This digital image appeared in the MDNS 1937 Annual Report and depicts one of the aspects of nursing care carried out by the District Sisters of the Melbourne District Nursing Society (MDNS) in a home in the suburbs of Melbourne.The Trained nurses (Nurses) of the Melbourne District Nursing Society (MDNS), from its inception in 1885, provided wound care to their patients who ranged in age from the very young to the elderly. As research developed better products and dressing materials, the methods and medication applied to wounds changed. MDNS received Royal patronage in 1966 and as Royal District Nursing Service (RDNS), the Education department developed wound care programs, such as the Leg Ulcer Management Program to provide their Trained nurses (Sisters) with methods of best quality care. They instructed RDNS Wound Care Specialists who made assessments and provided advice and support to the District Sisters working in the field as needed. The Sisters liaised with the patient’s Doctors and Hospitals to provide information on the progress of patient’s wounds and to receive any change of wound care from the Doctors. On the left of this black and white digital image is a little girl who is sitting on the top step of a wooden stool which is against a light coloured wall. The little girl has short dark straight hair; is wearing a dark jumper and skirt and is holding a light coloured bandage in her right hand. Her long grey socks are pushed down and she is wearing black sandals. Her right leg is bent and her foot is resting on the lower step. Her left leg is extended and she is looking down at a Melbourne District Nursing Society (MDNS) Sister who is on her right, as she is swabbing a wound on the girls left knee. The Sister is wearing her uniform dark cardigan over her grey dress which has a white collar, and her grey brimmed hat, with central Maltese cross on the hatband, is worn over her short hair. She is looking down at the child's wound and in her right hand she has a pair of forceps holding a white swab against the wound on the girl's knee. Her left hand is under, and supporting, the girl's knee.mdns uniform, melbourne district nursing society, rdns, royal district nursing service, mdns wound care

In 1930 the Society were pioneers in opening an Ante-Natal Clinic at the Melbourne District Nursing Society (MDNS) After-Care Home, setting a high standard with equipment, keeping records and providing leaflets with instructions in how to keep healthy during pregnancy, what complications to look for, and what to do when labour commenced. This image was taken in the Ante-Natal Clinic and shows some of the equipment used at that time and the uniforms worn by Trained nurses (Sisters) in the 1930s. Melbourne District Nursing Society (MDNS) was founded in 1885 and only nurses who had trained in a Hospital Training School and were fully qualified were employed by the Society. It commenced with one Trained nurse (Nurse), and another employed six months later; both walking amid the slums of inner Melbourne administering nursing care to the sick poor. The Society decided to commence a Midwifery Service and Nurse Fowler, who had previously worked for the Society, was re-employed as their first Trained Midwife. She began home births in August 1893 giving some Ante Natal care, taking midwifery bundles and providing clothes for the babe and mother as needed. Following birth, she gave Post-natal care to the mother and babe twice a day for three days and then daily for a week, and longer if required. She resigned after twelve months and Nurse Wilkie was appointed to the position. As well as walking, the Nurses used Public transport in the limited areas it ran, though a taxi was used by the Nurses and Midwife in emergencies and at night. As the Society expanded it rented premises until it was able to purchase it's own Nurses Home at 39 Victoria Parade, Collingwood in 1914. The Society were pioneers in recognizing the need for premises where patients too ill to be in their own home, but not ill enough to go to hospital, was needed. Land was procured next to No. 39, and the Society built the After-Care Home at 45 Victoria Parade, for these patients, and for patients from Hospitals. It was opened in July 1926 and the name of the Society then became ‘Melbourne District Nursing Society and After-Care Home’ (‘Hospital’ from 1934) The Ante-Natal Clinic at the Melbourne District Nursing Society After-Care Home was opened on the 23rd of September 1930 and MDNS Midwifery patients were encouraged to attend. Prior to the opening of the clinic Ante-natal care was not considered important, but within a short time 100 percent of MDNS Midwifery patients were attending. During 1934 the Women’s Welfare Clinic, including at the time a very controversial Family Planning Clinic, the first of its kind in Australia, was opened to support women at risk following multiple and difficult pregnancies. The Clinic gave advice on birth-control and was attended by their own patients at first, but then accepted patients from Melbourne public hospitals until their own clinics were opened.Digital image showing a Doctor and three Melbourne District Nursing Society (MDNS) Sisters attending a patient in the Ante-Natal Clinic at the After Care Hospital. In the forefront is a set of scales standing on the floor, behind which is the lady lying on a wooden framed bed with the base slightly raised at the top end supporting a white pillow and the lady's head. The lady has short dark hair and her frock can be seen to her waist; the rest of her body is covered by a white sheet and dark coloured blanket. Behind her and to the right of the image, are two Sisters wearing dark coloured long sleeved uniforms which have a belt and white collar; they are both wearing white veils over their short dart hair. To their left is a Doctor who has short dart wavy hair and is looking down at the lady. He is wearing a long white gown and has a stethoscope in his ears with the other end held in his right hand. To his left is another Sister who is wearing a white veil over her dark curled hair, and is wearing a long white gown. In the rear between the Doctor and Sister a hand basin can be seen. On the far left of the picture a trolley with two cloth covered shelves can be seen; a basin and squat bottle sits on the top shelf and kidney dish on the lower one. Behind this, part of a window can be seen.after- care hospital, 45 victoria parade collingwood, melbourne district nursing society (1885-1957), ante-natal clinic, after-care home, mdns midwifery, rdns, royal district nursing service

This digital image is taken at the home of a Melbourne District Nursing Society (MDNS) patient, and depicts a MDNS Sister attending to a lady who is lying in a wicker bed pram in the rear garden of her home. The wicker bed pram enabled the lady to enjoy fresh air and to be moved about easily. The image shows the MDNS uniform of a grey cotton frock with white collar, and a grey brimmed hat with a red Maltese cross in the centre of the hatband. In 1885, 50 years after Melbourne was founded, it was recognized that nursing care was needed for the sick poor in inner Melbourne. The Melbourne District Nursing Society (MDNS) was founded in February 1885 with one Trained nurse, known as 'Nurse' in those days, and a second employed six months later,. The two Nurses worked in the now CBD, ie from Spencer Street to Spring Street and from Victoria Parade to Flinders Street. At that time they walked the streets and lane ways amid the slums of inner Melbourne carrying their nursing bags containing lotion, ointments, powders, liniment, bandages, dressings, a case of spirits, and the Nurse's own clean apron, soap and small towel. They supplied equipment on loan, such as earthenware hot water bottles, splints, urinals, bed pans, bed cradles, feeding mugs, and air-cushions as well as providing blankets and clean bed linen, and nightdresses as necessary. From its inception the Society was at the forefront of health care and liaised with Doctors. They provided high quality nursing care to a range of people, often in destitute situations, some lying on rags on the floor as they had no bed, others with just a bed and maybe a thin blanket, a chair and nothing else. Their ages ranged from babes, children, adults to the elderly. The Nurses gave medications as ordered, dressed wounds e.g. to the injured, and surgical cases, and to those with leg ulcers; attended to patients with ‘surgical ailments’ such as ‘hip disease’; gave care to those with acute illnesses such as bronchitis, pleurisy, pneumonia, measles, and scarlet fever, as well as those with chronic illnesses such as consumption (tuberculosis), heart disease, arthritis, cancer, debility, neuritis and paralysis. This image shows a Melbourne District Nursing Society (MDNS) Trained nurse (Sister) wearing a grey uniform with white collar, and a grey brimmed hat, which has a hatband with Maltese cross applied, standing behind and attending an elderly lady patient laying in a wicker bed pram outside her home. The Sister has her right hand resting on the pram and is looking down at the lady, and the lady, who has short grey hair, is smiling and looking toward the camera. Her body is covered with a floral cover. To the left, part of the horizontal weatherboards of a wooden house can be seen, and to the right and rear, a brick, tiled hip roof, building can be seen. The wicker bed pram has four spoked wheels and a metal frame that bends up to form a handle on its right hand side.melbourne district nursing society, mdns, mdns nurses, mdns patient care, mdns uniforms, rdns, royal district nursing service

This digital image shows the sun roof on the Melbourne District Nursing Society After-Care Hospital, 45 Victoria Parade, Collingwood. It shows some of the children nursed at the home. Many children were nursed there long term during the Poliomyelitis epidemic in the 1930s. It also shows uniforms worn by nurses and Sisters in the 1930s. The Melbourne District Nursing Society After-Care Home was originally established to provide nurse-managed convalescent care to poor and underprivileged patients who could not look after themselves at home due to illness, or on release from hospital. Opening in 1926 following a public appeal for funds, at a cost of £27,000, the Home included maternity, children’s and adult wards as well as accommodation for Matron, twelve Sisters and four domestic staff. Many children were nursed there, some long term, during the Polio epidemic and the Society employed two School Teachers. The Society now ran two divisions, the After-Care with its own Sisters and nurses and the District division. The Society were the first in Melbourne, in early 1928, to recognize some patients leaving the After-Care, and many at home, needed further social care and they set up ‘Almoners’ from their committee to visit these patients and be intermediaries in getting them social assistance. It was late the following year before the first training of Almoners took place in Melbourne. In 1930 the Society employed a full time kindergarten teacher to visit poor children in their homes. That year the Society were pioneers in opening an Ante-Natal Clinic at the After-Care, setting a high standard with equipment, keeping records and providing leaflets with instructions in how to keep healthy during pregnancy, what complications to look for and what to do when labour commenced. In 1934 the Society were pioneers again when they opened the first Women’s Welfare Clinic, including at the time a very controversial Family Planning Clinic, the first of its kind in Australia which was opened to support women at risk following multiple and difficult pregnancies, giving advice on birth-control. At first the clinic was attended by their own patients, but then accepting patients from public hospitals until their own clinics were opened. . Major extensions in 1934 led to the After-Care 'Home' having a name change to 'Hospital'. A trained Almoner was employed in 1934 but she resigned after twelve months due to the work load. Unable to procure another due to a shortage of trained Almoners, a Social Service Officer was employed at the After-Care who successfully gained better housing from the Housing Commission for families living under unsuitable conditions. Following Government intervention, the After-Care Hospital was separated from the Melbourne District Nursing Society in 1957. The After-care Hospital continued to operate at the same address until 1985 when it became the Melbourne Geriatric Centre. This digital Image shows two nurses and two Trained nurses (Sisters) supervising convalescing children in the roof garden of the Melbourne District Nursing Society After-Care Hospital . The two nurses are with the rear children, one on the left and one on the right. Both are wearing long white aprons over their long sleeved dark grey uniforms, and both are wearing white caps over their dark hair. On the right rear, in front of a row of glass windows, the upper portion of a Sister can be seen wearing a white uniform and white veil. In the right front is another Sister who is wearing glasses and is wearing a white uniform and dark coloured cape. She is wearing a white veil over her short dark hair. There are three boys and four girls resting on cane lounges; some are reading books and one girl is holding a doll. Another boy, who is wearing a dressing gown, is sitting on a cane chair. There is a trellis and a wall of windows on the left of the image and some brick work and a wall of windows on the right hand side behind the Sisters.. Some pots with low and tall plants can be seen.A tiled hip roof of a building can be seen in the rear of the image.mdns, melbourne district nursing society, after- care hospital, nurses uniforms

