39
TABLE 2.-Ages in relation to Result.
Relieved.
Died.
Recovered,
Discharged.
Average Stay
of those Dead or Discharged
AGE AT ADMISSION.
1. Cured. 6. Raberest.je. Unimproved. during the Year.
Single.
Married or
Widowed.
Under 20 years
TABLE 2.—Obituary for the Year.
Form, Cause,
Named Number
Date
Condition
Register and Ward. of Adnation.
when admitted.
and Ikiration f Disorder
Date of Death
Cause of Death.
before Admisao.
Post Mortem Kxamination (weight to be Avoirdupois
A longer form is given in Miss Nightingale's "Notes on Ilospitals, 1863," p. 160, but it could hardly be required, or be of use, even if correctly filled up, in the smaller Hospitals (e. g., with much less than 100 beds).
Coloured patients should be distinguished in the manner described in Note VI.
From 20 to 25 years.. 25 to 30
D --
30 to 35 years, .
35 to 40
40 to 45 years..
45 to 50 33
50 to 55 years..
55 to 60 "
60 to 65 years.. 65 to 70
Over 70 year
Total
Deduct readmissions..
NOTE VIII-Additional Statistical Form for large Lunatic Asylums.
TABLE 1.-Age in relation to Form.
Madie.
Melancholia Dementia.
General
Epilepsy.
Other
Total of
Paralysis.
Fortus.
Each.
Total of Patients
Unchanged.
Single.
Married or Widowed.
Single.
Married or
Widowed.
Single.
Married or
Widowed.
Single.
TABLE 3.-Form in relation to Probable Causes.
Probable Causes, e.g„
Bodily
Grief. Drink- &c. &c.
Tota
Injury.
AGE AT
ADMISSION
Under 20 years
From 20 to 25 years
25 to 30 17
30 to 35 years
35 to 40
40 to 45 years
45 to 50
11
50 to 55 years
55 to 60
"
60 to 66 years
65 to 70 11
70 years and upwards
Total
Deduct readmissions.
Total of Patients..;
Single.
Married or
Widowed.
Single.
Married or
Widowed.
Single.
Married or
Widowed.
Single.
Married or Widowed.
Single.
Married or Widowed.
Single.
Married or
Widowed.
Single.
Married or
Widowed.
Mania
Melancholia
Dementia
·
General Paralysis
+4
Epilepsy
..
Other forms
Totals
Mania ..
Melancholia
Dementia
General Paralysis
Epilepsy
Other forms
Totals
TABLE 4.-Form in relation to Education.
Educated.
Uneducated.
Tota!.
Married or
Widowed.
PUBLIC RECORD OFFICE
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Manis
Melancholia
Dementia..
General Paralysis]
Epilepsy -
Other forms
Totals
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40
TABLE 5.-Form in relation to previous Occupation or Profession.
Occupation, a.g.,
Sailors Boldiers. Carpenters. &c.
&c.
Mauia
*Melancholia
Dementia
General Paralyzi
Epilepsy
Other forms
Totals
TABLE G-Form in relation to Duration of Malady and to result.
Cared
Dead.
Relieved,
Unchanged.
Totals.
Under 1 year.
Under 10 years, Over 10 years.
Undor & years.
Under 1 month.
Under 3
months.
Under year.
Under 2 years, Under 6 years. Under 10 years, Over 10 years. Under 1 month.
Under 3 months. Under 1 year. Under 2 years
Under
years.
Under 10 years.
Over 10 years.
Under 1 mouth. Under 3 months,
L
TABLE 7.-Duration of Malady before Treatment in relation to Result.
Dication of Freesat Attack before
Treatment
L'ader 1 Work:
Gated.
Etical.
Over 30 your
In less than I year.
Balured.
Tu less than 3 years.***
Under 1 year.______
Under 2 years.
Under 5 years. Under 10 years.
Unchanged.
Totala.
a. This being frattack...
This not being first attack
Under £ Wacks—
Thus being Krut attack
This not being first attack
Under 1 Month ..
This being Art attack
3. This mot being dirt attack
Under 6 Months - -
«. This being dest attack
4. This not being Arst attack
Under 1 Your—
4. This being first attack
F. This not being final attack
Over 1 Your
This hangi allack
. This not being Aret altack
Totals
These additional tables must be filled up in two sets, one for males the other for females.
To each set of tables a warning should be added against entering the same patient several times under different heads (as under Mania and under Epilepsy) which would confuse the totals,
Where coloured patients are treated they should be distinguished in the 'Fables.
Over 10 years.
Under 1 month.
Under 3 months, Under 1 year. Under 2 years
Under 6 years.
Under 10 years.
Over 10 years.
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