J J (9450)

Admission Details for Patient: J J (9450)

Gender: Female Age: 58
Marital Status: Single Religion: Independent
Occupation: None
Address: Dyffryn, Merionethshire

Date of Admission: May 31, 1920
Date of Death: December 11, 1920
Cause of Death:

Disease: Melancholia
Supposed Cause: Previous insanity

Medical Certificate:
(a) Very depressed and can only get answers to questions with difficulty. Has noises in head which at times resemble voices. Has an idea that stomach and bowels have ceased acting. (b) By J J, brother, Islawrffordd, Dyffryn: Does not sleep. Walks about without taking notice of people. Very obstinate and refuses to do things when asked to. Has threatened to drown herself.

Approximate duration of present attack: A week

Number of Previous Attacks: 3

Number of Previous Admissions: 2

Number of Subsequent Admissions: 0

Total Number of Admissions: 3

Relatives affected:

Number of Previous Attacks: 3

Epileptic: No

Suicidal: Yes (has threatened)

Dangerous: No

Clean Habit:

Food Refusal:

Sleep Habit:

Destructive Habit:

Disposition:

Education:

Physical/Mental State at Examination: Fair health and condition. Bruises on arms.

Current Diagnosis: Bipolar disorder (F31.5)

Case Notes

1920 May 31 - Very depressed and silent. Answers questions reluctantly and in a whisper. Quite indifferent and unresponsive and has little power of initiation.

June 3 (copy) - Suffering from Melancholia.

Depressed and self absorbed, takes no notice of anyone or anything about her, has visceral delusions concerning her stomach and intestines which she says have stopped working.

Also complains of noises in her head.

10, 17 - No change.

23 - Has improved a little.

July 22 - Still depressed and self absorbed, same delusions.

Sept 19 - No further change.

Nov 15 - Her mental condition has improved. The delusions have nearly disappeared and she is more cheerful and employs herself.

17 - Now suffering from a severe attack of colitis

25 - Still confined to bed with colitis.

Dec 3 - The acute symptoms have now ceased but she is in a very weak state.

9 - She is now developing gangrene in both feet.

The 3rd and 4th left toes, dorsum, heel and the right heel.

10 - The gangrene is slowly spreading.

Patient is very weak and does not react to stimulants.

11 - Died at 9.15 am.

Medications/Treatments: Stimulants

Additional Notes

Previous admissions:

28th December 1906 (No. 6867) with a diagnosis of Acute melancholia with stupor.

The Medical Certificate reads: a) She looks very wild and excitable. Talks incoherently.

Says that Jesus Christ is being shot, also that she is being shot, says that she is lost to Grace.

Hears noises of people talking to her when such are absent.

b) Lately she has refused to take the same interest in her work as before, by her mother A J, who also reports that she sleeps badly, refuses food and constantly plays.

Discharged recovered on 31st May 1907.

26th July 1915 (No. 8504) with Melancholia.

The Medical Certificate reads:

a) Incoherent in her talk. General appearance. Hearing voices.

b) John Jones, Islawrffordd, Dyffryn, brother:

Tendency to wander about from home. Not able to sleep. Refusing food.

Discharged 27th September 1916.