Each Ward in the Melbourne District Nursing Society After-Care Hospital, at 45 Victoria Parade, Collingwood, had a Sun Room which was well lit by its many windows. This digital image is taken in one of the Sun Rooms and shows the type of hospital beds, furniture and the uniforms worn by Sisters and nurses in the 1930s.Melbourne District Nursing society opened the After-Care Home, situated at 39 Victoria Parade Collingwood in 1926 following a public appeal for funds. The name changed from 'Home' to 'Hospital' in 1934. The After-Care Home was originally established to provide nurse-managed convalescent care to poor and underprivileged people who could not look after themselves at home due to illness or on release from hospital. Opening in 1926, at a cost of £27,000, the home included maternity, children’s and adult wards as well as accommodation for Matron, twelve nurses and four domestic staff. In 1930 an ante-natal clinic was opened at the home. During 1934 the Women’s Welfare Clinic including, at the time, a very controversial Family Planning Clinic, the first of its kind in Australia, was opened to support women at risk following multiple and difficult pregnancies. Major extensions occurred in 1936. Each Ward in the After-Care Hospital at 45 Victoria Parade, Collingwood, had a Sun Room which was well lit by its many windows. Several donors gave money to furnish some of the Wards. Following Government intervention, the After-Care Hospital was separated from the Melbourne District Nursing Society in 1957. The District division of Melbourne District Nursing Society became the Melbourne District Nursing Service and moved to 452 St Kilda Road; later, in 1966, with Royal patronage this became Royal District Nursing Service (RDNS). The After-care hospital continued to operate at the same address in Collingwood until 1985 when it became the Melbourne Geriatric Centre. This digital Image shows six men patients and nursing staff in a Sun Room in the Melbourne District Nursing Society After-Care Hospital. In the left foreground is a low bedside cupboard, beside it is a man with short dark hair lying in an iron framed hospital bed with a white cover pulled up to his shoulders. A Sister, who is looking at the camera, is wearing a grey uniform with a white collar, and a white veil over her short dark hair; she is standing behind, and at the head of the bed with her right hand holding the vertical bar of the bed frame. Behind her is an open door and then a nurse wearing a long white apron over her grey long sleeved uniform; she has a white cap over her shoulder length dark hair and is looking at the camera. Both of her hands are resting on an empty cane chair. Next along is a man with a bandage wrapped around his head and over his left eye. He is wearing dark clothing and is sitting on a padded cane chair, as are the rest of the men in the room. To the rear, in front of four long windows, are another two men, one on the left has short white hair and is wearing light clothing, and to his right is a man with short dark hair and is wearing a dark dressing gown over light colour pyjamas. On his right is a large vase of flowers on a tall white stand. On the right hand side of the photograph are another two men with short dark hair and wearing dressing gowns; part of a wall with windows can be seen behind them.mdns, after- care hospital, melbourne district nursing society, rdns, royal district nursing service

The photograph is taken in the Waiting room of the Ante-natal Clinic at the Melbourne District Nursing Society After-Care Home at 45 Victoria Parade, Collingwood. On the 23rd of September 1930 the Ante-Natal Clinic opened at the MDNS After- Care Home. This photograph also shows Matron and Sister's uniforms in the 1930sThe Melbourne District Nursing Society (MDNS) were pioneers in recognizing the need for premises where patients too ill to be in their own home, but not ill enough to go to hospital, was needed, and the Society built, then opened, the After-Care Home, (later called After-Care Hospital), in 1926, for these patients, and patients from Hospitals. Many children were nursed there, some long term during the Polio epidemic and the Society employed two School Teachers. The Society now ran two divisions, the After-Care with its own Trained nurses and the District division. The Society were the first in Melbourne, in early 1928, to recognize some patients leaving the After-Care, and many at home, needed further social care and they set up ‘Almoners’ from their committee to visit these patients and be intermediaries in getting them social assistance. It was late the following year before the first training of Almoners took place in Melbourne. In 1930 the Society employed a full time kindergarten teacher to visit poor children in their homes. That year the Society were pioneers in opening an Ante-Natal Clinic at the After-Care, setting a high standard with equipment, keeping records and providing leaflets with instructions in how to keep healthy during pregnancy, what complications to look for and what to do when labour commenced. In 1934 the Society were pioneers again when they opened the first Women’s Welfare Clinic in Melbourne giving advice on birth-control, at first attended by their own patients, but then accepting patients from public hospitals until their own clinics were opened. A Social Service Officer was employed at the After-Care who successfully gained better housing from the Housing Commission for families living under unsuitable conditions. In 1957 the Hospital and Charities Commission decided to take over the After-Care Hospital, so the Melbourne District Nursing Society and After-Care Hospital separated and the Melbourne District Nursing Service was formed, setting up Headquarters at 452 St. Kilda Road, Melbourne. On the 5th of October 1966 the name changed to Royal District Nursing Service (RDNS) after being granted Royal patronage. Black and white photograph showing seventeen seated ladies, some partly hidden, six small children, and the Matron and two Sisters of the Melbourne District Nursing Society After Care Home. The Matron is wearing a white uniform and veil, and the two Sisters are wearing grey uniforms with white collars and veils, one is holding a baby and the other a small child dressed in dark clothing, they are on the far left and rear of the photograph. The ladies are wearing either grey or black clothing, several are wearing hats and some are wearing berets. They have short or shoulder length dark or lighter coloured hair. A Doctor, with short dark hair and wearing a white coat, is standing at the far right on the photograph. On the left, a window can be seen behind one of the Sisters. The wall at the rear of the room is paneled. after-care home, mdns, melbourne district nursing society, ante-natal clinic

This RDNS Liaison Sister is reassuring a lady who is being discharged from Mount Royal Rehabilitation Hospital regarding the visits she will receive from RDNS Sisters in her home. The Liaison Sister had previously visited the lady in the Ward to ascertain the care she would require at home and this information had been passed to the appropriate RDNS Centre and to the Sister who would be visiting the lady in her home. The RDNS Sister is wearing her RDNS winter uniform of a blue/grey skivvie under a blue/grey winter material herringbone V neck tunic style frock. She is wearing her blue/grey herringbone winter material hat.Liaison had occurred between doctors and the Trained nurses (Nurses) of the Melbourne District Nursing Society (MDNS), from its inception in 1885. This increased when Midwifery was introduced in August 1893 with close liaising with the Women’s Hospital. As District nursing grew it was recognized that closer liaising between many Public Hospitals would be beneficial, for not only the MDNS, later called Royal District Nursing Service (RDNS), Trained nurses (Sisters), but also for the patients and the hospitals. In August 1964 a Liaison Officer commenced at the Alfred Hospital. This soon increased to Liaison Officers working full time at several Public Hospitals. At the time of a patient’s discharge, the Liaison Sister forwarded information on their diagnosis and instructions regarding the care required at home to the appropriate RDNS Centre, and in turn the attending District Sister wrote a report of progress and any queries to the hospital Doctor, via the Liaison Sister, at the time the patient was attending outpatients. Any new instructions were then sent back to the District Sister. Liaising also occurred between District field staff and Doctors when patients were referred by General Practitioners and did not attend a Hospital. Rehabilitation of patients to insure they were able to live independently in their own homes was at the forefront of care given by the RDNS Sisters.On the right of the black and white photograph is a Royal District Nursing Service (RDNS) Sister, who is wearing her uniform hat over her short curled hair, and a pale skivvie under a V neck tunic style grey dress. She is leaning forward with her left hand on the arm of a wheelchair, and is smiling at a lady, who has short curly hair; is wearing glasses and grey frock with a belt, and is sitting in wheelchair. She is holding the tops of walking sticks with both her hands; the foot of the sticks are resting on the ground. The footplates of the wheelchair are open and the lady has her feet on the ground. To her left stands a gentleman who has short dark hair and is wearing a buttoned up dark cardigan over a light coloured shirt, peaks showing, and light trousers. He is holding a 4 prong stick in his right hand and is looking at the lady. A Hospital Sister, who is wearing a dark cape over her white uniform and a white veil over her short dark curly hair is standing behind the wheelchair looking down at the lady. In the background, part of a brick wall can be seen on the left and to the right of this an open glass door and to its right is a closed glass door with writing on it.Barry Sutton Photographer's stamprdns, royal district nursing service, rdns uniform, rdns liaison, rdns rehabilitation

