C O (9464)

Admission Details for Patient: C O (9464)

Gender: Female Age: 48
Marital Status: Married Religion: Calvinist Methodist
Occupation: House duties
Address: Beddgelert, Carnarvonshire

Date of Admission: June 25, 1920
Date of Discharge: May 11, 1921
Discharge Category: Recovered

Disease: Mania
Supposed Cause: None stated

Medical Certificate:
Her changed conduct, expression dazed and fixed. Extreme motor unrest, throwing her arms about continually, has auditory and visual hallucinations, "hearing voices". Delusions that the neighbours are spiteful of her and threatening to kill her. Nurse Parry Williams states that she shouts, laughs and screams alternately, that she is very difficult to manage. Jumps suddenly out of bed, attempts to choke herself with the bedclothes and says the neighbours want to kill her. Dr. John Robert Jones, Penrhyndeudraeth, 24th June 1920.

Approximate duration of present attack: 1 week

Number of Previous Attacks:

Number of Previous Admissions: 0

Number of Subsequent Admissions: 0

Total Number of Admissions: 1

Relatives affected:

Epileptic: No

Suicidal: Yes

Dangerous: No

Clean Habit:

Food Refusal:

Sleep Habit:

Destructive Habit:

Disposition:

Education:

Physical/Mental State at Examination: Poor health and condition. Bruises on both arms and shoulders and forehead. Double cervical adenitis with old operation scar. On admission she is very noisy, talkative and restless and unable to give any account of herself.

Current Diagnosis: Depressive episode (F32.3)

Case Notes

1920 June 28 (copy) - Suffering from Mania. There is marked loss of control. She is very restless and is also noisy at times, answering imaginary voices.

She becomes very rambling and incoherent and is very resistive. She has also refused her food.

July 5 - For the first few days she was very noisy and restless, especially at night.

She also refused her food and had to be fed on one occasion.

Now quieter and taking her food better.

12 - Difficult to get much out of her.

21 - Temp 100.4. Slight diarrhoea. Transferred to sick ward.

Aug 5 - Does not improve much. Sept 1 - Unchanged mentally.

Her health continues indifferent. Oct 16 - Mental condition improved and she is in better health. Dec 1 - Mental condition still improving.

In better health but troubled from time to time with cervical adenitis. Dec 23 - Discharged on trial.

1921 May 11 - Finally discharged.

Medications/Treatments: