Robert Lewis (6661)

Admission Details for Patient: Robert Lewis (6661)

Gender: Male Age: 53
Marital Status: Married Religion: Baptist
Occupation: Brakesman (at Quarry)
Address: Blaenau Festiniog, Merioneth

Date of Admission: November 9, 1905
Date of Death: November 17, 1905
Cause of Death: Acute melancholia - Pneumonia certified COD.

Disease: Melancholia (motor)
Supposed Cause: Worry about business/heredity

Medical Certificate:
He is raving mad, very excitable, and now refuses food. Morris John Lewis, his son, states that he was dangerous and had suicidal tendencies. Dr. Griffith John Roberts, Gwynfa, Ffestiniog.

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: A brother

Epileptic: No

Suicidal: Threats

Dangerous: No

Clean Habit: -

Food Refusal: Yes

Sleep Habit: Bad

Destructive Habit: Yes

Disposition: Steady

Education: -

Physical/Mental State at Examination: Very poor and ill. This man had an insane brother, owing to slackness at work at the Quarry he has become anxious about his family, several of whom he is giving an expensive education. Allways steady and industrious.

Current Diagnosis: Delirium (F05.0)

Case Notes

1905 Nov 15 - This elderly man was admitted on Nov 9th in a very emaciated condition. He was in a state of excited Melancholia alternating with stupor and refusal of food.

It was a very acute case and had to be fed with the Tube once. After that he was got to take nourishment fairly well.

He was very restless and on the 12th he suddenly showed signs of Pneumonia and in his very weak state the Pneumonia developed very rapidly and he died on Nov 15th. No PM was allowed.

Medications/Treatments: Fed with tube