Sister Pat (Paddy) Rowley, is the RDNS Principal Nurse Educator and she is instructing Sr. Margaret Affleck during an Education session. Both Sisters are wearing the RDNS winter uniform of a blue/grey skivvie under a blue/grey V neck tunic style frock made of herringbone winter material. The RDNS insignia is on the upper left of the tunic. Education was an integral part of Melbourne District Nursing Society (MDNS), from its inception in 1885, later, in 1966, called Royal District Nursing Service, (RDNS). From 1885, only Trained nurses (Nurses), through the Hospital training system, were employed by the Society, and on visits to patients they taught the necessity of hygiene and cleanliness, as well as the need for a good diet, to bring about good health. Doctor’s lectures were later given at the MDNS home to instruct patients and their families on prevention of disease. Education to patients continued throughout the years regarding health care and the use of equipment in the home. In 1961, Education programs commenced at MDNS with their Trained nurses (Sisters) receiving In-service education. Sr. Pat (Paddy) Rowley was a leader in In-service Education and established the RDNS Department of Community Nursing Education in 1962. Staff could also apply for scholarships to further their education outside of RDNS. Many of their senior Sisters received Postgraduate diplomas from the College of Nursing in Community Health Nursing, Education, and Administration, and several travelled overseas visiting nursing organizations viewing their public health and District nursing systems. At RDNS many programs were run, including: a Post Basic Course, Cardiac Rehabilitation Nursing, Haematology/Oncology Nursing, Palliative Care program, Diabetic Stabilization Program, Leg Ulcer Management Program, Wound Care Specialist Program, HIV/AIDS Nursing Care, Cystic Fibrosis Home Support, Veterans Home Care Program, Breast Cancer Support Program, Continence Management Program, Stomal Therapy Program, In-Home Lactation Support Program and the Homeless Persons Program. RDNS staff attended several hospitals to observe and learn special care needed to some patients, e.g. to the Austin Hospital to learn the care required for paraplegic and quadriplegic patients at home, and to Mount Royal Hospital to observe the care of patients in the Rehabilitation ward. A Community Nursing Education Program was extended to student nurses from hospitals and to other nursing organizations. These Education programs kept the RDNS Sisters abreast of new techniques, such as changes in technology for e.g. new testing methods in detecting glucose levels in Diabetic patients. Sr. Nan Deakin obtained a Post Basic Certificate in Psychiatric Nursing and included this area in her Education lectures. Sr. Daphne Geldard specialized in the area of Alzheimer’s disease and Dementia. These Sisters visited patients in District areas with the regular RDNS Sister when required. Every member of staff, both professional and non professional staff, received regular education in the Education Department. 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 Sr. Rowley, was evaluated as successful, and Home Health Aides were employed and worked in RDNS Centres under the supervision of RDNS Sisters. Standing on the left of the black and white photograph is Royal District Nursing Service (RDNS) Sister (Sr.) Pat (Paddy) Rowley, who is wearing dark rimmed glasses and has short dark hair. She is leaning forward with her right hand resting on a table and, with her left hand, is pointing to a passage in a white paged book which is open on the table in front of Sr. Affleck who is seated. Sr. Affleck has short dark curled hair and is looking up at Sr. Rowley. Both Sisters are wearing the RDNS uniform of a light grey skivvie under a darker grey V neck tunic style frock. The RDNS insignia is on the upper left of the tunic. In the background dark shelving and books can be seen.Photographer stamp. Quote LD 6melbourne district nursing society, mdns, royal district nursing service, rdns, rdns education, sister pat (paddy) rowley, sister margaret affleck

