Richard Evans (703)

Admission Details for Patient: Richard Evans (703)

Gender: Male Age: 36
Marital Status: Single Religion: Calvinist Methodist
Occupation: Farmer
Address: Llanerchymedd, Anglesey

Date of Admission: August 30, 1905
Date of Death: September 17, 1933
Cause of Death: Pulm. TB

Disease: Melancholia
Supposed Cause: Heredity

Medical Certificate:
I. He says that he is afraid for his life at times and hears a noise as a gun going off and someone speaking to him, especially at night, when no one is about, in consequence of which he has to get up to know what is going on. II. His father, Hugh Evans, Sarnfadog: He says that he is a lost man, has a tendency to wander when it is raining and cannot without difficulty get him in, has been getting up in the night from bed and going out with no purpose whatsoever. Michael Hughes, Ty Coch, Llanerchymedd. Aug 26th 1905.

Approximate duration of present attack: 3 yrs, acute 14 days

Number of Previous Attacks: 0

Number of Previous Admissions: 0

Number of Subsequent Admissions: 0

Total Number of Admissions: 1

Relatives affected: Father's cousin was regarded as weakminded

Epileptic: No

Suicidal: Yes, threats by hanging

Dangerous: Yes

Clean Habit: -

Food Refusal: -

Sleep Habit: -

Destructive Habit: -

Disposition: Always very steady

Education: Good, reads and writes

Physical/Mental State at Examination:

Current Diagnosis: Schizophrenia (F20)

Case Notes

1905 Sept 6 - A middle aged man of average height and build. In fairly good condition. Brown hair, moustache and beard turning grey over the temples and angles of the jaw.

Grey irides, pupils equal and mobile.

A decidedly dull, heavy expression of countenance. Mentally suffering from Melancholia. He converses rationally enough but complains of hallucinations of hearing and vision, especially at night. Has marked apprehensive depression, fearing something is going to happen. Admits that at times he has felt quite tired of life. Takes no interest in anything. Eats well. Sleeps rather badly. So far very well behaved. Sept 30 - If anything, slightly better. Rather untidy. Tried to escape one day while out for a walk. Notes to February 1910 continue the same. 1 June - A chronic case. Rather dirty and untidy. Useful at times. Has same delusions and hallucinations. Notes to September 1912 the same. 1913 Oct - Quiet and well behaved.

1914 Jan 2 - Continues to be quiet and disinterested in anything around him. Cannot converse very much. (notes continue much as before - progressively more demented.

Note May 7 1925 reads: "Progressive dementia. Quiet, apathetic and indifferent towards everything, and leads quite an aimless and a vegetative existence".)

1933 Feb 23 - Examination revealed signs of TB in left apex.

Now treated out of doors during the day in the Sick Ward. Already showing signs of improvement.

July 20 - Suffering from Dementia. Memory poor and he is disorientated.

Treated out of doors for Pulmonary TB.

Died 17 Sept 1933.

Medications/Treatments: