HISTORY OF NURSING Flashcards
PERIODS OF NURSING: The four great periods of nursing are:
- Intuitive nursing– prehistoric time–Christian era (early)
- Apprentice nursing– 11th century to 1836.
- Educated nursing– 1860 -1945.
- Contemporary nursing– began at the end of world war 2 (1945) to present
prehistoric time–Christian era (early)
Intuitive nursing–
11th century to 1836.
Apprentice nursing
1860 -1945.
Educated nursing
began at the end of world war 2 (1945) to present
- Contemporary nursing–
Intuition: “Snap judgment”
Nursing was untaught and instinctive.
It was performed out of wish of to help others.
Ancient people led a nomadic life creaming from place to place
Weapons: Stone, used to make fire.
Nature worshippers.
Their belief is known as animism and the period as Stone Age.
NURSING IN PRE-HISTORIC TIMES: PERIOD OF INTUITION
- Invasion of the victim’s body of evil spirit, devils, offended god.
- Supernatural powers of the human enemy.
- Displeasure of the death, own sin.
- Sorcery-A sorcerer had the ability to use magical ritual formulas
- Magic-Black and white magic
- Invasion of a disease object
- Loss of the soul-the soul could entice to leave the body by an
evil spirit or a sorcerer. - It was believed that soul leaves the body during the period of
dreaming, submission resulted in the attitude of what cannot be
cured must be endured, sacrifice involved animal and human,
supplication was expressed through prayer.
BELIEFS OF PRIMITIVE PEOPLE
The treatment was done by Shaman, medicine man or witch doctor or priest physician.
Startling the evil spirit with a frightening mask and deafening noises instead of giving rest to
patient.
Jolting the person by shaking, biting, punching and kicking.
Using noxious odors
Giving purgatives and emetics.
Plunging them in hot and cold water.
Pacifying the evil spirit by sacrifice.
Use of chants and mantras.
Used certain herbal medicines [e.g. tree bark for rheumatism]
Trephining the skull with stone if the above methods failed.
More than all of this, healing depends on the faith of the person.
Preventive measures: Amulets and Talismans for good luck
PRACTICE OF PRIMITIVE PEOPLE
The treatment was done by Shaman, medicine man or witch doctor or priest physician.
Startling the evil spirit with a frightening mask and deafening noises instead of giving rest to
patient.
Jolting the person by shaking, biting, punching and kicking.
Using noxious odors
Giving purgatives and emetics.
Plunging them in hot and cold water.
Pacifying the evil spirit by sacrifice.
Use of chants and mantras.
Used certain herbal medicines [e.g. tree bark for rheumatism]
Trephining the skull with stone if the above methods failed.
More than all of this, healing depends on the faith of the person.
Preventive measures: Amulets and Talismans for good luck
PRACTICE OF PRIMITIVE PEOPLE
Massage, Fomentation, Bone setting,
Amputations, Hot and cold baths,
Abdominal sections, Heat to control
hemorrhage
SKILLS OF PRIMITIVE MAN
Ancient people had family set up. The men were hunters and hard workers. The women were to
stay at home and looked after the children. When anybody gets sick, the women were to take
care of them as men had no time. Thus, they were ____________
the early nurses.
The cradle of civilization. Babylonian empire was founded by King Hammurabi.
The priests made their diagnosis and prognosis by observing various objects such as the
behavior of animals, flow of water in rivers, shape of oil on water surfaces, irregularity of an
animal liver, smoke from a burning fire, personal dreams, difficulty in delivery was considered
to be the result of wrong doing.
CODE OF HAMMURABI- Provided laws that covered every facet of Babylonian life including
medical practice, patient’s right to choose between the use of charms, medications or surgical
procedure to cure his disease and the punishment for doctor if patient dies.
Treatment methods include incantations and by the application of certain herbs.
The animal scapegoat was sacrificed, human beings were also sacrificed quite often.
From hepatoscopy, the Babylonians learned the structure of the liver and gall bladder and
their clay models is excellent anatomical specimen.
A Team approach was used to treat the sick person. Physician, Nurse, Pharmacist. Focus on
spiritual care
BABYLON/MESOPOTAMIA [IRAQ 4000 TO 3000 B
Medical Records: Eber’s Papyrus: World’s oldest medical record: 1600 BC
Priest Physician Imhotep, healing temples were built in his name.
The Egyptians developed the art of embalming or
mummifying
Hygiene: separated areas of the Nile River used for drinking
hygiene and sanitation.
Adequate system of drainage, water supply and inspection of
slaughter houses.
In Egypt, they had medical laws as fixed codes. Scope of
practice for doctors.
Hired nurses to assist in childbirth.
Egyptian pharmacopeia included innumerable drugs. They
could prepare some drugs for eye conditions and surgery.
Prayer and sacrifice
Calendars, recorded over 250 diseases
EGYPT
The Hebrews book of Genesis emphasized the teachings of Judaism regarding hospitality.
Old Testament’s laws and principles of sanitation in accordance with modern bacteriology.
The ritual of circumcision of the male child on the 8
th day
Disposal of excreta by burial with enough sand.
Moses is recognized as the “Father of Sanitation”.
The high priest Aaron was established as the physician of people.
Ancient Hebrew nurses had a high position and participated carefully in planned programmers
of visiting the sick at the homes and caring for them.
Hebrew nurses were active in promoting and maintaining physical, mental and community
health and they continued their service in health maintenance and health education.
Blood had symbolic cleansing power, and animal sacrifice was a regular priestly duty.
Rules governed women during menstruation, pregnancy and childbirth.
Women nursed the sick, cared for the young, and held a place of honor in the home.
Believed in reincarnation (rebirth of the soul into human or animal form)
The Vedas (Sacred book) promoted hygienic practice, offered magical cures for disease and
infertility and revealed a team approach to health care.
PALESTINE (ISRAEL)
The Chinese were well advanced in Medicine and surgery, used systematic method in Diagnosis.
Chinese materia medical (pharmacology) method of treating wounds, infection & afflictions.
Emperor Shen Nung: father of Chinese medicine and the inventor of acupuncture technique.
Dissection was permitted: Good description of the internal organs and circulation
Prepared medicines from vegetables and animals and practiced vaccination- early 1000BC
Physiotherapy, treatment with massage and exercises using heat, light, water and electricity.
They were aware of syphilis and Gonorrhea which are sexually transmitted disease.
Anemia Treatment with the inclusion of Liver in their diet and thyroid-iodine, leprosy-neem oil.
Healing halls next to the temple where the sick prayed for healing.
Acupuncture was done as analgesia and was a specialty for them
Opium and its derivatives were also used to relieve pain.
Tea drinking was encouraged as a precaution against intestinal infections.
Much importance was given to cleanliness and hygiene.
Bloodletting, use of herbal medicine, Moxibustion, smallpox vaccine, castration of males,
CHINA
The Greeks were true founders of true medical science: Divine origin. Apollo: God of Health
and Medicine, temples were built in his memory. Asklepios: son of Apollo, god of healing, a
great chief healer. Trotula wrote the first nursing textbook on the cure of women’s diseases.
Hygeia-Goddess of health, Panacea-Restorer of health, Eagle-Light of the sun, MeditranaPreserver of health (forerunner of public health nurse), Iaso-personified recovery from
illness.
Patient will sleep and, in a dream, God Asclepius himself would reveal the drugs to be given.
Temple buildings (Latrions and Xenodochias) were made of marble, used as hospital wards
where nurses cared for the sick. Nursing was the task of untrained slaves.
Practices: Massage, Inunction, Catharsis (purgation), Bloodletting with diet regulation,
allowednon-poisonous snakes to lick the wounds as a cleansing treatment.
Prohibited Dissection- delay in advancement due to lack of knowledge about human anatomy
Hippocrates: The father of scientific medicine (Observe, Study, Evaluate, Assist). Rejection of
all beliefs in the supernatural origin of diseases Medicine: Hippocratic Oath- basis for
Nightingale’s pledge.
