Admission Details for Patient: Ann Jones (6595)
Name Mismatch: 6595 , 6530
Gender: Female Age: 37
Marital Status: Single Religion: Wesleyan Methodist
Occupation: Domestic servant
Address: Penmachno, Carnarvonshire
Date of Admission: June 17, 1905
Date of Discharge: September 24, 1906
Discharge Category: Recovered
Disease: Dementia
Supposed Cause: (None stated)
Medical Certificate:
She is very obstinate and refuses for a long time to answer any questions. She has a vacant stare and cannot speak coherently. I have known her intimately for the last 24 years and she is altogether different in her demeanour and in her habits; once she was very clean and tidy but is now inclined to be dirty and untidy.
R. Jones, her brother, states that she has often threatened him and that she once assaulted him with a poker.
Dr. Wm. Michael Williams, Penmachno.
Approximate duration of present attack: 49 days
Number of Previous Attacks: 0
Number of Previous Admissions: 0
Number of Subsequent Admissions: 1
Total Number of Admissions: 2
Relatives affected: A cousin
Epileptic: No
Suicidal: No
Dangerous: Yes
Clean Habit: No
Food Refusal: Yes
Sleep Habit: Bad
Destructive Habit: -
Disposition: -
Education: -
Physical/Mental State at Examination: Health moderate. But little information can be afforded by the people bringing her and there does not seem to be any definite exciting cause but first cousin had been insane.
Current Diagnosis: Bipolar affective disorder (F31.4)
Case Notes
1905 June 20 - A woman of average height, poorly nourished but without obvious organic disease. Brown hair and irides, pupils dilated and sluggish. Features pinched and expressionless.
She is dull and stupid, unable to answer questions or to give any account of herself. Has to be spoon fed and is not very cleanly but there is an absence of negativity or resistance. Sleeps well and is quiet and manageable.
27 - Looks a little better.
July 15 - Considerable stupor present.
Dull and stupid, stands in the same spot all day. Has to be fed. Oct 1 - No marked change.
Dec 3 - A little brighter, steals all the food she can get.
1906 Feb 1 - Does not get on much except in strength.
Can work if put to it and supervised and she will probably improve a good deal more but it is not likely that she will thoroughly recover.
June 15 - Has during the past 2 months made very decided improvement and it seems to be slowly progressive. She is brighter, has given up being troublesome.
She also is quite ready to work in any way.
Sept 7 - Has since last entry been working in Laundry and is now quite recovered and will shortly go home. Has altered much in appearance and is quite stout.
Medications/Treatments:
Additional Notes
Readmission:
11th June 1913 (No. 8044) with Mania.
The Medical Certificate reads: I. Patient came in charge of Rev. Whittington Jones, Penmachno, soaked to the skin and partly dressed.
Hatless, dishevelled, under the delusion that the was persecuted by the Police for stealing umbrellas.
She was wild, and insisted on going to Blaenau Festiniog.
I have had her under observation for over a week. She continually writes foolish letters all day.
II. She has been wandering about for weeks, calling at neighbours' houses and insisting on having tea from comparative strangers.
She has been violent to her brother striking him in the face and pulling his hair.
When first seen by me she had ran from Cwm to Penmachno a distance of 3 miles and was taken charge of by the Rev. Whittington Jones.
Ann Jones died in care on 21st November 1936.
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