This photograph depicts a MDNS Sister visiting a male patient to give him nursing care. He is lying in bed in his home and the Sister is applying a bandage to his left wrist. Under her white gown the Sister is wearing the MDNS winter uniform of a grey dress with peaked collars and grey wool beret which has a central red Maltese cross attached. 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. The patients required their wounds to be dressed following various types of surgery, accidents, burns, cancer, leg ulcers etc. 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 (Sister) with methods of best quality care. They ran a program for 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. Standing on the left of this photograph is a Melbourne District Nursing Service (MDNS) Sister who is wearing a white gown over her grey uniform, the collar of which can be seen. She is wearing her uniform grey wool beret over her short dark curly hair and is smiling as, with her outstretched left hand, she supports the partly bandaged extended left arm of a gentleman who is sitting up in bed to her right; his right arm is resting on the bed and supporting him as he is partly turned towards the Sister. She has part of a rolled bandage in her right hand. The male patient, who has short dark hair, is looking at the camera and smiling. He is wearing a white and striped pyjama top and his lower body is covered by a patterned bed cover. Part of a pillow with check pillow case sits flat behind him and part of a wooden horizontal slat bedhead is seen. On the wall behind the bed hangs a framed photograph of a couple on their wedding day. Patterned curtains cover the window in the left rear of the photograph.John Gallagher photography. 4 Benares Street, Mitcham Victoria WU 2568 No. 4-4melbourne district nursing service, mdns, mdns wound care, royal district nursing service, rdns

The photograph is taken in Mr. Spartel's home in St. Kilda. The MDNS uniform worn under her white gown was a dark grey cotton frock with a belt. The grey stiffened and brimmed felt hat had a light grey hatband with a red Maltese cross attached in the centre. Sister J. Faust is about to redress a wound on Mr. Spartel's abdomen. The photograph is a record of wound care being given by MDNS trained nurses in a patients home during the 1950s. This photograph appeared along with an article in The Sun newspaper Oct 17 1952.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 Wound Specialist program, and 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. When RDNS introduced Wound Care Specialists they carried out assessments and provided advice and support to the District Sisters working in the field. On the left of the black and white photograph is Mr. George Spartel, who has dark short curly hair and is lying on his bed. His shoulders and head are resting on the white pillow with his head against the wooden slatted backrest of his bed. His torso is bare and part of a white wound dressing can be seen on his upper abdominal area. A dark grey covering is over the lower portion of his body. He is smiling and looking up at Sister J. Faust from Melbourne District Nursing Society (MDNS) who is standing to the right of his bed.Sister Faust, who has dark curled hair, has her arms raised behind her neck as she reaches the ties on the white gown she is wearing over her uniform. She is wearing her grey brimmed uniform hat. Behind her is a wooden table, with a dark coloured radio on its right, and a jug with a doily over it, on the right.mdns, melbourne district nursing society (1885-1957), nurses, mdns uniforms, rdns, royal district nursing service, rdns wound care, mr george spartel, sister j. faust

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

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 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

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 was taken just a few years after the District division of the 'Melbourne District Nursing Society and After Care Hospital' separated in 1957. The District Division then became known as 'Melbourne District Nursing Service'. They moved into their Headquarters at 452 St. Kilda Road, Melbourne which was used as the Nurses Home as well as for Administrative purposes. The Sisters left from there each day to do their rounds and returned to do their book work before retiring at the end of the day. This photograph depicts the winter uniform worn at this time; a grey felt beret which had a red Maltese cross attached in the centre; a grey cotton frock and red cardigan, and a grey woolen coat, some with a grey belt, worn over their uniform.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), the first Society of its kind in Australia, was founded in February 1885 with one Trained nurse (Nurse), 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 was at the forefront of health care. They provided high quality trained 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 and dressings, and supplying equipment on loan, such as feeding mugs, bedpans, air-cushions, splints, bed cradles feeding mugs and providing clean bed linen and nightdresses as necessary. Trained midwives began home births in August 1893 taking midwifery bundles and providing clothes for the babe and mother as needed. 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 After-Care Home, (later called After-Care Hospital), in 1926, for their patients, and patients from Hospitals. Many children were nursed there, some long term during the Polio epidemic; the Society employed two School Teachers. The Society now ran two divisions, the After-Care with its own Trained nurses (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 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. Royal patronage was granted in 1966, now becoming the Royal District Nursing Service, (RDNS). Liaison with public hospitals began with a District nurse attached to a hospital visiting patients before going home. Education continued to be at the forefront of District with research by RDNS Educators and programs being implemented. 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 Amputees, those with MS, MND, Guillan-Barre Syndrome, Poliomyelitis, 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 seven (some partly hidden) Melbourne District Nursing Service (MDNS) Sisters wearing full winter uniform of grey berets and grey long coats, with lapels, over their uniform which is partly seen on one Sister. Some are on a path, and others walking to the open metal gate; one Sister is between two tall, square, dark grey concrete columns. Looking at the photograph, two Sisters have turned left onto the footpath. These two Sisters are carrying oblong leather type bags in their left hand and the Sister between the columns is carrying a white soft material type bag. The Sisters seen have short dark hair under their berets. White plaques with the black numbers '452' are attached to the top 1/3 of each column and an arched grey concrete fence with brick top runs to the left. Behind this are two medium size leafless trees. A metal spiked fence runs from the column to the right of the photograph. Attached to this, near the column, is a white plaque with 'Melbourne District Nursing Service Headquarters' written in black. In the rear is a light grey two story Italian style building with a polygon shaped bay window to the left on the ground floor. It has a long window in the front and another on the side. To the right of this is a veranda with two concrete arches, separated by a roman column. A door can be seen behind the first arch. Above the bay window on the second story are three long arched windows, and to the right of that an arched opening with a roman column separating the partially seen next window. A concrete balustrade is seen at the front of the second story.melbourne district nursing service, headquarters, mdns, nurses, nurses uniforms, royal district nursing service, rdns