Symbol of Caduceus: It is the insignia of the medical profession.
GREECE
Pleasing gods brought health & prosperity, but displeasing them brought sickness & death.
Aretaeus, Pedanius, Celsus and Pliny.
Women nursed sick family members, served as midwives.
The origin of the term “nosocomial” infections
Acquired their knowledge of medicine from the Greeks, translated Greek medical
terminologies into Latin terms, opened schools to teach medicine, developed military
medicine.
The Romans are the best known for advances in public health: Had paved roads and
bridges, drinking water by aqueduct, drainage and sewage system, public baths, public
dispensary. Also permitted dissection.
Malaria was the dreaded disease which was prevalent in Rome.
With the advent of Christianity, deacons and deaconates performed the duties of the nurses.
The order of Deaconeness endeavored to practice the corporal works of mercy (Feed the
hungry, give water to thirsty, clothed the naked, visit the imprisoned, shelter the homeless,
care the sick, bury the dead).
ITALY AND ROME
The __________ had religious law regarding physical health.
The Zend-Avesta was their sacred book written by Zoroaster who lived about 600 BC
Fire, Earth and Water was considered as sacred elements, and among these, fire was purest.
The Persians also believed that the evil spirit was the cause of illness and they had three types
of practitioners. 1. Those who treat with knife and heal were called as surgeons. They were
less popular, 2. Those who treat with herbs and heal, 3. Those who treat with prayer, holy
words and heal. They were highly popular.
Persia (Iran)
Mayas practiced human sacrifices to cure illness. At certain sacrificial ceremonies, they
removed the hearts of living adults and children.
The Incas and Aztecs were the other group and they were skilled engineers and built roads
and suspension bridges.
They also had superstition and believed that disease is caused by the displeasure of Gods.
Warriors wore protective charms and purified their bodies with sweats and mineral baths.
Shamans and priests performed healing rituals.
Women were respected, assisted with childbirth, and nursed the sick and the elderly.
Diseases were prevalent and treated with: Blood-letting, cupping or sucking, massaging,
sweating, splinting, setting of bones, tooth extraction, amputation, suturing, bandaging and
trephining.
ANCIENT AMERICANS
Extended from the founding of religious orders in the
6
th century through the crusade which began in the
11th century to 1836.
The Deacons school of nursing at Kaiserswerth,
Germany established by Pastor Fliedner and his wife.
It is the period of on the job training desired of person
to be trained. Its most famous student was Florence
Nightingale (1820-1910).
PERIOD OF APPRENTICESHIP NURSING OR CHRISTIAN ERA (1000-1500 AD)
RELIGION AND WARS
MILITARY RELIGIOUS ORDERS
SECULAR ORDERS
ALEXIAN BROTHERS
KNIGHTS OF ST. LAZARUS
INFLUENCE OF RELIGION
He was from a wealthy Spanish family and
becamethe leader of the Dominicans.
St. Dominic of Guzman (1170-1221)
Founder of the Franciscans order. He
belonged to a middleclass family in Italy and once when he was ill he got an inner feeling
that he should follow Christianity.
St. Francis de sales of Assisi (1186-1226)
She was from a rich and noble family in Assisi. The life and
teachingof St. Francis influenced her and she became a nun and founded the 2nd
Franciscan order known as the Poor Clare’s’.
St. Clare (1194-1253)
: Several kings and Queens joined in this order.
Elizabeth of Hungary: Patroness of nurses,
Catherine of Siena: First lady with a lamp
Isabella of France, Anne of Bohemia, Brigit of Sweden, Louis of France
THIRD ORDER
Composed of lay nurses who devoted their lives to the service of
sufferinghumanity. It was founded in 1170 by a Priest, Lambert Le Begue. They supported
them or received help from the society’s funds.
THE BEGUINES
A layperson dedicated to religious life
OBLATES