Elizabeth Kortright Monroe was first lady of the United States from 1817 to 1825. In Paris her visit to imprisoned Adrienne de Lafayette helped signal American concern and secure her release. As first lady she favored formal social customs, while illness sometimes limited her duties and her daughter Eliza assisted. The available biographical record identifies Elizabeth Kortright Monroe with work or public activity as a first lady, hostess. Additional claims about employment, public service, or accomplishments have been omitted where the consulted source did not support them. Elizabeth Kortright Monroe died on Sep 23, 1830, in Oak Hill, near Aldie, Loudoun County, Virginia. The available biographical account does not describe a continuous final medical course. It gives no dependable sequence of treatment and last symptoms from which to reconstruct a more detailed bedside narrative.