids and sleeps well. Very restless and troublesome.

21 - Temperature now normal for some days.

Not so restless.

28 - Has become quieter, depressed, says she wishes to die, and refuses her food in a determined manner.

Have commenced to feed her with Tube three times daily.

Loosing flesh and strength very rapidly.

Lungs quite clear.

Very confused and irrational. Has seen friends and does not know them.

Thinks I am Dr. Morris, her cousin.

Apr 7 - Seems to be a little stronger and is not losing flesh now. Is fed three times daily with rubber Tube.

Mouth etc in a foul and septic state and her teeth are rotten and carious.

Dull and stupid, sleeping most of the time. Bowels opened occasionally. No temperature.

12 - Died today of Acute Pneumonia. Breathing became hurried two days ago. Temperature ran up and she rapidly sank. On the 8th there was profuse discharge of pus from left ear, an abscess of middle ear due to the foul state of her throat.

During the last 5 weeks she had frequently said "Why do you bother, I want to die" but just at the end she called for Tea and Milk etc and said she wished to get well and go home. Died April 12th 1905.

Medications/Treatments: Paraldehyde. Fed by Tube.