The photograph is taken during an Education session at Royal District Nursing Service (RDNS). The Sisters are wearing their grey uniform cotton frocks and red cardigans of that era.Education was an integral part of Melbourne District Nursing Society (MDNS), later called Royal District Nursing Service, (RDNS), from its inception in 1885. Only Trained nurses (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. RDNS Trained nurses (Sisters) received In-service education and by the end of the 1960s there was an increased focus on rehabilitation and independence. Patients were offered rehabilitation and new lifting techniques were introduced to reduce physical strain on staff and family members. Royal District Nursing Service ran its own rehabilitation program requiring staff to be trained in techniques by RDNS Physiotherapists.Black and white photograph of Royal District Nursing Service (RDNS), Sister Pat (Paddy) Rowley on left hand side, and Sister Joanne Wilkinson on right hand side, demonstrating the use of a hoist which has transferred Sister Liz Thomson onto a bed in the centre of the photograph. The bed is covered with white sheets and Sr. Thomson is lying on the bed with the sling of the hoist under her. The lowest metal bars and wheels of the hoist are under the bed and the top bars across the bed. Sr. Wilkinson's right hand is undoing the sling from the top bar of the hoist, and her left hand is holding the strap of the sling which is under Sr. Thomson. The Sisters are wearing their grey uniform frocks and dark cardigans. A window with two long floral opened curtains are behind the bed, and a strip heater is seen high on the adjoining wall.Photographers stamp. Quote No GW 90royal district nursing service, rdns, rdns education, equipment, sister pat (paddy) rowley, sister liz thomson, sister joanne wilkinson

The demonstration is being carried out in the bathroom at RDNS Headquarter, 452 St. Kilda Road, Melbourne. The Sisters are wearing their grey RDNS uniforms and red cardigans of that era. From the founding of the Melbourne District Nursing Society (MDNS) in 1885, known as Royal District Nursing Service (RDNS) from 1966, the rehabilitation of patients to insure they were able to live independently in their own homes was at the forefront of care given by their Trained nurses. As well as teaching and supervising the use of equipment, their Trained nurses taught them safe transfer techniques. These techniques were also taught to family members to enable them to care for their loved ones. RDNS at first held workshops given by a contracted private Physiotherapist before employing their own Physiotherapist in 1975 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. When required the Physiotherapist accompanied the Sister on her visit to the patient in their home.staff to be trained in techniques by RDNS Physiotherapists.Black and white photograph showing a safety technique demonstration. Royal District Nursing Service (RDNS) Sister Liz Thomson, with her hair drawn back, is wearing a white gown over her uniform and is being transferred by Sister Betty McDonald, dark short curled hair. She has her arms extended supporting Sr. Thomson onto a bath seat. Sister Thomson has her left leg over the bath and the wooden bath seat can be seen positioned in the upper section of a white bath. Sister Joanne Wilkinson, who has short straight dark hair is on the right observing. Both Sr. McDonald and Sr. Wilkinson are wearing their RDNS uniforms of a dark cardigan over a grey frock. A white tiled wall with a strip of dark tiles is behind the bath.with metal piping attached to the right tiled wall and running to taps over the bath. A window is seen to the left of the tiled wall. Photographers stamp and Quote No. GW 8royal district nursing service, rdns, rdns education, equipment, liz thomson, betty mcdonald, joanne wilkinson

Sister Rignall is undergoing In-service education at RDNS and is wearing the grey RDNS uniform of that era.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 who trained 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 nurses receiving In-service education. Sr. Pat (Paddy) Rowley was a leader in this In-service Education and established the MDNS, later called 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 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. Many programs were run at RDNS, 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 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. 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 did a Post Basic Course 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. Black and white photograph showing Royal District Nursing Service (RDNS), Sister J. Rignall using the Library facilities at RDNS. Sister Rignall has short curly hair and is wearing her short sleeve grey uniform frock; the RDNS insignia is seen at the top of her left sleeve. She is standing and looking down at a book she is holding. Shelves of library books are seen running behind her on her left hand side.Photographers Stamp and Quote No. GW 94melbourne district nursing society, mdns, royal district nursing service, rdns, rdns education, rdns library, sister j. rignall

