Psychiatric Nursing at St. James Hospital

By Sandra Trudgen Dawson

I’ve been a little hesitant to write a blog about some of my experiences in a psychiatric hospital in 1980s Britain for a number of reasons. I am aware that those who suffer mental illnesses are some of the most vulnerable members of society. This was definitely true in the mid-1980s in Britain. I write this with the utmost respect for the patients I came into contact with and the nursing staff charged with their care.

When I Remember Margaret Thatcher, I Remember…

By Sandra Trudgen Dawson

When Margaret Thatcher died on Monday, her policies, leadership, and legacy evoked strong reactions. Margaret Thatcher has been hailed Britain’s finest postwar leader; the person who single-mindedly transformed Britain’s society; the leader who “did the necessary” to remake Britain’s ailing economy. She fought an Imperialist war and she won. Thatcher was the first woman to become Prime Minister of Britain and, considering the current pool of candidates, she might continue to be the only woman to achieve that position for the next decade. Educated at the elite Somerville College, Oxford in the late 1940s, Thatcher believed she could reverse the postwar consensus that laid the foundation of the welfare state and the idea that all Britons should have the right to a certain standard of living. She was a committed capitalist and believed that Britain had strayed from capitalism–or at least her form of capitalism. Thatcher claimed only those who worked hard and pulled themselves up by the bootstraps should expect a good standard of living, that it was a reward, not an entitlement.

Night Nurse Nursing

By Sandra Trudgen Dawson

My first job as a State Registered Nurse in mid-1980s Britain was night shift on an Acute Geriatric ward in Portsmouth. The shifts were long—eleven and a half hours—and it was hard, physical work. All sorts of strange things happen at night. At times it felt as though the ward was bewitched—sometime around midnight. Hospital patients who were perfectly sane during daylight hours became confused, frenzied and belligerent after darkness fell. Nakedness, for some reason and for some patients, became an urgent necessity as did climbing over bed rails or side tables. Zimmer frames (walking frames) and walking aids so benign on dayshift, transformed into fencing weapons at night as patients who had bottled up a lifetime of frustration finally let go. Keeping sparing patients apart can occupy nurses for hours at night. Hiding potential weapons does not always help as water jugs and cups can become flying missiles at night. Patients in Britain, unlike the United States, cannot be physically restrained in any way and so “sitting” with an agitated patient is the only action to prevent falls or the accidental maiming of another patient.

Meeting Death–Notes from a Living Historical Artifact

I have recently experienced a good deal of (mostly good) healthcare services here in Northern Illinois. For the last three and a half years I have been a patient in and out of various hospitals, undergoing small and large “procedures,” experiencing rehabilitation and a large number of outpatient services. It wasn’t always this way. I am/was a nurse. I was the one giving the care, staying calm in emergencies, answering those difficult questions and doling out reassurance like sandwiches at a picnic. My recent experiences as a patient have brought back a lot of memories and the sudden realization that I am a living, historical artifact. The apprentice-style nurse training I received in Britain in the early 1980s is now defunct and has been replaced by a University degree, higher wages and a level of professionalism even Florence Nightingale could only dream of in 1860 when she established her training school for nurses in London.[1]Britain, the whole world now knows, reveres the National Health Service as a national icon (remember the opening ceremony at the 2012 Olympics in London–dancing nurses in archaic-looking uniforms and nimble-footed doctors prancing around the stadium with their bedded patients?). I think it was watching the NHS tableau that triggered the memory of the time I first met death.