M J (9563)

Admission Details for Patient: M J (9563)

Gender: Female Age: 54
Marital Status: Married Religion: Calvinist Methodist
Occupation: None given
Address: Llwyngwril (admitted from Dolgelley Workhouse), Merionethshire

Date of Admission: December 8, 1920
Date of Death: January 8, 1921
Cause of Death:

Disease: Mania
Supposed Cause: Previous

Medical Certificate:
(a) She was very excited and talked incessantly and incoherently. She used most foul language and her habits are filthy. At times she shouts at the top of her voice and disturbs the other inmates. (b) Miss Katie Owen, Matron, Poor Law Institution, Dolgelley, states that she shouts all night, her habits are most filthy and her language foul. She has on several occasions torn her clothes.

Approximate duration of present attack: Weeks

Number of Previous Attacks: 1

Number of Previous Admissions: 1

Number of Subsequent Admissions: 0

Total Number of Admissions: 2

Relatives affected:

Number of Previous Attacks: 1

Epileptic: No

Suicidal: Yes

Dangerous: Yes, threats

Clean Habit:

Food Refusal:

Sleep Habit:

Destructive Habit:

Disposition:

Education:

Physical/Mental State at Examination: Poor health and condition and has a bed sore on the sacrum and another on the heel present on admission.

Current Diagnosis: Unspecified organic disorder (F09)

Case Notes

1920 Dec 8 - Noisy on admission. Her conversation rambling and unable to give any information about herself.

Had to be carried in. She has a deep foul looking bedsore over her sacrum and another on the back of her left heel.

11 (copy) - Suffering from Mania. Since admission she has been very noisy and restless, singing and crying and using indecent language.

She has also been dirty in her habits.

Speech is affected and it is difficult to make out what she is saying at times.

18 - Unchanged mentally. Requires constant attention.

27 - Noisy at times but quieter on the whole. Pressure sores are slowly healing.

1921 Jan 2 - Suffering from symptoms of pneumonia.

Heart's action very poor.

6 - Died at 5.10 pm.

Medications/Treatments:

Additional Notes

Previous admission:

10th November 1915 (No. 8554) with Mania (although GPI is queried).

The Medical Certificate reads: (a) General incoherence in her conversation. Inability to concentrate the attention.

Spoke of a certain house as her property which she does not own and promised presents beyond her means to those about her.

(b) S J, daughter of above, Llwyngwril, states: That on Nov 4 she took a razor from a drawer and threatened to use it on her.

On the following day attacked her with a stick and scratched her on the left arm in the struggle which ensued.

Mrs S A, sister of above, Towyn, witnessed her seize the poker with the intention of striking her daughter S with it.

Discharged recovered on 26th September 1916.