Developments in patient care

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  • Developments in patient care
    • The role of the church and monastries
      • infirmary separated from mon to stop the spread of disease.
      • hospitals set up by Christians
        • run by monks and nuns.
      • Poor, elderly, travellers and lepers stayed in hospitals.
      • monks prayed for their souls
      • nuns used herbal remedies
      • Neath & Margam
        • Cistercians
    • The role of voluntary charities - mid-16th century
      • Henry VIII ordered the dissolution of monasteries - 1950's
      • almshouses - cared for elderly
        • provided basic nursing
          • no medical treatment.
      • Leper  hospitals were on the outskirts of towns.
      • royal endowments given for the running of 5 hospitals.
    • Establishmentof voluntary hospitals across Wales
      • 1807 - Denbign general dispensary& asylum.
      • 1817 - Swansea established an infirmary
      • 1833 - Wrexham dispensary& infirmary in 1838.
      • Stanley Sailors' hospital - 1861 to treat sick sailors.
      • Royal Hamadryad hospital, Cardiff - 1866.
        • treat sick sailors from smallpox, cholera.
    • Endowned hospitals & science - late 18th century.
      • centre which treated illnesses that required surgery.
      • Herbal remedies were used.
      • removal of bladder stones & broken bones.
      • dispensed medicines for free.
    • Florence Nightengale and the professionalisation of nursing
      • Betsi Cadwaladr
        • 1854 - Crimean War
          • left to go to Balaclava.
        • worked many long hours
        • caught cholera and left in 1855.
        • the Best CadwaladrNHS trust.
      • Florence Nightengale
        • Crimean War
        • cleaner conditions reduced the spread of disease
        • 1859 - published 'notes for nursing'
        • set up training school - London.
    • The impact of early 20th century Liberal reforms
      • Medical inspection-1907
      • Welfare reforms for sick.
      • 1909 budget.
      • National Insurance Scheme 1911
        • David Lloyd George
        • workers made weekly contributions into central fund.
          • used if ill.
        • provided free medical care.
    • The 1944 Beveridge report & NHS
      • Aneurin Bevan - MP from Ebbw Vale
      • opposed by BMA
      • 28th July 1948 - NHS offered prescriptions, vaccinations, treatments& dentists
      • 1943 - 7 mill prescriptions per month.
      • 1949 - 8 mill people received free dental treatment.

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