J W (896)

Admission Details for Patient: J W (896)

Gender: Male Age: 66
Marital Status: Married Religion: Calvinist Methodist
Occupation: Farmer
Address: Trawsfynydd, Merionethshire

Date of Admission: November 29, 1920
Date of Discharge: March 26, 1923
Discharge Category: Recovered

Disease: Senile dementia
Supposed Cause: Heredity/Senility

Medical Certificate:
He looks bad and neglects his person. He talks nonsense and his actions are peculiar and varied. He has no judgement. Mrs M M of Llys Awel, Trawsfynydd: that he went out at night to cut the corn. Turns cows and horses out at night and also has threatened her. Dr. Griffith John Roberts, Festiniog. Petitioner: Wife. 28th Nov 1920.

His physiognomy, loquaciousness and his general personal (blank). Talks incoherently and incessantly. J R, farmer, Glanaber, informs me that he neglects his holding and farm stock, he wanders at large. Especially at night his wife is in terror of him. He frequently beats and bruises her, gets sulky and refuses food. Dr. Robert Davies Evans, Surgeon, Bl. Festiniog. 28th Nov 1920.

Approximate duration of present attack: A year

Number of Previous Attacks: 1

Number of Previous Admissions: 0

Number of Subsequent Admissions: 0

Total Number of Admissions: 1

Relatives affected: Mother was very depressed for years

Number of Previous Attacks: 1

Epileptic: No

Suicidal: No

Dangerous: Yes, threatening

Clean Habit:

Food Refusal:

Sleep Habit:

Destructive Habit:

Disposition:

Education:

Physical/Mental State at Examination: Poor health and condition and suffers from heart disease. Well marked striae show on his ankles and calves showing the presence of an oedema - disappeared and of acute onset. Oedema not now present (Dec 3rd). Patient said to have been very depressed for about 7 years, subject to fainting. Want of sleep for the past six months. Very talkative and getting wild in his manners.

Current Diagnosis: Unspecified dementia (F03)

Case Notes

1920 Dec 3 (copy) - Suffering from Senile Insanity.

Very talkative and his conversation soon becomes rambling and disconnected.

His memory is impaired and there is a considerable amount of mental confusion. Rather simple in his manner and fails to realise his position.

8 - No change.

15 - Garrulous still.

22 - Cheerful, restless and vivacious.

29 (copy) - Still talkative.

Does not realise his position. Simple in his manner.

Rather better health but is liable to oedema about the feet and ankles.

He himself feels much improved since he is here.

1921 Jan 29 - Remains loquacious and high spirited.

Feb 28 - Had a carbuncle on right leg just below knee last week which I excised and treated with pure carbolic acid. Doing well.

Apr 1 - The same mentally.

May 10 - Another carbuncle in close proximity to the previous one.

Mentally cheerful, happy go lucky.

June 7 - Back in Private Ward and enjoying good health at present.

July 1 - Very cheerful.

24 - Now transferred to pauper class.

Oct 4 - Good natured, happy and contented.

Nov - No change.

1922 Jan, Apr - No change.

May - Quieter of late and more serious and thoughtful during conversation.

On several occasions of late has approached me with a view to his discharge.

Has ceased decorating himself with flowers and talking about his wife going out with another man. Re the latter, he now states it was all 'loll'.

Aug - Very quiet now.

Oct - Well conducted and far more sober than he used to be.

1922 Nov (copy) - Still simple and childish. Memory rather defective but has recently improved and not so cheerful and exalted. 1923 Jan - No further change.. On trial 23rd February 1923.

Medications/Treatments: Excision of carbuncles