This photograph is a record of Matron Beatrice Williams with some of the Trained nurses (Sisters) who worked in the District division of Melbourne District Nursing Society After Care Home in 1933, just prior to Matron Williams resigning to be married. It was taken in front of the Nurses Home at 39 Victoria Parade, Collingwood and shows part of the District nursing uniform worn by the MDNS Sisters in the 1930s. At that time their uniform dresses, worn under their coats, were grey cotton and their brimmed hats were made of felt and had a red Maltese cross applied to the centre front of the hatband.Miss Beatrice Williams worked as a Trained Nurse (Sister) with the Melbourne District Nursing Society (MDNS) before going to England to gain her Midwifery certificate. After qualifying, she worked as a Tutor sister and a District Superintendent at the University College Hospital in London. On returning to Australia she was appointed, in April 1929, Matron of the District division of the MDNS After-Care Home (Hospital from 1934). She convinced the Committee of the need for Ante Natal care and in 1930 the Ante Natal Clinic was opened at the After-Care. She continued as Matron until 1933 when she married Dr. J.P Major, and was invited to join the Committee of Management. In the early 1950s when the Government requested the Society separate and it take over the After Care Hospital, she became President of the now named Melbourne District Nursing Service with its Headquarters and Nursing Home moving to 452 St. Kilda Road, Melbourne. Beatrice had an understanding of the poor, the sick and the aged, and was known for her kindness and sympathy. Her foresight, leadership and enthusiasm brought forth the expansion of District nursing. She died on the 15th of August 1958. The Trained nurses of the Melbourne District Nursing Society (MDNS), later known as Royal District Nursing Service (RDNS), visited patients in their home and gave best practice care in many fields of nursing, and to people of many cultures, throughout its 130 years of expansion. Initial visits not only assessed the specific nursing situation but the situation as a whole. Their patients ranged in age from babes, children, adults to the elderly and referrals were taken from Hospitals, General Practitioners and allied Health facilities. Some of the care the Sisters provided is as follows: – Post-Natal care given to mother and babe, Wound Care following various types of surgery, accidents, burns, cancer, leg ulcers etc. Supervising and teaching Diabetic Care, including teaching and supervising people with Diabetes to administer their own Insulin, and administering Insulin to those unable to give their own injections. Administering other injections and setting up weekly medication boxes. The Sisters performed Catheterizations on adults suffering from conditions such as Quadriplegia, Paraplegia, Multiple Sclerosis (MS), Motor Neurone Disease (MND) and Guillan-Barre Syndrome, and when required at school on children for e.g. those with Spina Bifida. The Sisters visited those requiring Cystic Fibrosis support and care; those requiring Haemo-Oncology care, including visiting children at school; those requiring Home Enteral Feeding care, and those requiring IV therapy at home and home Dialysis. Palliative Care was given including pain relief with the use of syringe drivers, personal care as needed, and advice and support to both patient and family. The Sisters provided Stoma management to those needing Urostomy, Ileostomy and Colostomy care and those requiring Continence care. HIV/AIDS nursing care was provided; visits to Homeless Persons were made. Personal care was given to patients ranging in age and with varying mobility problems, such as those with MS, MND, Guillan-Barre Syndrome, Quadriplegia, Paraplegia, Acquired Brain Injury, to those following a Cerebrovascular Accident (Stroke), those with severe Arthritis and those with a form of Dementia. When necessary the elderly were assisted with personal care and advice given on safety factors with the use of hand rails, bath or shower seats, and hand showers. Rehabilitation with an aim towards independence remained at the forefront of the Sister’s minds and when possible using aids and instruction on safe techniques enabled the person to become fully independent. All care included giving advice and support to the patient and their Carers. The Sisters liaised with the persons Doctor, Hospital and allied Health personal when necessary.Black and white photograph showing Matron, Miss Beatrice Williams, wearing a white uniform and veil over her short dark hair, and a group of thirteen Melbourne District Nursing Society Trained nurses (Sisters) outside the front of their Nurses Home. The Sisters are wearing grey coats over their grey uniforms and grey brimmed hats with a Maltese cross applied to the white headband. Matron is sitting in the centre of six Sisters and there are seven Sisters standing behind them on the veranda; a round column is seen to the right between the 4th and 5th Sisters. Part of the grey building behind shows an open door to the left and a long window to the right. A scrolled metal safety rail, running from the round column, is seen in front of the three nurses on the right. The seated Sisters and Matron have their legs crossed at the ankles, melbourne district nursing society, mdns nurses, mdns, rdns, royal district nursing service, mdns uniforms, matron beatrice mary williams

This photograph is a visual record of Mrs Tatham who was President of the Melbourne District Nursing Society (MDNS) from 1915 until 1923. Mrs. Tatham, with her happy disposition, tact and organizational skills, served the Melbourne District Nursing Society (MDNS) as a very active member for 25 years. At 38 years of age she was elected to the Committee of the MDNS in 1909, and in 1912 was elected as Honorary Secretary until being elected as President in 1915; a role she held until 1923. During this time she undertook roles on fund raising committees, as well as, in 1919, leading the committee in appealing to the public for funds to purchase motor cars for the use of the Society's Nurses so more cases could be visited during the Influenza Epidemic. In 1923 she resigned as President but agreed to take up the role as Vice-president and was the 'Head Almoner' in the Society's newly formed 'Committee of Almoners' who assisted discharged clients from the After-Care to receive assistance from other organizations if required; the name changed to 'Ward Visitors' when the newly formed 'Institute of Almoners' was formed with now trained Almoners. She remained as Vice-President until 1926 when she was appointed as Secretary of the Society and After-Care Home. She remained in this role until her death, aged 63 years, following a tragic car accident in October 1934. Mrs. Tatham was known as "a gentlewoman in the truest sense" and was held in high esteem by her friends and colleagues. Following her death a Ward in the After-Care Hospital was named the 'Constance Maud Tatham' Ward in her memory.Black and white head and shoulder photograph of Mrs. F. (Constance Maud) Tatham. She has a round visage and a small amount of dark curled hair is seen under a dark turned-up brimmed hat with large tails of a flat bow. She is wearing floral frock with buttons down the front; a dark and light coloured scarf is around her neck. melbourne district nursing society, after- care hospital, mdns president, rdns, royal district nursing service, mrs f. (constance maud) tatham

This photograph is taken in the home of the lady and shows MDNS Sister J. Faust giving an injection, using a glass syringe, into the right upper arm of the lady. This type of syringe was re sterilized. These syringes remained in use until the mid 1960s when disposable plastic syringes took their place. This photograph was used in a video on the history of RDNS which is held by the organization. It is a record of the type of care given by Melbourne District Nursing Society (MDNS) Trained nurses in a patient's home.The Trained nurses of the Melbourne District Nursing Society (MDNS), later known as Royal District Nursing Service (RDNS), visited patients in their home and gave best practice care in many fields of nursing, and to people of many cultures, throughout its 130 years of expansion. Initial visits not only assessed the specific nursing situation but the situation as a whole. Their patients ranged in age from babes, children, adults to the elderly and referrals were taken from Hospitals, General Practitioners and allied Health facilities. Some of the care the Sisters provided is as follows: – Post-Natal care given to mother and babe, Wound Care following various types of surgery, accidents, burns, cancer, leg ulcers etc. Supervising and teaching Diabetic Care, including teaching and supervising people with Diabetes to administer their own Insulin, and administering Insulin to those unable to give their own injections. Administering other injections and setting up weekly medication boxes. The Sisters performed Catheterizations on adults suffering from conditions such as Quadriplegia, Paraplegia, Multiple Sclerosis (MS), Motor Neurone Disease (MND) and Guillan-Barre Syndrome, and when required at school on children for e.g. those with Spina Bifida. The Sisters visited those requiring Cystic Fibrosis support and care; those requiring Haemo-Oncology care, including visiting children at school; those requiring Home Enteral Feeding care, and those requiring IV therapy at home and home Dialysis. Palliative Care was given including pain relief with the use of syringe drivers, personal care as needed, and advice and support to both patient and family. The Sisters provided Stoma management to those needing Urostomy, Ileostomy and Colostomy care and those requiring Continence care. HIV/AIDS nursing care was provided; visits to Homeless Persons were made. Personal care was given to patients ranging in age and with varying mobility problems, such as those with MS, MND, Guillan-Barre Syndrome, Quadriplegia, Paraplegia, Acquired Brain Injury, to those following a Cerebrovascular Accident (Stroke), those with severe Arthritis and those with a form of Dementia. When necessary the elderly were assisted with personal care and advice given on safety factors with the use of hand rails, bath or shower seats, and hand showers. Rehabilitation with an aim towards independence remained at the forefront of the Sister’s minds and when possible using aids and instruction on safe techniques enabled the person to become fully independent. All care included giving advice and support to the patient and their Carers. The Sisters liaised with the persons Doctor, Hospital and allied Health personal when necessary.Black and white photograph of Melbourne District Nursing Society (MDNS), Sister J. Faust who is wearing her grey brimmed uniform hat over her dark curled hair and is wearing a white gown over her grey uniform which is seen below her gown. In her right hand, she is holding a syringe, with needle against the lady's skin, and her left hand is on the upper right arm of the lady above the needle site. The lady, who has light coloured curled hair and is wearing a dark coloured long frock, is standing to the right of the Sister and is holding the right sleeve of her dress up with her left hand. A metal sink with cupboards below is behind the lady. To the left is fireplace which is now tiled at the rear and has a gas stove with kettle on a jet in the space. A row of three pale coloured kitchen canisters in decreasing size sit on the mantle piece. On a shelf above these sit a dark coloured box and a tall thin vase. Staff members name is written on the back of the photograph.melbourne district nursing society, nursing care, royal district nursing service, rdns, mdns, nursing care - medications, mdns uniforms, j. faust

