Tuesday 15 December 2009

Florence Nightingale had feet of clay and nothing much has changed in nursing since then if Calvary Mater is any indictation


By the time I was in my teens it had become apparent that historical figures were not always as presented in popular history tomes considered suitable for high school students.

A case in point is Florence Nightingale, whose admirable drive to establish the nursing profession also hid an individual with almost as many prejudices and erroneous preconceptions as the average person walking the streets of London in Victorian England.

Nothing much has changed over time. The nursing profession is still quick to judge and slow to examine its own assumptions, if hospital patients I have spoken with over the years are to be believed when they complained of the degree of 'labelling' they experienced.

The latest example of this to come to light is this effort by a nurse who should have known better than to mention werewolves at all when being interviewed by The Sydney Morning Herald last Sunday:

There were 91 emergency patients rated as having violent and acute behavioural disturbance at the Calvary Mater Newcastle hospital from August 2008 to July 2009.
Leonie Calver, a clinical research nurse in toxicology, said almost a quarter of the cases (23 per cent) occurred on a night of full moon and this was double the number for other lunar phases.
The patients all had to be sedated and physically restrained to protect themselves and others.
"Some of these patients attacked the staff like animals - biting, spitting and scratching," Ms Calver said.
"One might compare them with the werewolves of the past, who are said to have also appeared during the full moon."
Ms Calver said werewolf mythology included reports of people rubbing "magic ointment" onto their skin or inhaling vapours to induce the shirt-rending transformation from man to beast.
The main ingredients were belladonna and nightshade, she said, both substances that could produce delirium, hallucinations and delusion of bodily metamorphosis.
Ms Calver said it appeared the "modern-day werewolf" preferred alcohol or illicit drugs, as more than 60 per cent of the patients reviewed in the study were under the influence.
"We don't know if its more fun to use drugs and alcohol under a full moon or if their behavioural disturbance is directly influenced by the moon," she said.
"Our findings support the premise that individuals with violent and acute behavioural disturbance are more likely to present to the emergency department during...full moon."

Calvary Mater Hospital should have looked at two things which may have influenced the raw data producing these so-called findings.
One - a full moon means more light in the landscape, which in turn means that vulnerable homeless people have less shadowed urban public space in which to conceal themselves from the predators in our society, so stress levels for some of these marginalised individuals may be higher during this time as a reaction to perceived increased threat levels rather than to a bigger moon in the sky.
Two - full moon during 10 out of the 12 months covered by this particular study fell on or within seven days of at least one type of fortnightly Centrelink payment, which meant that many individuals with long-term substance abuse problems were more likely to have had the cash to purchase alcohol and/or street drugs during a full moon. Those with serious levels of abuse and those self-medicating due to psychiatric disability are also perhaps more likely to turn up at a hospital A&E during the acute intoxication phase.

Not exactly the moon-influenced scenario favoured by the werewolf-loving Catholic hospital in Newcastle, which so foolishly sought a bit of easy publicity for a very limited study which could almost be called bureaucratic time wasting if one was inclined to be unkind.

Less mythology and more empathy required there.

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