This photograph is taken outside the Royal District Nursing Service (RDNS) Rosebud Centre which was opened in the mid 1970s. This photograph is a record of Rosebud RDNS staff in the 1980s. The Sisters are wearing their summer uniforms, some with white frocks with a blue pattern and a red belt, others with a white blouse with a red pattern on it and a royal blue skirt. The Health Aides uniform is a royal blue dress with white piping.Gradually over the years, Melbourne District Nursing Service (MDNS), later known as Royal District Nursing Service (RDNS), from 1966 when they received Royal patronage, opened Centres throughout the Melbourne Metropolitan area. Their Trained nurses (Sisters) left from these Centres each morning to carry out their nursing visits in a specific area,(district) taking any sterilized equipment needed with them. They returned at the end of the day to write up their patients nursing histories, clean and reset any equipment used ready for sterilization, and contact other medical and community personal as necessary. Most of the RDNS cars were housed at each Centre, only a few being driven home by a Sister. 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 Sisters. The Sister assessed each client, then introduced and supervised the Health Aide in the client procedure required. The Sister wrote out clear, concise procedural instructions on a work card which the Health Aid followed each visit. If the Health Aide noticed any change in the client’s condition, this was reported immediately and the Sister visited. The Sister made routine visits to the client for review at least monthly. Black and white photograph showing Royal District Nursing Service (RDNS), staff outside a brick building with a flat roof. A white RDNS car is on the right hand side of the photograph with "RDNS" in capital letters on the door. A tree is in the background. The twenty-five, some partly hidden, RDNS staff are wearing their uniforms. Some are wearing white patterned short sleeve dresses with a dark belt, and others white patterned short sleeve blouses and dark skirts. The letters "RDNS" are displayed in capital letter on the left hand upper pocket of the Sisters. Two Health-aides are present and are wearing dark coloured frocks with white piping. mdns, melbourne district nursing service, rdns, royal district nursing service, rdns centres

RDNS Sister Marilyn Harper is giving medication via a syringe and tube to a male client..Medications ordered by Doctors in Hospitals was given by Royal District Nursing Service (RDNS) Sisters to patients in their own homes. Specialized treatments were taught to RDNS Sisters by the RDNS Education Department. At times RDNS Sisters visited hospitals to learn special techniques which were to be used to care for the patient after their discharge. The RDNS Education department ran many programs for their staff including: a Post Basic Course, Cardiac Rehabilitation Nursing, Haematology/Oncology Nursing, Palliative Care program, Diabetic Stabilization Program, Leg Ulcer Management Program, HIV/AIDS Nursing Care, Cystic Fibrosis Home Support, Veterans Home Care Program, Breast Cancer Support Program, Continence Management Program, Stomal Therapy Program, In-Home Lactation Support Program and a Community Nursing Education Program extended to student nurses from hospitals and to other nursing organizations. RDNS staff attended several hospitals to observe and learn special care needed to some clients, e.g. to the Austin Hospital to learn the care required for paraplegic and quadriplegic clients at home and to Mount Royal Hospital to observe the care of clients in the rehabilitation ward.On the left of the black and white photograph is the side view of Royal District Nursing (RDNS) Sister Marilyn Harper, who is smiling. She has drawn back long curly hair and is wearing a white patterned short sleeve blouse under a dark V neck tunic style frock. Her right arm is extended onto a piece of equipment resting on top of the bedclothes of a male client who is lying in bed. Her left hand is holding a partly emptied syringe which is attached to a clear coloured tube attached to the man. The male client, whose head and shoulders are resting on a boomerang pillow on his bed, has short dark hair and is wearing a tartan shirt and cardigan over a white T-shirt. He is holding an upright filled syringe in his left hand. In the background you can see part of the wooden bedhead and part of a picture on the pale coloured wall behind it.Courtesy of the 'Western Independent'royal district nursing service, rdns, rdns care - medication, sister marilyn harper