Sister J. Faust has dressed a wound on the ladies ankle and is applying a blue-line bandage. The photograph is taken in the lady's home. The MDNS uniform at that time was a grey frock, and stiffened brimmed grey felt hat with a light grey band and a red Maltese cross in the centre of the band. The Trained nurses (Nurses) of the Melbourne District Nursing Society (MDNS), from its inception in 1885, provided wound care to their patients, who ranged in age from the very young to the elderly. As research developed better products and dressing materials the methods and medication applied to wounds changed. MDNS received Royal patronage in 1966 and as Royal District Nursing Service (RDNS), the Education department developed programs, such as the Leg Ulcer Management Program, to provide their Trained nurses (Sisters) with methods of best quality care. The Sisters liaised with the patient’s Doctors and hospitals to provide information on the progress of patient’s wounds and to receive any change of wound care from the Doctors. RDNS introduced a Wound Care Specialist program and these Sisters did assessments and provided advice and support to the District Sisters working in the field. Black and white photograph of Melbourne District Nursing Society (MDNS) visiting Sister J. Faust, who is wearing a white gown and a grey brimmed hat over her dark curled hair. Part of her grey uniform frock is seen below the gown. She is applying a light coloured bandage to the right ankle of an elderly female patient. The lady, who has dark curled hair, and is wearing a grey frock, apron, and black cardigan is seen seated side on, on a wooden chair to the right of the Sister. She has her right leg extended and resting on a small low table, her left leg is bent to the floor.. The Sisters open case is seen on a small table to the rear of the lady and a walking stick is to the left against the door frame. A dark curtain hangs in the doorway. A large white wash bowl is seen in the lower left of the photograph. A glass jar with scissor blades into a liquid can be seen on a cabinet to the left of.Sister Faust. To the right of the photograph a partial white covered bed can be seen with a table over it with papers and a magnifying glass. Name of Sister on rear of photograph.wound care, melbourne district nursing society, royal district nursing service, rdns, mdns, sister j. faust

This photograph is a visual record of Lady Coles who was on the Melbourne District Nursing Service (MDNS) Management Committee when, in the early 1960s, MDNS set up four regional Centres, one of which she allowed to be run from her home in Frankston.Lady Coles had a long standing interest in Melbourne District Nursing Society, and in 1957 following the separation of the Melbourne District Nursing Society and After-Care Hospital, she was elected as a member of the First Committee of Management of the now Melbourne District Nursing Service (MDNS). In the early 1960s MDNS set up four Centres where cases could be reported for District Nursing action. One of these Centres covered four districts and was situated at Lady Coles home in Frankston. She was on the committee when MDNS was granted its Royal patronage and became the Royal District Nursing Service (RDNS) in 1966. In 1967 a major fund raising appeal, with Lady Coles as chairman of the Women's Committee, took place and her energy helped raise a substantial sum for RDNS Three years later, after 40 years of actively working for District, Lady Coles resigned from the Committee of Management.Black and white photograph of Lady Coles who is smiling; has curled dark hair and is wearing a black round neck frock with a white flower corsage attached on the left hand side.The material of the frock appears to be velvet. She has a two row string of pearls around her neck. She is sitting in front of a window with a striped curtain to the right of it.mdns, after-care hospital, melbourne district nursing service, royal district nursing service, rdns, lady coles, melbourne district nursing society

Dame Ivy Evelyn Annie Wedgwood, as Senator in the Federal Government, presented the Senate with Statistics of visits done by Melbourne District Nursing Society (MDNS) Trained nurses (Sisters) showing their visits increased threefold in the four years from 1952-1956. She was Honorary Treasurer of the now named Royal District Nursing Service (RDNS) for many years. Dame Ivy Evelyn Annie Wedgwood trained as an Accountant and worked as a Secretary before joining the Australian Women's National League which led her to be a founding member of the Liberal Party, and the Victorian Liberal Party's women's section. She became the first Victorian woman Senator in the Federal Government in December 1949 and served until mid 1971. She presented the Senate with Statistics of visits done by Melbourne District Nursing Society Sisters showing their visits increased threefold in the four years from 1952-1956, and stating that many patients would have been hospitalized without the visits from the Society. She strongly supported the Home Nursing Subsidy Bill in Parliament which was passed in 1956, and continued to work for health, welfare and disability issues as well as being an advocate for women's interests, including equal pay for equal work, during her time in Parliament. Over the years she was a specialist magistrate to the Children's Court of Victoria, a Justice of the Peace, served on the National Council of Women, and was president of the Women's Justice Association, as well as Honorary Treasurer of the now named Royal District Nursing Service (RDNS) for many years and the first President of the Australian Council of Domiciliary Nursing. In June 1967 she was appointed Dame Commander of the Order of the British Empire for 'distinguished services to Parliament and the community' and RDNS holds this award in its Archives. Following her retirement from Parliament she became President of the After-Care Hospital in 1972, and on the 24th of July 1975 after chairing a Board meeting she felt unwell and returned to her home in Toorak where she died, aged 78 years, later that evening.Black and white photograph showing Dame Ivy Wedgwood, who has short wavy dark hair; is wearing glasses and has a single string of pearls around her neck. She and is sitting in a light coloured covered chair and part of a cushion is seen. She is wearing a floral dress with mid length sleeves and is sitting in front of a filled bookcase. A smaller filled bookcase is seen to her left as well as some stacked books.melbourne district nursing society, mdns, after- care hospital, royal district nursing service, rdns, dame evelyn annie wedgwood

Lady Clara R Lowe was elected Honorary Treasurer in 1938, a role she held until being made President of the Melbourne District Nursing Society (MDNS) in February 1950 until late 1951.Lady Clara R Lowe became a Committee member of the Melbourne District Nursing Society (MDNS) and After-Care Hospital in 1937. She became the Honorary Treasurer in 1938, a role she held until being elected as President in February 1950. She led the Committee of the Society in a time when the Victorian Hospital and Charities Commission wished to set up a separate District nursing service throughout Victoria, with the Society involved. The Commission, under the power of the Hospitals and Charities Act, planned to restructure MDNS and the After-Care Hospital. Lady Lowe was involved with these discussions and in the forming, in October 1951, of separate Boards of Directors for the Nursing division, and for the After-Care division Though the Boards would function independently they would be under the same Committee of Management. Now separate buildings were required for the housing of the District nurses and the headquarters of the Nursing division. The Commission became autocratic in this regard and Lady Lowe resigned as President in late 1951 as she felt she could no longer lead her committee without their interference. Black and white photograph showing the head and shoulder view of Lady Clara R. Lowe who is smiling and is slightly turned to her left. She is wearing glasses, and is wearing a close fitting patterned hat over her wavy grey hair. She has a double row string of pearls around her neck and is wearing a patterned grey frock. The petals of held white flowers are seen in front of her frock. melbourne district nursing society, mdns, after- care hospital, lady clara r. lowe, royal district nursing service, rdns

Jessie Isabel Henderson was President of the Melbourne District Nursing Society (MDNS) form 1924 until 1947. She was made a Commander of the British Empire (CBE) for her welfare work. Jessie Isabel Henderson was a leader in all the welfare organizations in which she was involved, including the Melbourne District Nursing Society (MDNS) where she was elected as a Committee member in 1912. She was regarded as being "clear-sighted, level-headed, being able to see the right perspective when troubles arose" and having an exceptional memory. She was a representative on the newly formed Charities Board in 1923 and was elected President of the MDNS in 1924 and continued in this role until 1947. During this time she was involved with the formation of the Society's first Auxiliary; the founding, and later extensions, of the After-Care Home, the Society now being called 'Melbourne District Nursing Society and After-Care Home'. This involved many fund raising efforts for the purchase of property of the Nurses Home at No. 39 Victoria Parade, Collingwood and the building of the After-Care Home at No. 45. During her time as President the After-Care opened an Ante-Natal Clinic and a Women's Welfare Clinic, as well as the Society creating a 'Committee of Almoners' who assisted discharged patients from the After-Care to receive assistance from other organizations if required. The name changed to 'Ward Visitors' when an 'Institute of Almoners' was formed with newly trained Almoners. During the depression 1929-1933 she led the Society in extending its Midwifery and District services, including supplying milk for expectant mothers. Through the depression her philanthropy extended to, with the help of another, in assisting young ladies out of work. She sought sewing machines and material from businesses and set up a factory where the ladies were employed producing salable products. In 1933 Mrs. Henderson suggested the name of the After-Care Home be changed to the 'After-Care Hospital'; she felt using the word 'hospital' would aid with receiving grants and money from the public through appeals - this came into effect in 1934. In 1936 Jessie Isabel Henderson was made Commander of the British Empire (C.B.E) for her welfare work. Mrs. Henderson was unable to carry out her Presidential duties in 1947 due to ill health, and she resigned in 1948. She died on the 11th of January 1951. The After-Care Hospital dedicated wards 4, 5 and 6 in the Jessie Henderson wing in her memory. She is listed on page 180 in ‘Women Shaping the Nation - Victorian Honour Roll of Women, Vol 1, 2001’ Centenary of Federation 1901 - 2001 Black and white photograph of the head and shoulder view of Mrs. G.G. (Jessie Isabel) Henderson who has her wavy dark hair drawn back and is wearing a short necklace and a longer single string of pearls, She is wearing a black frock which has a square neckline.mdns, after-care hospital, melbourne district nursing society, rdns, royal district nursing service, mrs g.g. (jessie isabel) henderson

