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Medicine in Britain, c1250–present

Approaches to prevention and treatment, c1700–c1900

  • 3 things to know
  • Paper 1

Overview

Eighteenth-century hospitals, Nightingale at Scutari, her wards, Notes on Nursing and her school, surgery before anaesthetics, chloroform and Queen Victoria, Lister's carbolic acid, deaths after anaesthetics, compulsory vaccination, Pasteur's vaccines and the 1875 Act.

What you need to know

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Key term

What were hospitals like before Florence Nightingale, and how did her work change nursing and the hospital ward?

Key term

What were British hospitals like in the eighteenth century?

Key term

What did Nightingale insist on in a well-run ward?

Questions from this subtopic

Each one with the model answer underneath.

  1. 1

    What were British hospitals like in the eighteenth century?

    Model answer

    Many were charity hospitals founded by wealthy donors, but they were crowded and dirty and infection spread easily between patients.

  2. 2

    Where did Nightingale make her reputation?

    Model answer

    In the military hospital at Scutari during the Crimean War from 1854, where she cleaned the wards and organised the nursing.

  3. 3

    What did Nightingale insist on in a well-run ward?

    Model answer

    Cleanliness, fresh air, good food and space between the beds, with trained nurses keeping careful records.

  4. 4

    What did Nightingale publish in 1859?

    Model answer

    Notes on Nursing, which set out how nurses should be trained and how wards should be run.

  5. 5

    What did Nightingale found in 1860, and why did it matter?

    Model answer

    The Nightingale School of Nursing at St Thomas’ Hospital, which turned nursing into a trained profession instead of unskilled work.

  6. 6

    Why was surgery before anaesthetics limited to fast and simple operations?

    Model answer

    The patient was awake and in agony, so a surgeon had only minutes and could not work deep inside the body.

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