This photograph is showing a procedure performed by an RDNS Sister in the home of an elderly lady.Education was an integral part of Melbourne District Nursing Society (MDNS) from its inception in 1885, later called Royal District Nursing Service, (RDNS). Only Trained Nurses were employed by the Society, and on visits to patients they taught the necessity of hygiene and cleanliness, as well as the need for a good diet, to bring about good health. Doctor’s lectures were later given at the MDNS home to instruct patients and their families on prevention of disease. Education to patients continued throughout the years regarding health care and the use of equipment in the home. In 1961 Education programs commenced at MDNS with Sisters receiving In-service education. Staff could also apply for scholarships to further their education outside of RDNS. At RDNS many programs were run, including: a Post Basic Course, Cardiac Rehabilitation Nursing, Haematology/Oncology Nursing, Palliative Care program, Diabetic Stabilization Program, Leg Ulcer Management Program, HIV/AIDS Nursing Care, Cystic Fibrosis Home Support, Veterans Home Care Program, Breast Cancer Support Program, Continence Management Program, Stomal Therapy Program, In-Home Lactation Support Program and a Community Nursing Education Program extended to student nurses from hospitals and to other nursing organizations. RDNS staff attended several hospitals to observe and learn special care needed to some clients, e.g. to the Austin Hospital to learn the care required for paraplegic and quadriplegic clients at home and to Mount Royal Hospital to observe the care of clients in the rehabilitation ward.This Black and white photograph is showing Sister Liddalow, of the Royal District Nursing Service (RDNS), linking up a home dialysis unit into the left arm of an elderly lady. The lady who wears glasses and has wavy hair, is wearing a white nightdress with lace at the neck and down the centre front. Her left arm is resting on top of a surgical cover and she is clenching her left fist and has a tourniquet above her elbow. She is sitting against a flower patterned pillow on her bed watching the procedure. Sister Liddalow has short dark hair and is wearing a white gown over her uniform. She has a glove on her right hand and a syringe in her hand. In the left rear IV apparatus, with two syringes and a trolley on which a machine can be seen.date of photographroyal district nursing service, rdns, patient care - home dialysis, sister liddalow,

The RDNS Sister is from Camberwell Centre and is visiting the lady in her home where she is attending to wound care needed on the lady's left foot. She has already attended to the wound care required on the ladies right foot. The Sister had used a dressing tray which, contained a bowl for lotion, the forceps and swabs which had been sterilized at Camberwell Centre. Sterile dressing material had been used to clean and dress the wound. The scissors had been sterilized before use..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 the Leg Ulcer Management Program to provide their Sisters with methods of best quality care. They introduced RDNS Wound Care Specialists who did assessments and provided advice and support to the District nurses working in the field. 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. A black and white photograph showing a Royal District Nursing Service (RDNS), Sister looking down at the white wound dressing which is over the toes of an elderly lady's left foot. Her left hand is holding it, while her right hand is applying tape. The Sister has short, dark, curly hair and is wearing a white gown over her uniform. The lady has short, slightly curled, light grey hair and is wearing a light coloured patterned dressing gown over light coloured pyjamas. She is watching the procedure as she sits on a chair with her right hand bent up to rest near her ear. Both her legs are elevated and resting on a white surgical drape. There is also a white dressing over the toes of the lady's right foot. In the left foreground, part of a dressing tray, two forceps and a pair of scissors are seen on the sterile drape protruding from under the dressing tray..Handwritten 'Camberwell staff and patient'royal district nursing service, rdns, rdns patient care - wound dressing, rdns camberwell centre