This photograph is a visual record of Mrs. Major, then Miss Beatrice Williams was appointed Matron of the District Nursing Division of the Melbourne District Nursing Society (MDNS) After Care Home in April 1929 until 1933 when she resigned to marry Mr. J.P. Major. Following her marriage she was invited to become a member of the Society's Committee. In 1957 she was the first President of the Melbourne District Nursing Service.Mrs. Major, then Miss Beatrice Williams worked as a Sister with the Melbourne District Nursing Society in the early 1920s, before sailing tor England where she studied Midwifery and Community nursing. On her return her leadership qualities were recognized and she was appointed Matron of the District Nursing Division of the Melbourne District Nursing Society After-Care Home in April 1929, being considered 'capable, sympathetic, a good organizer and administrator and with understanding of the problems of the under-privileged, the aged and the sick'.. She was instrumental in convincing the Committee of Management of the need for an Ante-Natal Clinic which then opened at the After-Care Home in September 1930. Matron Williams tendered her resignation in 1933 as she was to marry Mr. J.P. Major. Following her marriage she was invited to become a member of the Society's Committee, and at the time of the dissolution of the Society and After-Care in 1957, was the first President of the now Melbourne District Nursing Service, a role she held until her death on 15th of February 1958.Black and white photograph of the head and shoulder view of Mrs. J.P. Major, nee Beatrice Mary Williams, who has short dark hair curled at the ends. She is wearing a light coloured floral frock with a square neckline.. She is sitting in front of a closed curtain.melbourne district nursing society, melbourne district nursing service, mdns, after-care home, rdns, royal district nursing service, matron, beatrice mary williams, mrs j.p. major

The group are photographed outside the Melbourne District Nursing Society After Care Hospital at 45 Victoria Parade, Collingwood. This photograph was taken three years after Miss Dorothy Tupper was appointed, in 1941, Matron of the District Nursing Division of 'Melbourne District Nursing Society and After Care Hospital'. She held this position until she retired at the end of 1962. In February 1885, 50 years after Melbourne was founded, it was recognized that nursing care was needed for the sick poor in inner Melbourne. The Melbourne District Nursing Society (MDNS) was founded, the first Society of its kind in Australia, with one Trained nurse, called 'Nurse' in those days, and a second employed six months later, working in the now CBD, ie from Spencer Street to Spring Street and from Victoria Parade to Flinders Street. From its inception the Society only employed qualified nurses (Nurses) trained under the Hospital training system and was at the forefront of health care. They provided high quality nursing care; educated their patients in the curing and prevention of disease; teaching the importance of cleanliness and good nutrition, both by verbal instruction and demonstration, even supplying soup and milk when needed. At that time they walked the streets and lane ways amid the slums of inner Melbourne carrying their nursing bag containing lotion, ointments, powders, liniment, bandages, dressings, a case of spirits, and the Nurse's own clean apron, soap and small towel. They supplied equipment on loan, such as earthenware hot water bottles, splints, urinals, bed pans, bed cradles, feeding mugs, and air-cushions as well as providing blankets and clean bed linen, and nightdresses as necessary. As the Society expanded bicycles and public transport were used to reach outer districts; before an appeal, during the influenza epidemic, provided four T Model Ford vehicles so the Nurses could visit more patients. Constant change of drivers and lack of time for maintenance caused cars to be disbanded. In addition to bicycles and public transport, a Motor Auxiliary was formed in 1929 and the public drove the District Trained nurses, 'Sisters', to visit patients in outer districts until District had its own fleet of vehicles. The After-Care and District division separated with the District Division moving premises and becoming Melbourne District Nursing Service, then in 1966 with royal patronage, Royal District Nursing Service (RDNS). Expansion followed with RDNS Centres built throughout the Melbourne suburbs and outer regions. By 2009 there were 598 cars in the fleet and the Sisters travelled 9 million 200,000 kilometres – this is equivalent to 12 trips to the moon and back. Sitting from left to right in the front row of this black and white Melbourne District Nursing Society (MDNS), photograph is a District nurse (Sister), next is Matron Tupper, (District Nursing Division) next, the Matron of the After-Care Hospital Section of the Society, and two District nurses, one wearing her uniform brimmed hat. Seven Sisters stand behind them, the centre two in white uniform dresses, one with short blonde hair, the other dark. The two Matrons are wearing white veils. The rest of the District nurses are wearing grey long sleeved uniform dresses, and have short dark curled hair. They are in front of a concrete veranda with the brick building behind. To the left of the Sisters a hydrangea bush can be seenGreen Number 948Fmelbourne district nursing society, m.d.n.s., nurses, mdns matron, mdns uniforms, after- care hospital, rdns, royal district nursing service, dorothy tupper

The 'Melbourne District Nursing Society After Care Home' was built by MDNS in 1926 and the name changed from 'Care' to 'Hospital' in 1934. It was located at 45 Victoria Parade, Collingwood. This photograph is taken three years after Miss Dorothy Tupper was appointed Matron of the District Nursing Division of the Society in 1941. The Sisters in this Division worked in the community giving nursing care to people in their own homes.From its foundation in 1885 the Melbourne District Nursing Society (MDNS, were instrumental in giving care to their patients, and to assist them if they had financial problems or resided in poor living conditions. Miss Dorothy Tupper, who as a Trained nurse, had undertaken a course in hospital housekeeping at London Prince of Wales Hospital, was contacted by MDNS in 1939 and, possessing both business and humanitarian qualities, was asked to organize their newly established Social Service Department. As the MDNS Social Service Sister, she assessed the living conditions in patient's homes. She continued in this role until being appointed Matron of the Society's District Nursing division in 1941. Matron Dorothy Tupper announced her retirement in December 1962. As Matron for 22 years she played a major role in the employment and management of an ever increasing nursing workforce as well as help oversee the expansion of the service. Matron Tupper was known for her keen sense of duty, her high professional standards and never-failing concern for patients. The photograph was taken by Sun Newspaper photographer and appeared in an article about the MDNS in September 1944Black and white photograph showing Melbourne District Nursing Society (MDNS) Matron, Dorothy Tupper, standing side on, and to the left, of three District Trained nurses (Sisters) who are seated in the grounds of the After-Care Hospital. Matron Tupper is wearing a light coloured uniform which has a belt and a centre box pleat on the lower part of the skirt; a grey brimmed hat with a darker grey hat band sits over her short dark hair. She is looking down at the first Sister on the seat who is looking up at her. The Sisters at either end of the seat are wearing dark grey double breasted coats with lapels; the collars of their light colour uniforms can be seen. Both are wearing grey brimmed hats over their short dark hair. The Sister at the far end is wearing glasses and the Sister near Matron Tupper is holding a book. The centre Sister has shoulder length dark hair and is wearing a light coloured long sleeve uniform. She is also holding a book. Both these Sisters are looking toward Matron Tupper. The seat is made of wood and is against the concrete veranda of the building behind. Scrolled metal lace work is directly behind them with a round thin concrete post to the left of Matron Tupper and the other end of the lace work is fixed to the concrete square corner columns. One turns to the right and the concrete wall of the veranda attached can be seen running in front of part of the brick wall of the building.after- care hospital, melbourne district nursing society, mdns, nurses, matron, mdns social service department, rdns, royal district nursing service, matron dorothy tupper

This digital image is taken at the time of the opening of the 'Annie Dane Ward' in the Melbourne District Nursing Society After-Care Hospital. Mrs. G. G. Henderson is the Society's President. She is receiving a Centenary gift, a cheque of 500 pounds, from Mrs. Robert Hunter, on behalf of Mr. John Stephenson Dane. Mr. Edgar, M.L.C,. officially designated the Ward and The Rev. A. T. Holden, President-General of the Methodist Church of Australasia, dedicated the Ward. The portrait of Mrs. Annie Dane hangs above the fireplace in the Ward.The Melbourne District Nursing Society, (MDNS), built the After-Care Home in 1926. The Home was extended and the name changed to Melbourne District Nursing Society and After-Care Hospital in 1934. It was situated at 45 Victoria Parade, Collingwood and various Wards were named after donors or patrons of MDNS After Care. Patients of the Society who needed more care than could be given at home, but did not need hospitalization, were admitted to the After Care, along with many patients from Melbourne hospitals who needed further care before going home. Many children were nursed there, some long term, during the Polio epidemic and MDNS employed teachers to give them schooling. In September 1930 an Ante-Natal Clinic was established. In October 1934 a Women's Welfare Clinic was opened to educate women on birth control. This was the first of its kind in Melbourne. The MDNS After Care Hospital was under District's banner until 1956. In 1957 the MDNS and the After-Care separated with the Government taking over the running of the After-Care. Melbourne District Nursing Society then became the Melbourne District Nursing Service and, after Royal patronage, became Royal District Nursing Service (RDNS).In the centre of this digital image, and on the left of the group, is Mrs. G. G. Henderson, who is wearing a black hat over her short grey curled hair and a black coat with fur collar and cuffs over a white top. She has a and white broach attached to the collar of the coat. She is side-on looking to her right facing Mrs. Robert Hunter, who is wearing a small brimmed black hat over short dark curled hair, and is wearing a white blouse, with broach in the centre, and dark skirt under a long dark fur coat with a white broach attached to the collar. She is wearing white gloves and has a small white paper cheque in her right hand which she is handing to Mrs. Henderson. Behind and between Mrs Henderson and Mrs. Hunter, is Mr. Edgar, who has sparse white hair and a white moustache. He is wearing a black three piece suit over a white shirt and dark tie. A watch chain is attached to his vest and a white badge is on the left collar of his jacket. To the right of Mrs Hunter is a Ministers of Religion who has sparse white hair, and is wearing a three piece black suit over a white clerical collar and black 'front piece'. He has a watch chain attached to his vest. To his right is another Minister of Religion, who is wearing a close fitting white cap over his short grey hair and is wearing a dark coat. His white clerical collar and black 'front pierce' are seen; he is holding a brimmed hat in his left hand. Thirteen Sisters, some partly hidden, wearing white uniforms, veils and dark capes are present in two groups; one on the left of the photograph and behind some of the Official party. The other group are to the right behind the last two of the Official party with two Sisters in the right foreground. Next to them, on the far right of the photograph is another Minister of Religion wearing a dark suit, white clerical collar and black 'front piece'. In front of Mrs. Hunter and the first Minister of Religion is a small white wooden table with papers on it. On the rear wall, above the fireplace, hangs a portrait of Mrs. Dane. Part of a vase with foliage is seen to the left of the portrait, and shorter foliage below it. Part of tall foliage is seen on the right hand side of the portrait.melbourne district nursing society, mdns, after- care hospital, annie dane ward, rdns, royal district nursing service, mrs robert hunter, mr edgar - mlc, mrs jessie isabel henderson, rev h.t. holden, mrs annie dane

