Elizabeth Parry (6663)

Admission Details for Patient: Elizabeth Parry (6663)

Gender: Female Age: 30
Marital Status: Single Religion: Calvinist Methodist
Occupation: Domestic housekeeper
Address: Carnarvon, Carnarvonshire

Date of Admission: November 16, 1905
Date of Death: November 28, 1920
Cause of Death: Chronic Nepthritis/Bronchopneumonia

Disease: Melancholia
Supposed Cause: Worry (about scandal/heredity

Medical Certificate:
Will not talk or appear to take any heed of what is said to her, was violent and would have assaulted me, looks vacant. Mrs. Williams, her sister of Caerefail, states that she sees people walking about on the ceiling and fancies herself a soldier and goes through drills. Is violent and has to be strapped down in bed. Ran after her daughter (for no reason) and would have done her grievous bodily harm. Will not talk when spoken to and if speaks her conversation is senseless. Dr. G. LLoyd Roberts. Castle Square, Caernarfon.

Approximate duration of present attack: 56 days

Number of Previous Attacks: 0

Number of Previous Admissions: 0

Number of Subsequent Admissions: 0

Total Number of Admissions: 1

Relatives affected: Sister at times depressed

Epileptic: No

Suicidal: No

Dangerous: No

Clean Habit: -

Food Refusal: No

Sleep Habit: Bad

Destructive Habit: -

Disposition: Well conducted

Education: -

Physical/Mental State at Examination: Health good. Patient kept house for her father and her state is said to be due to some scandalous report being spread about concerning her. Symptoms were noticed about 2 months ago.

Current Diagnosis: Schizophrenia (F20.0)

Case Notes

1905 Nov 20 - Patient is a well nourished healthy girl with brown hair and eyes and sallow complexion.

It is difficult to classify her mental state with exactitude and this is rendered more difficult by the fact that she hears badly. She cannot be got to reply except occasionally in a whisper and her replies are irrelevant. She is restless and unsettled, wandering about, and interfering with others and suchlike mischief. She takes food well, is quiet and inoffensive and cleanly. Dec 1 - Brighter looking. Gives no trouble.

1906 Jan 26 - No further improvement. Mutters an unintelligible reply when spoken to and looks silly and vacant. Plays all day with her hair plaiting and bending it. Useless. Quiet and cleanly.

June 16 - The same.

Sept 8 - Stupid and vacant, occasionally violent.

1907 Jan - Semi demented and useless. At times sudden and violent. Partly bald thro fingering her hair.

1909 Jan - Is now very destructive to her clothing and difficult to manage.

Incurable.

June, Dec - No change.

1910 June - Sudden and violent. Solitary and takes no interest in anything.

1911 June to 1912 Mar - No change.

Oct (copy report) - She is suffering from Dementia. She is lost and incoherent during a conversation, states she has been here but a short time and does not know the name or nature of this place. She takes no intelligent interest in her surroundings. In fair health and condition.

1913 June - Very restless and stupid. Continually rubbing her hair.

Sept - The same.

Dec - Very restless and dirty in her habits.

(Notes continued in Loose Leaf Case Book - 'stupid', 'demented' etc.

Note dated Oct 15 1917 reads: Suffering from Dementia. Very destructive and very dirty in her habits and is frequently violent to those about.

Unable to converse rationally and does not seem to understand what is said to her.

1920 Aug 15 - Unchanged mentally.

Poor health and suffering from Tuberculosis.

Medications/Treatments: .

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