RDNS Home Health Aide, Dorothy Byrne, is visiting Mrs. Mann in her home and is assisting her with General care which enables her to remain there independently. Dorothy is wearing an RDNS light blue, with dark blue edging, apron over her RDNS Home Health Aide uniform of a royal blue dress with white piping on the collar and pockets. 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 Sisters. The Sister assessed each client, then introduced and supervised the Health Aide in the client procedure required. The Sister wrote out clear, concise procedural instructions on a work card which the Health Aid 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 the black and white photograph is the side on view of Royal District Nursing Service (RDNS), Home Health Aide, Dorothy Byrne, brushing the long grey hair of Mrs. Gertrude Mann who is on Dorothy's right. Dorothy, who has short curly hair, is wearing a light coloured apron over her RDNS uniform; part of a white skivvie under her dark dress can be seen; she has her left hand on the top section of Mrs. Mann's head. Dorothy's right hand is holding a brush and is at the bottom section of Mrs. Mann's hair. Mrs Mann is wearing a white nightdress and is sitting on the left hand side of her bed with her face turned away from Dorothy.. Long,closed flower patterned curtains can be seen in the background.royal district nursing service, rdns, rdns home health aides, rdns patient care, rdns home health aide dorothy byrne, mrs gertrude mann

Sister Prentice is visiting Mrs. Morgan in her home and is applying a lotion around the outside of Mrs. Morgan's leg ulcer. Following this application Sr. Prentice dressed the wound with the dressing material as ordered by Mrs. Morgan's Doctor. Under her gown, Sister Prentice is wearing the RDNS winter uniform introduced in 1971, which was a grey/blue skivy under a blue/grey herringbone woollen V neck tunic.From its inception in 1885 as Melbourne District Nursing Society (MDNS), their Trained nurses (Nurses) provided wound care to their patients, who ranged in age from the very young to the elderly. The methods and medication applied to wounds changed as research developed better products. 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 Wound Care Specialists who did assessments and provided advice and support to the District Sisters working in the field. On the right of the black and white photograph is Royal District Nursing Service (RDNS), Sister Cheryl Prentice, who has dark shoulder length hair and is wearing a white gown over her RDNS uniform, the sleeves of which are seen. On her left Mrs. Morgan is sitting propped against a pillow at the top of her bed and has her knees slightly bent with legs extended. Sr. Prentice, who is looking at her right hand, is holding a small open bottle in her left hand and has her right arm extended across Mrs. Morgan's legs, with the fingers of her hand touching the skin on the far side of an open ulcer wound on the right leg of Mrs. Morgan. Mrs. Morgan, who has short light coloured hair, is wearing a cardigan over her floral frock, is looking at the procedure. The bedhead has fine turned wooden slats and the bed coverings are a checked rug and chenile bedspread with a floral towel under Mrs. Morgan's legs.. Photographer stamp. Quote No. DN 77 Handwritten informationroyal district nursing service, rdns, rdns wound care, mrs morgan, sister cheryl prentice

The RDNS Sister is visiting the mother and babe in their home. She is using sterile equipment and swabs to firstly moisten the tulle gras to enable ease of its removal before redressing the open areas on the babes skin with sterile dressings. With RDNS visiting the home of the mother, the young babes routine can continue to be established at home, rather than them having to regularly visit a Doctor or Hospital department for redressing of the babes lesions. 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. The patients required their wounds to be dressed following various types of surgery, accidents, burns, skin conditions, cancer, leg ulcers etc. 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 ran a program for 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 in the black and white photograph is a Royal District Nursing Service (RDNS), Sister, who has short, straight blonde hair, and is wearing a white gown over her uniform is bending over a bassinet as she attends a baby with a skin condition. The Sister has her arms extended with a pair of forceps in her left hand, and in her right hand, another pair of forceps with a cotton wool swab attached is touching tulle gras on one of the wounds on the babes outstretched right arm. The baby is on her covered change table and is wearing a singlet and an opened patterned jumpsuit with her right upper area uncovered. Her mother, who has short dark hair and is wearing a dark sleeveless V neck tunic style frock over a light coloured long sleeve top, is behind and bending over the change table holding her babes right outstretched hand. She is also holding a dummy in that hand. The mother's left extended arm and hand is on the left shoulder of her babe. The baby, who has sparse hair, is looking up at her mother; signs of a skin condition can be seen on areas of the babes face and head.Photographer stamp. Quote No. DO 50royal district nursing service, rdns, rdns wound care

RDNS Sister Marilyn Smith is visiting the little girl in her own home to apply sterilized dressings, as ordered by a Doctor, to the wounds on her body. Visiting the child at home provides her with a familiar environment to undergo the procedure. 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. The patients required their wounds to be dressed following various types of surgery, accidents, burns, cancer, leg ulcers etc. 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 ran a program for 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 photograph is Royal District Nursing Service (RDNS), Sister Marilyn Smith, who has short dark hair and is wearing a white gown over her RDNS uniform kneeling on the floor as she dresses the wound of a young girl. Sister Smith is kneeling on a white covering which is placed over the patterned carpet in the lounge room. Only the back of her head can be seen; her left arm is extended and bent over the head of a seated small girl; she has a forcep in her hand. The young girl, who has shoulder length dark hair, is seated on the white covering and has her right hand on Sister Smith's right arm. She is watching as Sister Smith is removing a dressing from a wound on her left side. The child's left arm and hand are held above the dressing. A wound can also be seen on the girls left thigh. In the left rear, part of a patterned couch can be seen and part of a white curtain to its right. Behind the little girl, part of a brick fireplace and gas fire can be seen.Photographer stamp. Quote No. DO 58 mdns, melbourne district nursing society, royal district nursing service, rdns, rdns patient care - wound dressing, sister marilyn smith

The Library held books on all aspects of health and nursing, and staff members when undergoing Education had access to information held in the Library. The RDNS Librarian was available to provide access to particular information for many RDNS staff. The Library also holds the RDNS Archives.From its inception in 1885 the Melbourne District Nursing Society (MDNS), Committee recognized that a high standard of knowledge was required to nurse the sick poor in the community, so only Trained nurses (Nurses) were employed to carry out this work. From early times Lady Janet Clarke paid a yearly subscription, for MDNS Nurses, to Mullen’s Select Library, which became Melville & Mullen’s, so the Nurses could increase their knowledge. In 1966 MDNS gained Royal patronage becoming Royal District Nursing Service, (RDNS) which developed its own Library of books on health care subjects and employed a Librarian who also cares for the RDNS Archives.Black and white photograph showing two Royal District Nursing Service (RDNS), staff selecting books from the RDNS Library. The lady on the left hand side of the photograph has her dark hair drawn back and is wearing a floral blouse under a dark top and cardigan, and a dark grey skirt. She is standing with her left arm extended and is selecting a book from the top shelf of the four shelf book stand. The Sister to her right, who has short dark hair and is wearing a dark tunic style frock over a light grey skivvy, is crouched with her left hand in the 2nd bottom shelf and her right arm extended selecting a book from the bottom shelf. Each shelf of the book stand is filled with various sized dark and light covered books.Photographers stamp. Quote No. DR 9mdns, melbourne district nursing society, royal district nursing service, rdns, rdns library

Mr. W.W. Roach is Chief Executive Officer (CEO) of Royal District Nursing Service (RDNS) and is sitting in his office at RDNS Headquarters, 452 St. Kilda Road, Melbourne. Mr. W.W. Roach became CEO of RDNS in January 1971, and soon after started an appeal for funds, as well as organizing and distributing printing material advertising the services available from the Royal District Nursing Service. After almost 13 years with RDNS he retired in December 1983. During his time as CEO, RDNS grew from 6 regional centres with 182 on the staff to 14 centres with a staff of 452, and the Education Department relocated to a nearby building.Black and white photograph showing Mr. W. W. Roach, of Royal District Nursing Service (RDNS), sitting at his dark coloured desk. Mr. Roach, who has thinning dark hair, and is wearing a white shirt, dark tie, grey buttoned vest and a dark coloured jacket, is holding the hand piece of a grey coloured telephone to his left ear and holding a pencil in his right hand. His wrist is resting on a piece of white paper on a large white blotter on the desk and a light coloured Teledex is on the far right. A multi drawer filing cabinet and opened floral curtains can be seen in the background of the photograph. Between the curtains closed Venetian blinds are seen and below this a voile curtain.Photographer stamp. Quote No. KH 53royal district nursing service, rdns, rdns headquarters, rdns chief executive officer, mr w.w. roach

The photograph was taken in the Board Room of Royal District Nursing Service (RDNS) 452 St. Kilda Road, Melbourne. It was taken after Sister Pat (Paddy) Rowley received her Fellowship of the Australian College of Nursing. The Australian College of Nursing describes the Fellowship as follows: "Fellowship of the Australian College of Nursing (ACN), is a prestigious member status awarded to nurses in recognition of significant professional achievement. Fellowship recognizes the experience and contribution of nurse leaders to ACN and the profession".The regalia worn by Sr. Rowley as a Fellow, is a black gown with the wide trim to the front edges of scarlet satin and the regalia hood of inner white and outer scarlet satin. Sr. Rowley is the Principal Nurse Educator at RDNS.Sister Rowley commenced at Melbourne District Nursing Society (MDNS) in 1956 working as a District Nurse in a large district covering South Melbourne, Albert Park, Middle Park, and suburbs bordering from St. Kilda to Port Melbourne. In 1961 she was asked to be a Control Sister answering the telephones in Headquarters. She left MDNS for a short period, and after being asked to return was accepted, in August 1962 to take the MDNS 2nd Post Basic Course written by Miss Mary Evans; during this time Sr. Rowley wrote a paper on Liaison which led to continuity of care of patients between hospitals and RDNS. Following the course she commenced in Education and rewrote the Post Basic Course. In 1964 Sr. Rowley commenced, on a part time basis, working as a Liaison Officer at the Alfred Hospital. She attended the Teachers College, doing the 12 month course in 6 months, but this course did not have a health component, so she applied, and received, a Florence Nightingale Scholarship to the College of Nursing, gaining her Diploma of Nursing Education in 1968. Following this she became the, now named, Royal District Nursing Service (RDNS), Education Officer. In 1969 Sr. Rowley, with Miss Mary Evans, DON, attended the quadrennial Congress of the International Council of Nurses in Montreal, Canada and then Sr. Rowley visited USA looking at Public Health Nursing Education programs. As well as her RDNS work, Sr. Rowley became Nursing Consultant to the St. John's Ambulance Association in 1970, assisting in planning their Home Nursing Course book. In July 1971 Sister Pat (Paddy) Rowley, was awarded Fellowship of the Australian College of Nursing (ACN). The Australian College of Nursing describes the Fellowship as follows: "Fellowship of the Australian College of Nursing (ACN), is a prestigious member status awarded to nurses in recognition of significant professional achievement. Fellowship recognizes the experience and contribution of nurse leaders to ACN and the profession”. Sr. Rowley was then appointed as Principal Nurse Educator and wrote many of the programs for the Education department. Working as an Educator she travelled to regional hospitals, e.g. in Geelong and Ballarat to give lectures on District Nursing. When the Education Department relocated to 488 St. Kilda Road, she arranged the floor plan of the rooms. Sister Rowley retired from RDNS in 1988 having worked for 26 years in Education and a total of 32 years with the Melbourne, later named Royal, District Nursing Service. . Black and white photograph of a three quarter length view of Royal District Nursing Service (RDNS), Sister Pat (Paddy) Rowley. Sister Rowley, who has her head turned slightly toward the left of the photograph, is wearing dark rimmed glasses and has short dark straight hair. Over her light coloured top, she is wearing a black long open gown with wide trim, and regalia hood of white inner and dark outer satin. Her hands are clasped to the front holding a rolled white certificate held closed with a ribbon and bow. In the background the left edge of a framed landscape painting is seen on the wall. Part of Photographer stamp. Quote No. KJ 57royal district nursing service, rdns, fellowship of the acn, melbourne district nursing service, sister pat (paddy) rowley

The photograph was taken on the stairs at the Royal District Nursing Service (RDNS), Headquarters, 452 St. Kilda Road, Melbourne, after Sister Joanne Wilkinson, Nurse Educator, Sister Pat (Paddy) Rowley, RDNS Principal Nurse Educator, and Miss Norma Bryan, RDNS Deputy Director of Nursing, were awarded Fellowships of the Australian College of Nursing. Their regalia worn as Fellows, was a black gown with the wide trim to the front edges of scarlet satin and the regalia hood of inner white and outer scarlet satin. The Australian College of Nursing (ACN) describes the award as follows:- "Fellowship of the Australian College of Nursing (ACN) is a prestigious member status awarded to nurses in recognition of significant professional achievement. Fellowship recognizes the experience and contribution of nurse leaders to ACN and the profession." RDNS senior nursing staff could apply for scholarships to further their education outside of RDNS. Many of their senior trained nurses received postgraduate diplomas from the College of Nursing in Community Health Nursing, Education, and Administration, and several travelled overseas visiting nursing organizations viewing their public health and District nursing systems.Black and white photograph of three Royal District Nursing Service (RDNS) staff members standing on stairs in front of a long stain glass window; left to right - Sister Joanne Wilkinson, Sister Pat (Paddy) Rowley and Miss Norma Bryan. The three members are wearing their black gowns with regalia of light coloured edges and their hood of a white V band with dark band edge. Sister Wilkinson, who has short dark hair, is wearing a grey coloured top under her regalia, and is holding her rolled certificate, with a ribbon and bow, in her right hand and has her left hand on the stair rail. Sister Rowley has short dark hair and is wearing dark rimmed glasses; she has a white top under her regalia and is standing side on towards Sr. Wilkinson with her head turned toward the front. She has her certificate in her right hand with her wrist resting on the stair rail. Miss Bryan, who is smiling, has dark curled hair and is wearing dark rimmed glasses. She is wearing a patterned top under her regalia and has her hands clasped to the front holding her certificate. Part of the stair rail can be seen to her right On the wall between Sister Wilkinson and Sister Rowley are three vertical stain glass windows.Photographer stamp. Quote No. KJ 58royal district nursing service, rdns, fellows of acn, sister joanne wilkinson, miss norma bryan, sister pat (paddy) rowley

RDNS Sr. Clare McHugh is attending Mr. Stevenson in his home to give him nursing care. She is about to fasten the wheelchair safety belt across Mr. Stevenson's lap to ensure he does not fall out of the wheelchair. The Trained nurses (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. The RDNS Trained nurses (Sisters) visited patients from many different cultural backgrounds, and Education was given to their Sisters to assist them when speaking with the patients and giving them care. 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 Amputees, those with MS, MND, Guillan-Barre Syndrome, Poliomyelitis, 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. In the centre of this black and white photograph is Mr. Stevenson, an elderly gentleman, who has balding light hair; is wearing dark rimmed glasses, and is wearing a black cardigan over a grey shirt. A small amount of his grey trousers can be seen. He is sitting in a wheelchair and is looking at the camera. He has a light coloured small blanket tucked under and over the stumps of his above the knee amputated legs. Standing behind his chair, and slightly to his left, is a lady who is wearing glasses; has wavy light grey hair and is wearing a dark grey cardigan over her light coloured patterned frock. Her right hand is seen holding the handle of the wheelchair, and she is looking down at Mr. Stevenson. To the right is Sister Clare McHugh of Royal District Nursing Service (RDNS), who is slightly bent as she has her hands on the left and right sides of the safety belt across Mr. Stevenson's lap. The belt is attached to either side of the wheelchair. Sr. McHugh has straight blonde hair; only part of her face can be seen as she looks at Mr. Stevenson. She is wearing a white gown over her uniform. In the left background is part of a brick fireplace with wood mantelpiece. A patterned plate and dark items are on the left of the mantelpiece and flowers are seen on the right. Above this, part of a square mirror can be seen. To the right, part of a lounge chair is seen and behind this, an open check curtain and part of a voile curtain is seen. The floor is covered with a light and dark patterned carpet.Barry Sutton LW 6 Namesroyal district nursing service, rdns, rdns nursing care, rdns physiotherapy, sister clare mchugh, mr stevenson