In 1934 the Trustees of the Marie Krecklow Estate donated 500 pounds to furnish and equip an empty Ward in the Melbourne District Nursing Society After-Care Hospital in the memory of Mrs. Marie Krecklow. This image shows the furnishings in the Ward of the Hospital at 45 Victoria Parade, Collingwood. The boys in this image are receiving nursing care before returning home following their recuperation. Many children were nursed at the hospital, some long term during the Polio epidemic. The Society were pioneers in recognizing the need for premises where patients too ill to be in their own home, but not ill enough to go to hospital, was needed, and the Society built, then opened, the Melbourne District Nursing Society After-Care Home in 1926, (from 1934 called After-Care Hospital), for these patients, and patients from Melbourne Hospitals who required recuperation before returning home. Many children were nursed there, some long term during the Polio epidemic and the Society employed two School Teachers. The Society now ran two divisions, the After-Care with its own Trained nurses and the District division. The Society were the first in Melbourne, in early 1928, to recognize some patients leaving the After-Care, and many at home, needed further social care and they set up ‘Almoners’ from their committee to visit these patients and be intermediaries in getting them social assistance. It was late the following year before the first training of Almoners took place in Melbourne. In 1930 the Society employed a full time kindergarten teacher to visit poor children in their homes. That year the Society were pioneers in opening an Ante-Natal Clinic at the After-Care, setting a high standard with equipment, keeping records and providing leaflets with instructions in how to keep healthy during pregnancy, what complications to look for and what to do when labour commenced. In 1934 the Society were pioneers again when they opened the first Women’s Welfare Clinic in Melbourne giving advice on birth-control, at first attended by their own patients, but then accepting patients from public hospitals until their own clinics were opened.A trained Almoner was employed at the hospital but left after twelve months due to the volume of work. Unable to employ another trained Almoner due to a shortage of them, a Social Service Officer was employed at the After-Care who successfully gained better housing from the Housing Commission for families living under unsuitable conditions. In the 1950s the Hospital and Charities Commission decided to take over the After-Care Hospital, so the Melbourne District Nursing Society and After-Care Hospital separated and the Melbourne District Nursing Service was formed, setting up Headquarters at 452 St. Kilda Road. In 1966, following Royal patronage the name was changed to Royal District Nursing Service (RDNS).Digital mage showing the 'Marie Krecklow Ward' in the Melbourne District Nursing Society After-Care Hospital. The image shows five iron hospital beds along the left hand side and five iron hospital beds along the right hand side of the ward. Eight young boys, most with short dark hair and one with short blonde hair, are leaning against pillows sitting up in the beds. Some pillows are propped against an iron support which slopes from the headrest. Three sets of windows can be seen on either side of the ward which is painted grey and a wide floral border to the picture rails, then white paint above the picture rail which continues over the ceiling. A white table with vases of flowers is in the centre rear of the image. A Sister, wearing a white uniform and veil and a dark cape stands at the rear left hand side of the image, and two nurses wearing white aprons over dark uniforms and white caps stand half way down the ward, one on either side. mdns, melbourne district nursing society, after- care hospital, after-care home, rdns, royal district nursing service, mrs marie krecklow

This image shows two of the 'Melbourne District Nursing Society After Care Home' Sisters who worked in the After Care section of the Society during the 1930s. The image was taken on the balcony of the After Care Home at 39 Victoria Parade, Collingwood. It depicts the style of uniforms worn by trained nurses (Sisters) in that era. The Society were pioneers in recognizing the need for premises where patients too ill to be in their own home, but not ill enough to go to hospital, was needed, and the Melbourne District Nursing Society (MDNS) built, then opened, the After-Care Home in 1926, (from 1934 called After-Care Hospital), for these patients, and patients from Melbourne Hospitals who required recuperation before returning to their home. Many children were nursed there, some long term during the Polio epidemic, and the Society employed two School Teachers. The Society now ran two divisions, the After-Care with its own nursing staff and the District division. The Society were the first in Melbourne, in early 1928, to recognize some patients leaving the After-Care, and many at home, needed further social care and they set up ‘Almoners’ from their committee to visit these patients and be intermediaries in getting them social assistance. It was late the following year before the first training of Almoners took place in Melbourne. In 1930 the Society employed a full time kindergarten teacher to visit poor children in their homes. That year the Society were pioneers in opening an Ante-Natal Clinic at the After-Care, setting a high standard with equipment, keeping records and providing leaflets with instructions in how to keep healthy during pregnancy, what complications to look for and what to do when labour commenced. In 1934 the Society were pioneers again when they opened the first Women’s Welfare Clinic in Melbourne giving advice on birth-control, at first attended by their own patients, but then accepting patients from public hospitals until their own clinics were opened. A trained Almoner was employed in 1934 but only stayed twelve months due to the amount of work required. Due to shortage of trained Almoners, a Social Service Officer was employed at the After-Care who successfully gained better housing from the Housing Commission for families living under unsuitable conditions. In the 1950s the Hospital and Charities Commission decided to take over the After-Care Hospital, so the Melbourne District Nursing Society and After-Care Hospital separated and the Melbourne District Nursing Service was formed, setting up Headquarters at 452 St. Kilda Road. With Royal patronage the name changed in 1966 to Royal District Nursing Service (RDNS).Digital image of two Sisters from the Melbourne District Nursing Society (MDNS) After-Care Home standing on the balcony of their building. The Sister on the left hand side is wearing a dark cape over her white uniform; she wears a white veil over her dark hair. The Sister on the right hand side is wearing a long white apron over her grey uniform which has white cuffs on the sleeves. She is wearing a white veil over her dark hair. They are leaning on the scrolled metal rail of the balcony which runs along the grey building; part of which can be seen behind them.mdns, melbourne district nursing society, after- care hospital, after-care home, rdns, royal district nursing service, nurses uniforms

This photograph is taken in the home of the Mother and babe and shows a RDNS Sister who is visiting to give the mother and babe Post-natal care. Royal District Nursing Service (RDNS) had a Domiciliary Infant and Maternal Care (DIMC) service which gave Post-natal care to new born mothers and babes in their homes following their early discharge from hospital, or if required for other reasons. In August 1893 Melbourne District Nursing Society (MDNS), commenced a Midwifery Service with Nurse Fowler, who was trained in General nursing and Midwifery nursing, being the first Midwife employed. Mothers were assessed for suitability of a home birth or if they required delivery at the Women’s Hospital. The Midwife worked in conjunction with the Doctors at the Women’s Hospital and if a complication arose before or after birth the patient was transferred to their care. Following birth, the Midwife gave Post-Natal care to both the mother and babe commencing with visits twice a day. In 1898 the service ceased due to lack of funds but recommenced in 1906, and in the August 1925 Annual Report the number of MDNS home births was recorded at 478. MDNS built the After-Care Home and a pioneering Anti-Natal Clinic was opened in 1930. The last Ante-Natal clinic was held there in December 1951 and the MDNS Midwifery service ceased in February 1952. In 1964 MDNS commenced a Post-Natal service with General and Midwifery trained MDNS Sisters working from a room on the ground floor at the Footscray Hospital Nurses quarters, and visiting early discharged Footscray Hospital maternity cases at home. Later, as Royal District Nursing Service (RDNS), this service was extended and renamed as Domiciliary Infant and Maternal Care, (DIMC) service operating from most Centres and visiting early discharged, often 24 hours after birth, maternity cases from hospitals to give Post-natal care to the mother and babe. Many of the RDNS Sisters who worked in DIMC also had their Infant Welfare Certificate, though Midwifery trained nurses also visited. Black and white photograph showing, to the left, a Royal District Nursing (RDNS) Domiciliary Postnatal Sister, with long hair drawn up, and wearing a white gown. She is attending to a new born baby in her wicker bassinet at the baby's home. The Sister is smiling and has her left hand by the shoulder of the wrapped babe, and her right hand is resting lower on the baby. The baby's mother, who has curly short dark hair, is dressed in a floral blouse and dark cardigan. She is standing to the right of the Sister and behind the bassinet, and is looking down at her babe and smiling. Her left hand is resting on the bassinet. The baby has dark hair and has her hand partly covering her mouth. Part of a picture is seen on the wall behind the mother.rdns, royal district nursing service, rdns domiciliary post natal service, rdns domiciary infant and maternal care, rdns dimc

This photograph shows one of the aspects of nursing care given by Royal District Nursing Service (RDNS), Sisters who worked in the community. The Sister attending had received instructions for care of this toddler's wound from a Doctor. The Sister is using a dressing tray which was sterilized at the RDNS centre. At the time of this photograph many hospitals provided wound dressings for their patients when they returned home. If not attached to a hospital, the family bought their own dressings, though the Sister carried spare dressings in their cases if needed at the time of their visit. The Trained nurses of the Melbourne District Nursing Society (MDNS), from its inception in 1885, provided wound care to their patients, who ranged in age from the very young to the elderly. As research developed better products and dressing materials the methods and medication applied to wounds changed. MDNS received Royal patronage in 1966 and as Royal District Nursing Service (RDNS), the Education department developed programs, such as Wound Care Programs, to provide their Trained nurses (Sisters)) with methods of best quality care. The Sisters liaised with the patient’s Doctors and hospitals to provide information on the progress of patient’s wounds and to receive any change of wound care from the Doctors. RDNS introduced Wound Care Specialists who carried out assessments and provided advice and support to the District Sisters working in the field. Black and white photograph showing a Royal District Nursing Service (RDNS) Sister, who has sort dark hair and is wearing a short sleeved white gown over her uniform; the sleeves of her grey uniform skivvie are seen. She is sitting side-on with her left hand resting on the right leg of a seated dark curly haired toddler; her right hand is on a bandage which is from ankle to thigh on the left leg of the toddler. The toddler is wearing a T-shirt with a pattern on the front, and is sitting on a floral cover in a room in her home. At the rear of the photograph a floral covered table is seen with an open dressing tray on a sterile drape; a small jar and bottle are seen on the table. rdns, royal district nursing service, mdns, melbourne district nursing society, rdns wound care

This photograph shows one of the aspects of nursing care carried out by the Royal District Nursing Service (RDNS). It shows wound care being given by a Sister to a patient in her own home. The bandage being applied is called a 'Blue line bandage'. which gives firm pressure to the ladies leg.The Trained nurses of the Melbourne District Nursing Society, MDNS, from its inception in 1885, provided wound care to their patients who ranged in age from the very young to the elderly. As research developed better products and dressing materials the methods and medication applied to wounds changed. MDNS received Royal patronage in 1966 and as Royal District Nursing Service, RDNS, the Education department developed programs, such as Wound Care Program and the Leg Ulcer Management Program, to provide their Sisters with methods of best quality care. The Sisters liaised with the patient’s Doctors and Hospitals to provide information on the progress of patient’s wounds and to receive any change of wound care from the Doctor. RDNS introduced Wound Care Specialists who did assessments and provided advice and support to the District Sisters working in the field. On the left of this black and white photograph is a Royal District Nursing Service (RDNS), Sister, with short dark hair and wearing a white gown, leaning over and bandaging the right leg of a lady. The bandage has a line around the centre. The lady is looking down at the bandaging; she is wearing glasses, and is wearing a dark padded dressing gown edged with white. The lady has her other leg bandaged and a dressing on her forehead. Her right arm is in a collar and cuff sling with her jacket covering most of her arm; the first finger of her left hand is bandaged. She is in her home and is sitting on a floral covered chair, with a white towel over its right arm. The lady has both legs elevated. mdns, melbourne district nursing society, rdns, royal district nursing service, rdns wound care

This photograph depicts a Royal District Nursing Service (RDNS) Sister (Sr.) visiting Mrs. Hodginson and babe in their home. Sr. Wan is weighing baby Tamara as part of the Post-Natal care she is giving. A nurse who is doing her Hospital training is visiting with the Sister and observing. RDNS had a Domiciliary Infant and Maternal Care, (DIMC) service operating from most Centres which visited early discharged, often 24 hours after birth, maternity cases from hospitals to give Post-natal care to the mother and babe. Sr. Wan is wearing her RDNS summer uniform of a short sleeve white blouse under a royal blue V neck tunic style frock and a dark blue cardigan. In August 1893 Melbourne District Nursing Society (MDNS), commenced a Midwifery Service with Nurse Fowler, who was trained in a hospital in General nursing and Midwifery nursing, being the first Midwife employed. Mothers were assessed for suitability of a home birth or if they required delivery at the Women’s Hospital. The Midwife worked in conjunction with the Doctors at the Women’s Hospital and if a complication arose before or after birth the patient was transferred to their care. Following birth, the Midwife gave Post-Natal care to both the mother and babe commencing with visits twice a day. In 1898 the service ceased due to lack of funds but recommenced in 1906, and in the August 1925 Annual Report the number of MDNS home births was recorded at 478. MDNS built the After-Care Home and a pioneering Anti-Natal Clinic was opened in 1930. The last Ante-Natal clinic was held there in December 1951 and the MDNS Midwifery service ceased in February 1952. In 1964 MDNS commenced a Post-Natal service with General and Midwifery trained MDNS Sisters working from a room on the ground floor at the Footscray Hospital Nurses quarters, and visiting early discharged Footscray Hospital maternity cases at home. Later, as Royal District Nursing Service (RDNS), this service was extended and renamed as Domiciliary Infant and Maternal Care, (DIMC) service operating from most Centres and visiting early discharged, often 24 hours after birth, maternity cases from hospitals to give Post-natal care to the mother and babe. Many of the RDNS Sisters who worked in DIMC also had their Infant Welfare Certificate, though Midwifery trained nurses also visited. On the right of the black and white photograph is Royal District Nursing Service (RDNS) DIMC Sister J. Wan, who has short dark curly hair and is wearing a white gown over her uniform, with the white collar and sleeves of her dark cardigan seen. She is laughing as she holds the top ring of hand held baby scales in her right hand; the bottom of the scale has a metal hook which has a sling attached to it with four cotton 'ropes'. Baby Tamara is supported in the sling which is just resting on a sheep skin and bunny rug covered metal framed change table. Sr. Wan has her left hand on the sling. To the left of the photograph is Tamara's smiling mother, Mrs. Lynda Hodginson, and in the centre of the photograph is observer Nurse Sheehan. Mrs. Hodginson is wearing a striped dress with a V neck, and has dark shoulder length hair. Nurse Sheehan has short dark hair and is wearing a white uniform and dark cardigan. A nursing watch is attached to the right hand side of her uniform. Part of a landscape picture can be seen on the wall behind her. A small white fluffy rabbit sits on the left hand side of the change table. Baby Tamara has sparse dark hair and is sucking on a dummy.Photographer's stampmdns, melbourne district nursing society, melbourne district nursing service, royal district nursing service, rdns, mdns midwifery, rdns domiciliary postnatal service, dimc, tamara hodginson, nurse sheehan, sister j. wan, mrs lynda hodginson

An RDNS Sister had previously visited Mrs. Crook in her home and assessed the nursing care she required. Following the Sister's instructions, the Home Health Aide in this photograph, Robin Brown, is assisting Mrs. Crook from her lounge chair onto her walking frame. Mrs. Crook's son, Robert is also assisting his mother. Home Health Aides were employed and trained by Royal District Nursing Service (RDNS) from 1980. They wore a RDNS royal blue uniform, which has a white trim and RDNS badge applied to the left hand side, and a dark blue cardigan. In 1980, a Home Health Aide ‘Pilot study’, funded by the Federal Government, the Brotherhood of St. Laurence and RDNS, with the program written and taught by RDNS Principal Nurse Educator. Pat (Paddy) Rowley, was evaluated as successful. Following this Pilot study, Home Health Aides were employed by RDNS, and after instruction in the RDNS Education department, joined RDNS Centres and worked under the supervision of the RDNS Trained nurses (Sisters). The Sister assessed each patient, then introduced and supervised the Health Aide in the patient procedure required. The Sister wrote out clear, concise procedural instructions on a work card which the Health Aide followed each visit. If the Health Aide noticed any change in the patient’s condition, this was reported immediately and the Sister visited. The Sister made routine visits to the patient for review at least monthly. On the left of this black and white photograph is Royal District Nursing Service, Home Health Aide, Robin Brown, who has dark shoulder length hair and is wearing a dark cardigan over her dark coloured uniform which has white piping at the edge. To her right is Mrs. Crook who is sitting froward in her lounge chair. A walking frame, which has a material bag hanging from the front bar, is in front of her. Robin Brown has her left hand on Mrs Crook's back and her right hand under her arm. Mrs. Crook has curly white hair; is wearing glasses which are resting partly down her nose, and is wearing a light coloured cardigan over her dark dress. Part of a necklace of pearls can be seen hanging over her dress. She is smiling and looking at the camera. She has her right hand on the upper part of the right wing of the walking frame and her left hand is on the top hand grip section on the left wing of the frame. To her right, her son, Robert, who is squatted down by the chair, has short dark hair and is wearing a checked shirt. He is holding the left wing of the walking frame with his left hand and his right arm is extended with his hand on his mother's back. Closed floral curtains are seen in the rear of the photograph.Photographer's stamprdns, royal district nursing service, home health aide, home health aide uniform, patient care, mrs crook, mr robert crook, home health aide robin brown

This photograph shows Royal District Nursing Service (RDNS) Sister Meissen observing Mrs Lata as she transferred from her wheelchair onto a shower chair in the bathroom at her home. Sr. Meissen is based at the RDNS Moorabbin Centre. Patients were taught, and then supervised, by RDNS visiting Sisters in the use of safe transferring techniques. From the founding of the Melbourne District Nursing Society (MDNS) in 1885, known as the Royal District Nursing Service (RDNS), from 1966, their Trained nurses cared for patients in their own homes who required to be taught safe transferring techniques, e.g. from bed to wheelchair or from chair to walking frame etc. Their family members also needed to learn safe transferring techniques to enable them to care for their loved ones. RDNS employed a Physiotherapist who taught staff the correct techniques, not only for safety of the patient, but to reduce physical strain on RDNS nursing staff and patient’s family members. Sisters carried out General Care to those patients unable to care to their own hygiene safely, and, working towards independence where possible, the Sisters taught them safe transferring techniques using equipment such rails, shower seats, and hand showers.On the right of this black and white photograph is Royal District Nursing Service (RDNS) Sister Meissen standing and observing Mrs. Lata in the bathroom of her home. Sr. Meissen has short dark hair; is wearing a white gown over her uniform and wears a grey peaked uniform hat. She has a towel draped over her left arm, and is smiling at Mrs. Lata who is on her left and is sitting on a shower chair. Mrs. Lata, who is wearing a light coloured nightgown with flower motifs, is smiling up at Sr. Meissen and has her right arm raised with her hand gripping a rope pulley. Part of a wheelchair with the left arm removed is seen in the foreground; the seat of the chair is in line with the seat of the shower chair. A hand shower, taps and glass screen can be seen in the background of the photograph.rdns, royal district nursing service, rdns uniform, patient care, moorabbin centre, sister m. meissen, mrs lata

This photograph depicts one of the forms of nursing care given by Melbourne District Nursing Service (MDNS), Sisters in the home of a patient. In this photograph, the Sister is visiting the home of a lady who is confined to a Negative Pressured Ventilator, also known as an 'Iron Lung', which assists her to breathe. The Sister gave both physical and emotional care to the patient, as well as support and advice to those who were caring for her.The Trained nurses of the Melbourne District Nursing Society (MDNS), later known as Royal District Nursing Service (RDNS), visited patients in their home and gave best practice care in many fields of nursing, and to people of many cultures, throughout its 130 years of expansion. Initial visits not only assessed the specific nursing situation but the situation as a whole. Their patients ranged in age from babes, children, adults to the elderly and referrals were taken from Hospitals, General Practitioners and allied Health facilities. Some of the care the Sisters provided is as follows: – Post-Natal care given to mother and babe, Wound Care following various types of surgery, accidents, burns, cancer, leg ulcers etc. Supervising and teaching Diabetic Care, including teaching and supervising people with Diabetes to administer their own Insulin, and administering Insulin to those unable to give their own injections. Administering other injections and setting up weekly medication boxes. The Sisters performed Catheterizations on adults suffering from conditions such as Quadriplegia, Paraplegia, Multiple Sclerosis (MS), Motor Neurone Disease (MND) and Guillan-Barre Syndrome, and when required at school on children for e.g. those with Spina Bifida. The Sisters visited those requiring Cystic Fibrosis support and care; those requiring Haemo-Oncology care, including visiting children at school; those requiring Home Enteral Feeding care, and those requiring IV therapy at home and home Dialysis. Palliative Care was given including pain relief with the use of syringe drivers, personal care as needed, and advice and support to both patient and family. The Sisters provided Stoma management to those needing Urostomy, Ileostomy and Colostomy care and those requiring Continence care. HIV/AIDS nursing care was provided; visits to Homeless Persons were made. Personal care was given to patients ranging in age and with varying mobility problems, such as those with MS, MND, Guillan-Barre Syndrome, Poliomyelistis, Quadriplegia, Paraplegia, Acquired Brain Injury, to those following a Cerebrovascular Accident (Stroke), those with severe Arthritis and those with a form of Dementia. When necessary the elderly were assisted with personal care and advice given on safety factors with the use of hand rails, bath or shower seats, and hand showers. Rehabilitation with an aim towards independence remained at the forefront of the Sister’s minds and when possible using aids and instruction on safe techniques enabled the person to become fully independent. All care included giving advice and support to the patient and their Carers. The Sisters liaised with the persons Doctor, Hospital and allied Health personal when necessary.Black and white photograph showing a Melbourne District Nursing Service (MDNS) Sister, who has short dark hair; is wearing a white gown over her uniform and her grey peaked hat with attached RDNS badge. She is attending to a female patient who is lying in a Negative Pressure Ventilator in her home. The Sister is standing behind the Negative Pressure Ventilator, known as an 'Iron Lung', with her left arm extended holding the lid open. The lady is in the foreground, and is lying with her head towards the left of the photograph. She has short dark hair and lies on the bed of the Ventilator with a neck ring visible. Her head is resting on a white covered pillow. Part of a dark coloured pleated curtain can be seen in the right hand side background of the photographPhotographer's stamprdns, royal district nursing service, patient care, mdns, melbourne district nursing service, mdns nursing care - negative pressure ventilator, 'iron lung'

Sister McDonald is visiting a patient to give them nursing care as requested. The photograph depicts the RDNS uniform in 1967. Her coat with the blue background Royal District Nursing Service material badge attached to the top of each sleeve, is worn over a grey cotton uniform dress.The Trained nurses of the Melbourne District Nursing Society (MDNS), later known as Royal District Nursing Service (RDNS), visited patients in their home and gave best practice care in many fields of nursing, and to people of many cultures, throughout its 130 years of expansion. Initial visits not only assessed the specific nursing situation but the situation as a whole. Their patients ranged in age from babes, children, adults to the elderly and referrals were taken from Hospitals, General Practitioners and allied Health facilities. Some of the care the Sisters provided is as follows: – Post-Natal care given to mother and babe, Wound Care following various types of surgery, accidents, burns, cancer, leg ulcers etc. Supervising and teaching Diabetic Care, including teaching and supervising people with Diabetes to administer their own Insulin, and administering Insulin to those unable to give their own injections. Administering other injections and setting up weekly medication boxes. The Sisters performed Catheterizations on adults suffering from conditions such as Quadriplegia, Paraplegia, Multiple Sclerosis (MS), Motor Neurone Disease (MND) and Guillan-Barre Syndrome, and when required at school on children for e.g. those with Spina Bifida. The Sisters visited those requiring Cystic Fibrosis support and care; those requiring Haemo-Oncology care, including visiting children at school; those requiring Home Enteral Feeding care, and those requiring IV therapy at home and home Dialysis. Palliative Care was given including pain relief with the use of syringe drivers, personal care as needed, and advice and support to both patient and family. The Sisters provided Stoma management to those needing Urostomy, Ileostomy and Colostomy care and those requiring Continence care. HIV/AIDS nursing care was provided; visits to Homeless Persons were made. Personal care was given to patients ranging in age and with varying mobility problems, such as those with MS, MND, Guillan-Barre Syndrome, Poliomyelistis, Quadriplegia, Paraplegia, Acquired Brain Injury, to those following a Cerebrovascular Accident (Stroke), those with severe Arthritis and those with a form of Dementia. When necessary the elderly were assisted with personal care and advice given on safety factors with the use of hand rails, bath or shower seats, and hand showers. Rehabilitation with an aim towards independence remained at the forefront of the Sister’s minds and when possible using aids and instruction on safe techniques enabled the person to become fully independent. All care included giving advice and support to the patient and their Carers. The Sisters liaised with the persons Doctor, Hospital and allied Health personal when necessary.Black and white photograph of Royal District Nursing Service, (RDNS,) Sister B. McDonald, wearing her grey uniform coat with the words 'Royal District Nursing Service' written in white on a dark curved material badge attached to the left upper sleeve; she is wearing her grey peaked uniform hat over her dark short hair. She is carrying her rectangular nursing case in her left hand and is opening the gate of a tall white picket fence before entering a patient's home. Number '19' is on the right hand side gate post. Trees can be seen behind the fence on either side of the gate. A two storey white attached house is in the background. The grey front door with white surround, can be seen on the ground floor. Two posts are supporting a balcony which protrudes from the top storey; a safety rail runs around its outer edge. A closed colonial door can be seen behind the balcony on the upper storey.Photographers stamp. Quote No. GE 42rdns, royal district nursing service, rdns uniform, sister betty mcdonald

RDNS Sister, Betty. McDonald, is about to enter the home of a patient to administer nursing care.The Trained nurses of the Melbourne District Nursing Society (MDNS), later known as Royal District Nursing Service (RDNS), visited patients in their home and gave best practice care in many fields of nursing, and to people of many cultures, throughout its 130 years of expansion. Initial visits not only assessed the specific nursing situation but the situation as a whole. Their patients ranged in age from babes, children, adults to the elderly and referrals were taken from Hospitals, General Practitioners and allied Health facilities. Some of the care the Sisters provided is as follows: – Post-Natal care given to mother and babe, Wound Care following various types of surgery, accidents, burns, cancer, leg ulcers etc. Supervising and teaching Diabetic Care, including teaching and supervising people with Diabetes to administer their own Insulin, and administering Insulin to those unable to give their own injections. Administering other injections and setting up weekly medication boxes. The Sisters performed Catheterizations on adults suffering from conditions such as Quadriplegia, Paraplegia, Multiple Sclerosis (MS), Motor Neurone Disease (MND) and Guillan-Barre Syndrome, and when required at school on children for e.g. those with Spina Bifida. The Sisters visited those requiring Cystic Fibrosis support and care; those requiring Haemo-Oncology care, including visiting children at school; those requiring Home Enteral Feeding care, and those requiring IV therapy at home and home Dialysis. Palliative Care was given including pain relief with the use of syringe drivers, personal care as needed, and advice and support to both patient and family. The Sisters provided Stoma management to those needing Urostomy, Ileostomy and Colostomy care and those requiring Continence care. HIV/AIDS nursing care was provided; visits to Homeless Persons were made. Personal care was given to patients ranging in age and with varying mobility problems, such as those with MS, MND, Guillan-Barre Syndrome, Poliomyelistis, Quadriplegia, Paraplegia, Acquired Brain Injury, to those following a Cerebrovascular Accident (Stroke), those with severe Arthritis and those with a form of Dementia. When necessary the elderly were assisted with personal care and advice given on safety factors with the use of hand rails, bath or shower seats, and hand showers. Rehabilitation with an aim towards independence remained at the forefront of the Sister’s minds and when possible using aids and instruction on safe techniques enabled the person to become fully independent. All care included giving advice and support to the patient and their Carers. The Sisters liaised with the persons Doctor, Hospital and allied Health personal when necessary.Black and white photograph of Royal District Nursing Service, (RDNS), Sister B. McDonald, who is wearing her grey uniform coat, with RDNS insignia on the upper sleeve, and her peaked grey hat over her dark short hair. She is holding her rectangular nursing case in her left hand. Her right arm is through the long handles of a black bag which is hanging under it, and her hand is on the top of the gate; Number '39' is attached to the top of the gate post. A tall broken paling fence, with many gaps between the palings, can be seen running along the edge of the footpath to the left and right of the gate. The fence is leaning over in places. Bushes can be seen behind the fence and part of a white building is seen in the background.Photographers stamp. Quote No. GE 5rdns, royal district nursing service, rdns uniform, rdns patient care, sister betty mcdonald