Mr. Bralsford,the Transport Manager at Royal District Nursing Service (RDNS), is instructing RDNS staff in the responsibilities of driving an RDNS vehicle. The Sisters were undergoing a Post Basic Course given by RDNS Educators, Car maintenance was necessary from 1937 when a car was donated by the Rotary Club to Melbourne District Nursing Society, (MDNS). Another car was donated, by General Motors-Holden, via the Duchess of Gloucester, in 1947, and the fleet began to grow from 1950 with seven Ford Prefects being provided by the Hospital and Charities Commission. For many years Melford Motors in South Melbourne maintained the MDNS fleet, until the fleet grew to the point of, the now named, Royal District Nursing Service (RDNS) providing its own Car Maintenance Division to service the cars regularly. The Royal Automobile Club of Victoria, (RACV), attended any breakdowns which occurred when nursing staff were on the road. Each new Sister employed by the Service was taken out for a driving test before she drove a District car. Royal District Nursing Service (RDNS) has had various modes of transport over the last 130 plus years. At first, from 1885 as Melbourne District Nursing Society (MDNS), their Trained nurses (Nurses) walked the streets and lane ways amid the slums of central Melbourne. As the Society expanded public transport was used; bicycles were bought by the Society in 1903 and used in inner areas until 1945. During the Spanish flu epidemic, in 1919, MDNS appealed for assistance to procure Motor vehicles so the Nurses could visit an influx of cases. Through trusts, grants and donations four 'Ford T Model' cars were procured which enabled the Nurses to triple their visits. Through constant use the cars were in such a poor state they were sold in 1927. A Motor Auxiliary was formed in 1929 to take Sisters to patients, and some Sisters used their own cars; even a motorcycle was used by one Sister in 1933. All these forms of transport were intermingled until, having received Royal patronage; the now Royal District Nursing Service (RDNS) had its own full fleet of vehicles by the mid 1960s. In many areas there were unsealed roads, in various conditions, which the Sisters negotiated to reach their patients to give care. Seat-belts had been introduced to Victoria in 1959 and District fitted them to their cars from 1962, even though they did not become compulsory until 1970. The Melways Directory of maps was introduced in 1966 which was a boon to the Sisters, though it was a few years before it went beyond Seville, so those that did the Warburton and Powelltown area worked off a large paper map. 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. Black and white photograph showing Mr. Bralsford instructing RDNS staff. In the left foreground is Sister (Sr) Liz Thomson who has her dark hair drawn back, is looking down at a piece of white paper resting on the arm of the wooden chair on which she is sitting. In front of her are the back views of Sr. Betty McDonald with curled dark hair and to her right is Sister Joanne Wilkinson. Mr. Bralsford, who has short dark hair; is wearing glasses, and wearing a grey coat, is standing in front of them pointing to a blackboard with his extended left arm and hand. He is looking down, and has his right hand on a piece of white paper on a desk. A strip heater is high on the left hand wall.Photographers stamp and Quote No. GW 101royal district nursing service, rdns, rdns transport, rdns education, melford motors, racv, sister liz thomson, sister betty mcdonald, sister joanne wilkinson, mr bralsford

This photograph is taken in the Sterilizing room in the Royal District Nursing Service (RDNS) Footscray Centre. Sister Short is closing the door of the Autoclave to sterilize equipment and dressings which will then be used by a RDNS Sister when she is visiting a patient in the community. Sterilizing of equipment and dressings were carried out at each RDNS Centre. Royal District Nursing Service (RDNS) supplied sterilized equipment, such as ready set up catheter trays and dressing trays, as well as dressing packs for their trained staff (Sisters) to take to the home when attending to specific patient care. When the Sisters returned to the Centre they washed and set up the trays again ready for re-sterilization. Each RDNS Centre had an Autoclave room and equipment and dressings were sterilized each day.Black and white photograph showing Royal District Nursing Service (RDNS), Sister Margaret Short, who has short dark hair, and is wearing a white gown over her uniform, with the grey peaks seen. She is using the Autoclave in the Sterilizing room. The tall rectangular metal sterilizer stands in the centre of the photograph. There are several small dials and a larger square dial on its upper left, with a long encased thermometer in the centre and a large round dial to its right. Below this is the partly open large metal door of the sterilizing section. A thick horizontal metal piece runs from the left side of the sterilizer, across, and attached at the centre, of the door. Sister Short has her left hand on the turning bar attached to the centre section, and her right hand is on the locking section as she closes the door. Below the door are two switches and several small dials. To the left of the sterilizer is a cabinet, and to the right of Sister Short, eight small wrapped dressing packs are on a shelf. At the rear of the photograph the wall goes halfway up, with windows above.Photographer's Stamp. Quote No. GX 12 Handwritten informationroyal district nursing service, rdns, footscray centre, sterilizing, sister margaret short

Sister Gibbs is liaising with Dr. Gibbs to discuss his patients who are attended by RDNS.Liaison had occurred between doctors and the Trained 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), 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.On the left of this black and white photograph is Sister Melanie Gibbs of the Royal District Nursing Service (RDNS). To her right is Dr. L.B. Witts who is wearing glasses; has short dark hair and is wearing a grey suit, white shirt and dark tie; he has a stethoscope around his neck with the end on his lap. He is sitting 'side on' at the end of a low cabinet with three drawers seen.and is turned toward Sister Gibbs. His right arm and hand are resting on an open book on the top of the cabinet. Sr. Gibbs, who has dark curled hair, is wearing her grey RDNS uniform coat with the RDNS insignia on the upper sleeve, and peaked hat. She is seated 'side on' in the photograph facing Dr. Witts. Her dark leather rectangular shaped case, with RDNS written in the top third, is resting on Dr. Witts' low cabinet. On the left in the background sit a set of four light grey metal drawers above a set of dark drawers and part of an open Venetian blind over a window is to the right.Photographer's Stamp. Quote No. HN 47melbourne district nursing society, mdns, royal district nursing service, rdns, patient care, rdns liaison, sister melanie gibbs, dr l.b. witts

The Royal District Nursing Service (RDNS) Sisters are using a hoist to transfer a lady who has limited mobility into her wheelchair. The photograph is taken in the lady's home. From the founding of the Melbourne District Nursing Society (MDNS), in 1885, known as the Royal District Nursing Service (RDNS) from 1966, equipment was loaned and demonstrated to patients, and their family members, to enable them to care for their loved ones in their home. RDNS employed a Physiotherapist who taught RDNS staff the correct transferring techniques. New lifting techniques, such as the use of a hoist, was taught to RDNS staff and were used in patient's homes to undertake safe transfer of the patient and to reduce physical strain on RDNS nursing staff and family members. 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, 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.Coloured photograph showing Royal District Nursing Service (RDNS), Sister Helen Pelosi on the left hand side. She has short dark hair; is wearing a a light blue apron over her RDNS uniform, and is moving a lady in a hoist to a wheelchair. Another RDNS Sister, who has short blonde hair, is wearing her RDNS uniform of Royal blue V neck tunic style frock, with part of her white blouse seen and a navy blue cardigan. She has her right arm extended towards the top of a hoist. The lady is laughing and is suspended in a sling attached to the metal hoist. Around her neck is a white scarf with blue dots which is hanging over her red jumper. She is wearing a blue dress and long dark socks. Both her hands are extended upward holding onto the metal cross bar of the hoist. Part of a wheelchair is seen in the left foreground. Open long gold curtains with voile curtains in the centre can be seen in the background.royal district nursing service, rdns, patient care, rdns equipment, sister helen pelosi

This white Toyota Corolla is one of the fleet of cars driven by Royal District Nursing Service (RDNS) Sisters to visit patients in the community to administer nursing care. 1985 was the centenary of the founding of the Melbourne District Nursing Society; founded in 1885; the Society was given Royal patronage in 1966 and became the Royal District Nursing Service. The Coat of Arms shown on the car was granted by the College of Arms in London in 1970. Royal District Nursing Service (RDNS) has had various modes of transport over the last 130 plus years. At first, from 1885 as Melbourne District Nursing Society (MDNS), their Trained nurses (Nurses) walked the streets and lane ways amid the slums of central Melbourne. As the Society expanded public transport was used, and bicycles were bought by the Society in 1903 and used in inner areas until 1945. During the Spanish flu epidemic, in 1919, MDNS appealed for assistance to procure Motor vehicles so the Nurses could visit an influx of cases. Through trusts, grants and donations four 'Ford T Model' cars were procured which enabled the Nurses to triple their visits. Through constant use the cars were in such a poor state two were sold in 1922 and the others later. In 1922-23 three Peugeot cars were purchased and a woman Chauffeur, 'Miss Sword', was employed who lived in the Home and was also in charge of the garage. MDNS was expanding and a Motor Auxiliary was formed in 1929 to take the Trained nurses (Sisters) to patients, and some Sisters used their own cars; even a motorcycle was used by one Sister in 1933. All these forms of transport were intermingled and in the early 1950s, and now as Melbourne District Nursing Service, seven Ford Prefect cars were bought followed by twelve Ford Anglia cars 1955. Having received Royal patronage; the now Royal District Nursing Service (RDNS) had its own fleet of Holden vehicles by the mid 1960s and the Motor Auxiliary ceased operating in 1971 as by then all staff employed were required to have a driving licence. Seat-belts had been introduced to Victoria in 1959 and District fitted them to their cars from 1962, even though they did not become compulsory until 1970. The Holden vehicles were replaced with grey Holden Torana vehicles. After several years the fleet was changed to white Toyota Corolla vehicles. The Melways Directory of maps was introduced in 1966, which was a boon to the Sisters, though it was a few years before it went beyond Seville, so a large paper map was used by the Sisters visiting patients in the areas passed Seville. 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. Coloured photograph of the side on view of a Royal District Nursing Service (RDNS).white Toyota Corolla sedan displaying the RDNS Coat of Arms on the upper centre of the front door. The car is the same width all over and the flat bonnet joins to a sloping large front windscreen. on the side, at the level of the windscreen are two windows, above the metal body work of both doors. The roof runs from the top of the windscreen to the rear of the vehicle where it joins with a short back window which sits above a short boot. Part of the front grill and headlights either side of it are seen, and a bumper bar below this. A black tyred wheel with solid hub cap is seen under a wheel arch in the body work, at the front and rear of the vehicle.melbourne district nursing society, mdns, royal district nursing service, rdns, rdns crest, rdns transport

This photograph is taken in the work room in a Royal District Nursing Service (RDNS) Centre. The Sisters are writing up patient histories after giving nursing care to them in their homes during the day.Royal District Nursing Service (RDNS), had Centres throughout the Melbourne Metropolitan area. Their staff arrived at the Centre each morning to collect their work load and any messages, and then drove to their particular area (district) to give care to their patients. At the completion of the day they returned to their Centre where they wrote up the care they had given to each patient in the appropriate history folder. They also filled out forms to be sent to the RDNS Liaison Sister at the appropriate hospital when a patient was going to outpatients so the doctor would have a progress report. The Sisters also contacted other Medical and Community personal as necessary from the Centre. The RDNS cars were also kept at each centre, where they were collected each morning and returned after the Sister's community visits. Coloured photograph of a group of eleven Royal District Nursing Service (RDNS), Sisters doing their book work in an RDNS Centre. Two of the Sisters are wearing the summer RDNS uniform of a royal blue V necked tunic style dress over a white blouse and a dark blue cardigan. The others are wearing the RDNS winter uniform of a blue/grey skivvie under a blue/grey herringbone winter material V necked tunic style frock. Some Sisters are partly hidden. They are sitting at tables which have open patient history books and papers on them.In the rear are papers attached to walls and on the left a Venetian blind is covering a window.royal district nursing service, rdns, rdns uniform, rdns centre

This photograph is taken in Mrs. McDonald's home and she is reading information provided to her by Sister Faye Cook of the Royal District Nursing Service (RDNS) who is visiting to provide her with nursing care. Written communication is required between Mrs. McDonald and Sr. Cook. Sisters from the Royal District Nursing Service (RDNS) used various means to communicate with their patients who had various health conditions. Sometimes this was by written word, using interpreters or using digital devices. The RDNS Education department wrote instructions for patients to follow for various conditions and treatments to assist them in their care. The attending Sister discussed the instructions and left the leaflet with the patient. Examples of instruction included on how to sterilize dressings and equipment in the home and another giving information and instructions on diabetic care.. 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) who trained 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 this In-service Education and established the MDNS, later called 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. Many programs were run at RDNS, 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 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. 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 did a Post Basic Course 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 the RDNS Registered Nurses. Coloured photograph of Sister Faye Cook of the Royal District Nursing Service (RDNS), sitting with Mrs McDonald who is reading the top page of a white writing pad. On the left, sitting 'side on' looking at Mrs McDonald, is Sister Cook who has short dark hair, and is wearing her pale blue RDNS apron over her RDNS royal blue V neck tunic style frock which is over her short sleeve white blouse; she is wearing blue stockings. She is seated on a striped low stool in Mrs. McDonald's room. Mrs.McDonald is to her right, and is seated in a bone and brown patterned lounge chair with wooden arms. She has a bone coloured wrap over her hair, and is wearing a dark brown V neck jumper over a deep pink frock. She is hoding a magnifying glass in her right hand and is reading information on a white writing pad which she is holding in her left hand. In the rear of the photograph is a gas type fire set into a fireplace. A white cupboard with a drawer is seen to the right hand side. The wall behind is vertical boards.Red coloured 'Kodak' stamps. Handwritten information.royal district nursing service, rdns, rdns education, mrs mcdonald, sister faye cook

The RDNS Sisters are wearing the uniform of the day which was a short sleeve white blouse under a royal blue V neck tunic style frock with the RDNS insignia on the left upper area. Sister Pelosi is being transferred by another RDNS staff member from a bed via a hoist into a wheelchair as a demonstration during an Education session.From the founding of the Melbourne District Nursing Society (MDNS), in 1885, known as the Royal District Nursing Service (RDNS) from 1966, equipment was loaned and demonstrated to patients, and their family members, to enable them to care for the person in their home. In the 1970s RDNS employed a Physiotherapist who taught RDNS staff correct transferring techniques, including the use of a hoist when this became available. RDNS staff taught and used these techniques in patient’s homes to undertake safe transfer of the patient and to reduce physical strain on RDNS nursing staff and family members.Black and white photograph of a Sister of the Royal District Nursing Service (RDNS), demonstrating the transferring of Sister Helen Pelosi into a wheelchair using a Hydraulic Hoist. The Sister standing behind the wheelchair has short dark hair and is wearing the RDNS summer uniform of a white short sleeve blouse under a dark V neck tunic style frock. She has her hands extended supporting Sr, Pelosi, who has short straight hair; is wearing a white gown over her uniform and is suspended in a sling which is hanging from the cross bar of the metal hoist, and is just above the seat of the wheelchair. The upright pole and hydraulics, with bar 'pumping handle', is in front of Sr. Pelosi in the right foreground of the photograph. To its right is a bed with dark bedhead and white coverings.rdns, royal district nursing service, rdns education, rdns equipment, sister helen pelosi

The Sister is supporting the elderly lady as she takes her for a walk on her veranda. The RDNS winter uniform at that time was a blue/grey skivvie worn under a V neck, tunic style, blue/grey herringbone winter material frock. The RDNS insignia is on the upper left of the frock.From the founding of the Melbourne District Nursing Society (MDNS) in 1885, known as Royal District Nursing Service (RDNS) from 1966, the rehabilitation of patients to insure they were able to live independently in their own homes was at the forefront of care given by their Trained nurses (Sisters). As well as teaching and supervising the use of equipment, the Sisters taught them safe transfer techniques. These techniques were also taught to family members to enable them to care for their loved ones. In the 1970s 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 membersOn the left of the black and white photograph is a Royal District Nursing Service (RDNS), Sister, who has short dark curly hair and is wearing her RDNS winter uniform of a light coloured skivvie under a V neck tunic style frock, standing with an elderly lady on the wooden veranda of her home. The lady, who has short white hair, is wearing a dark buttoned up cardigan over a floral frock, The lady has her right arm hooked through the left arm of the Sister, who is clasping the ladies hand. The Sister is looking to the left at the lady, and the lady is looking to the front. The weatherboard wall of her house is seen in the background. Part of a chair and small table are on the far front left of the photograph.Type written informationroyal district nursing service, rdns, rdns rehabilitation

The photograph is taken in Frankston Centre where Sister Helen Pelosi is the Supervisor. The RDNS summer uniform at that time, worn by most of the Sisters in the photograph, was a royal blue V neck tunic style frock with the RDNS insignia in the upper left, over a short sleeve white blouse. The Sister seated at the desk with a pen in her hand, is wearing the RDNS winter uniform of a blue/grey skivvie under a blue/grey herring bone winter material tunic style frock with the RDNS insignia on the upper left. The other seated Sister is wearing an RDNS blue cardigan over her uniformGradually 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.Black and white photograph of a group of Royal District Nursing Service (RDNS),staff. At the left rear, is a Sister with short curly hair; her right hand is resting on the table, then a Sister with collar length straight hair and to her right is Sr. Helen Pelosi, who has short dark curled hair. Two Sisters are seated in front of them at a table; the Sister on the left, has curly hair and is wearing a long sleeve skivvie under a V neck tunic style frock which has an insignia on its upper left. She has an open book in front of her and has a pen in her right hand poised on the white page of the book. The seated Sister to her right is wearing a uniform cardigan and has her hands clasped resting on the table. Four of the Sisters are wearing V neck tunic style frocks with an insignia on upper left, over short sleeve white blouses. Part of a picture is seen on the wall at the left rear and a doorway with a wall behind to its right.royal district nursing service, rdns, rdns uniform, rdns centre, sister helen pelosi

RDNS Sister Pilmore is visiting a babe and mother to administer Post Natal nursing care and give health advice. 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, 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.On the left of the black and white photograph is the side on view of a seated Royal District Nursing Service (RDNS), Sister Kaye Pilmore, who is visiting a mother and her babe in their home. On the right the mother, who is seated, has dark shoulder length straight hair, and is wearing a white sleeveless frock. She is looking at the Sister while she holds her dark haired baby on her knee. The babe is wearing a light coloured top. Sister, Pilmore who has dark short straight hair, is wearing her RDNS summer uniform of a white short sleeve blouse under a dark V neck tunic style frock with the RDNS insignia on the upper left. She is holding a pen in her left hand. Closed checked long curtains are seen in the background of the photograph. The partial dark haired head of another person can be seen in the left hand side foreground.. G 155 is stamped in green inkrdns, royal district nursing service, rdns patient care, sister kaye pilmore, rdns domiciliary infant and maternal care (dimc)

Sister McLean is attending a function in the RDNS Board room at 452 St. Kilda Road, Melbourne. She worked in RDNS Headquarters. The RDNS insignia on the upper left of her uniform tunic has the words "Royal District Nursing Service" written in white in the blue circle. Across the centre of the circle are two clasping hands depicted in yellow..From its founding in 1885 until 1891, the Trained nurses (Nurses) of the Melbourne District Nursing Society (MDNS) worked from their own homes which were located in the vicinity of their areas (districts). Their Committee meetings were held at the Religious Tract Society Rooms, No 3 Queen's walk, off Swanston Street and later at the Library Room in the Melbourne Town Hall. The Annual General Meetings were held in the Town Hall. In November 1891 MDNS was able to rent a two story terraced house at 66 Cardigan Street, Carlton, at £65 a year, which contained accommodation for three Trained nurses (Nurse) and one pupil nurse as well as being used as their Headquarters. They left from their Nurses Home each morning and returned at the end of their shift to write up their book work before retiring for the day. Three years later they moved into a larger terraced house at 49 Drummond Street Carlton which was rented at ‘a very moderate rental’. There was a Board room, apartments for the Nurses and pupil nurses, a large dispensary which patients could attend each evening to have prescriptions signed and bottles refilled with ‘homely remedies’ and elixirs, which were administered for e.g. to Consumptive cases. Doctor’s prescriptions were filled at the Pharmacy. Cupboards containing donated blankets and bedclothes for needy patients were kept in this room, and it was here where the Nurses kept their nursing bags which were refilled at the end of each shift ready for any emergency and for the next day. A list of Doctors the Nurses could call was kept by the telephone. The home also had a kitchen where nourishing soup was made and distributed twice a week to the needy. Milk was also distributed when needed. In 1902 they moved into rented premises at 188 Leicester Street, Carlton and two years later, in 1904, to premises at 5 Royal Terrace, Nicholson Street, Fitzroy where they remained for ten years. In June 1914 at last the Society had sufficient funding to purchase their own terraced premises, ‘Floraston’ 39 Victoria Parade, Collingwood which was their Headquarters and Nurses Home. In 1926 the After-Care Home for recovering patients, (later called After-Care Hospital) was built by the Society next door, running from 41-47 Victoria Parade (became No. 45); the District nurses continued to live at No. 39. In November 1953 the District Nursing Division moved into their new Headquarters and Nurses Home at 452 St. Kilda Road, Melbourne but as the Service expanded into the suburbs Centres were opened and their Trained nurses (Sisters) worked from home, so the Nurses Home section of 452 was closed and turned into more administrative areas. In 1996 Headquarters were relocated to 31 Alma Road, St. Kilda.Coloured photograph of the upper view of Sister Kath McLean of the Royal District Nursing Service (RDNS) who has short straight dark hair and is smiling as she sits holding a cake on a white plate. She is wearing her RDNS winter uniform; a grey skivvie under a blue/grey herringbone woolen V neck tunic style frock with a central zip. On its upper left It has the RDNS insignia of a round blue circle with writing on it, surrounded on either side by white swept up feathers towards the central crown above the circle. Under this is her name plate and a gold coloured medal. A pen is clipped into the left hand V neck section of the frock. rdns, royal district nursing service, rdns winter uniform, rdns board room, rdns headquarters, kath mclean

The RDNS Sisters are attending a functions being held in the Board Room at RDNS Headquarters, 452 St. Kilda Road in Melbourne.From its founding in 1885 until 1891 the trained nurses of the Melbourne District Nursing Society (MDNS) worked from their own homes which were located in the vicinity of their areas (districts). The Committee meetings were held at the Religious Tract Society rooms at Queen’s walk, off Swanston Street and then at the Library Room at the Melbourne Town Hall. The Annual General Meeting was held at the Town Hall. In November 1891 MDNS was able to rent a two story terraced house at 66 Cardigan Street, Carlton, at £65 a year, which contained accommodation for three Trained nurses (Nurses) and one pupil nurse as well as being used as their Headquarters. They left from their Nurses Home each morning and returned at the end of their shift to write up their book work before retiring for the day. Three years later they moved into a larger terraced house at 49 Drummond Street Carlton which was rented at ‘a very moderate rental’. There was a Board room, apartments for the Nurses and pupil nurse, a large dispensary which patients could attend each evening to have prescriptions signed and bottles refilled with ‘homely remedies’ and elixirs, which were administered for e.g. to Consumptive cases. Doctor’s prescriptions were filled at the Pharmacy. Cupboards containing donated blankets and bedclothes for needy patients were kept in this room, and it was here where the Nurses kept their nursing bags which were refilled at the end of each shift ready for any emergency and for the next day. A list of Doctors the Nurses could call was kept by the telephone. The home also had a kitchen where nourishing soup was made and distributed twice a week to the needy. Milk was also distributed when needed. In 1902 they moved into rented premises at 188 Leicester Street, Carlton and two years later, in 1904, to premises at 5 Royal Terrace, Nicholson Street, Fitzroy where they remained for ten years. In June 1914 at last the Society had sufficient funds to purchase their own terraced premises, ‘Floraston’ 39 Victoria Parade, Collingwood which was their Headquarters and Nurses Home. In 1926 the After-Care Home for recovering patients, (later called After-Care Hospital) was built by the Society next door, running from 41-47 Victoria Parade (became No. 45); the District nurses continued to live at No. 39. In November 1953 the District Nursing Division moved into their new Headquarters and Nurses Home at 452 St. Kilda Road, Melbourne. As RDNS expanded with Centres now opening throughout the suburbs, their Trained nurses (Sisters) lived in their own homes and the Nurses Home at 452 closed and the rooms used for administrative purposes. On April the 1st 1996 RDNS Head Office relocated to 31 Alma Road, St. Kilda.Colour photograph of Royal District Nursing Service (RDNS), Sisters who are standing in a room - left to right - .....Pat (Paddy) Rowley, with short brown hair and wearing glasses, Kath McLean, with short dark hair, Betty Harris, who is wearing glasses and with short brown curly hair and on the far right Ruth May, wearing glasses and with short dark hair, Sister May and the unknown Sister on the far left hand side, are wearing the RDNS summer uniform of a white blouse under a V neck royal blue tunic style frock. The three Sisters in the centre of the photograph are wearing the RDNS winter uniform of blue/grey skivvies under their blue/grey herringbone woollen V neck tunic style frocks. The RDNS insignia is on the upper left of the uniforms. Opened gold long curtains are in the background, along with three wooden chairs which have green backs and seats. The chairs are partly hidden by the standing Sisters. A vase of plumed feather flowers is behind Sr. Harris. Part of a white clothed table, with silver cutlery and white plates on it, is the the foreground.rdns, royal district nursing service, rdns uniform, rdns headquarters, sister ruth may, sister kath mclean, sister pat (paddy) rowley, sister betty harris

The photograph is taken at a function in the Board Room of RDNS Headquarters, 452 St. Kilda Road, Melbourne. Miss Mary Evans was the RDNS Director of Nursing from 1963-1978,From its founding in 1885 until 1891, the Trained nurses (Nurses) of the Melbourne District Nursing Society (MDNS) worked from their own homes which were located in the vicinity of their areas (districts). The Committee meetings were held at the Religious Tract Society rooms at Queen’s walk, off Swanston Street and then at the Library Room at the Melbourne Town Hall. The Annual General Meeting was held at the Town Hall. In November 1891 MDNS was able to rent a two story terraced house at 66 Cardigan Street, Carlton, at £65 a year, which contained accommodation for three Nurses and one pupil nurse as well as being used as their Headquarters. They left from their Nurses Home each morning and returned at the end of their shift to write up their book work before retiring for the day. Three years later they moved into a larger terraced house at 49 Drummond Street Carlton which was rented at ‘a very moderate rental’. There was a Board room, apartments for the Nurses and pupil nurse, a large dispensary which patients could attend each evening to have prescriptions signed and bottles refilled with ‘homely remedies’ and elixirs, which were administered for e.g. to Consumptive cases. Doctor’s prescriptions were filled at the Pharmacy. Cupboards containing donated blankets and bedclothes for needy patients were kept in this room, and it was here where the Nurses kept their nursing bags which were refilled at the end of each shift ready for any emergency and for the next day. A list of Doctors the Nurses could call was kept by the telephone. The home also had a kitchen where nourishing soup was made and distributed twice a week to the needy. Milk was also distributed when needed. In 1902 they moved into rented premises at 188 Leicester Street, Carlton and two years later, in 1904, to premises at 5 Royal Terrace, Nicholson Street, Fitzroy where they remained for ten years. In June 1914 at last the Society had sufficient funds to purchase their own terraced premises, ‘Floraston’ 39 Victoria Parade, Collingwood which was their Headquarters and Nurses Home. In 1926 the After-Care Home for recovering patients, (later called After-Care Hospital) was built by the Society next door, running from 41-47 Victoria Parade (became No. 45); the District nurses (Sisters) continued to live at No. 39. In November 1953 the District Nursing Division moved into their new Headquarters and Nurses Home at 452 St. Kilda Road, Melbourne. As RDNS expanded and now, with Centres opening throughout the suburbs, the Sisters lived in their own homes and the Nurses Home at 452 closed and those rooms used for administrative purposes. On April the 1st 1996 RDNS Head Office relocated to 31 Alma Road, St. Kilda. Coloured photograph taken at a function in a room at Royal District Nursing Service (RDNS). It shows, left to right, Sister Bev Armstrong, who has short blonde hair, Miss Mary Evans, who has short curled brown hair and another RDNS Sister who has short dark hair. The two RDNS Sisters are wearing the RDNS summer uniform of a white blouse under a royal blue V neck tunic style dress with the RDNS insignia on the left hand side. Miss Evans, is wearing a long dark coat. The three are smiling and the Sister on the right is looking at Miss Evans who is turned slightly and has part of her right arm resting over the top of the back of the chair. They are sitting in front of a window and opened gold long curtains. A tree is seen through the window. Both RDNS Sisters have cups in their hands.royal district nursing service, rdns, rdns headquarters, miss mary evans, sister bev armstrong

Mr. Evans is CEO of Royal District Nursing Service (RDNS), and he is sitting in his office at RDNS Headquarters, 452 St. Kilda Road, Melbourne.Mr. Evans was CEO of Royal District Nursing Service for many years and introduced computers to improve the Payroll system and the Records Department. In his years at RDNS the Service expanded into many suburbs with Centres being built, more cars required, more nurses employed and a rise in patient numbers. He was CEO when RDNS underwent its initial 'Accreditation for 3 years' in 1985. A coloured photograph of Mr. Frank Evans, who has receding dark hair, and is wearing a pale blue long sleeve shirt and a brown patterned tie. He is looking at the camera as he sits on a grey chair behind his desk, and has a pen in his right hand poised over a white sheet of paper. Other sheets of white papers cover the desk., To the left rear is a small two shelf table, with papers and a blue cellotape dispenser on the top shelf, and books and cards on the bottom shelf. On the wall above it, part of a large map can be seen. Behind Mr. Evans, and to the right of the table, is a grey multi draw cabinet with some draws partly open, and one fully open with white papers in it. Multi coloured books and folders stand vertically on the top of it, and to there right are two rows of stacked open shelving with files and papers in the individual shelves. royal district nursing service, rdns, rdns ceo, mr frank evans

The photograph was taken in a Shopping centre and shows an RDNS Sister about to check the blood pressure of a lady..Over many years the Royal District Nursing Service (RDNS), was involved with carrying out health screening checks at many Shopping centres, and other venues, when requested.A coloured photograph taken in a Shopping centre, showing a Royal district Nursing Service (RDNS), Sister, who is wearing glasses and has short blonde straight hair, standing on the left hand side of a seated elderly lady. The RDNS Sister, is wearing RDNS dark blue slacks and a jumper over a white blouse, with the collar and cuffs seen. She is looking down at a blood pressure machine and holding the dial with her right hand. A stethoscope is hanging down from around her neck. The elderly lady has a blood pressure cuff around her right arm. She has grey curly hair and is wearing a blue and pink patterned jacket over a navy blue frock. She is facing the camera and looking serious. To the Sister's left are some open cardboard boxes, one with a white balloon on a stick from it, and further to the left part of a table covered with a red tablecloth can be seen. A shoe shop can be seen in the rear, as well as a vertical dark banner with the word 'Police' running down it in white letters.royal district nursing service, rdns, health screening checks

This photograph shows some of the information documents displayed on boards during an Education session on Palliative Care run by the Royal District Nursing Service Education Department.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 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. 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 the RDNS SistersColoured photograph of a Royal District Nursing Service (RDNS) Sister standing in front of a Palliative Nursing Display board. The board has a white banner across the top with the dark blue words 'Royal District Nursing Service' written in capital letters. There are several light coloured background posters displayed on the large dark coloured display board. The Sister, who has her dark hair drawn up, is wearing a RDNS blue and white patterned blouse and short sleeve V neck dark blue jumper with a name badge attached on the upper left. The Sister is holding.a white sheet of paper. Part of a red covered table is seen in front of her. A mid green board with documents attached to it is behind and to the right of the Sister. Behind this is a pale green wall with part of a bench and two large windows showing a room beyond.royal district nursing service, rdns, rdns palliative care nursing, rdns education

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

Two Royal District Nursing Service (RDNS) Sisters are assisting a young male patient who has a movement disorder, to change position in his reclined chair.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. 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 Trained nurse (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, 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.A coloured photograph showing two Royal District Nursing (RDNS) Sisters with a young male patient who is lying in a reclined chair. The Sister standing on his left is smiling; she has short straight dark hair, and is wearing a RDNS light blue apron over her royal blue dress and darker blue long sleeve cardigan. The Sister on the right hand side of the patient's chair is laughing. She has blonde hair and is slightly bent over the chair as her left hand is supporting his left leg. She is wearing the RDNS summer uniform of the day - a white short sleeve blouse under a royal blue V neck tunic style frock. Her right arm is bent and resting on top of the patient's chair and pillow. The young man has short dark hair and is smiling and looking towards the left of the photograph. He is wearing a dark blue long sleeve top and his right arm is extended toward the Sister on the left hand side of the photograph. His legs are over his coverings with his left leg bent at the knee. He is wearing light coloured pants and has a pink and white striped slipper on his foot. His pillow is white, and coverings seen are blue and white check, white, and a pale pink sheepskin. A wood board wall is in the background. A vase of flowers are standing on the part of a round low table that can be seen in the right hand rear corner. A pale lilac wall can be seen on the right hand side. A small section of a dark patterned carpet can be seen.royal district nursing service, rdns, rdns uniform, rdns patient care

The Royal District Nursing Service (RDNS) Altona Centre was situated at Blackshaws Road, Altona. This photograph is a pictorial record of the staff at Altona Centre in the 1990s.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 and outer suburbs with Heidelberg Centre opening in 1971. 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. 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. 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 their Trained nurses (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, 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.The coloured photograph shows 29 female staff of the Royal District Nursing Service (RDNS), Altona Centre. The rear and centre rows of staff are standing and the front row of staff are kneeling. They are outside a grey brick building with a flat roof. A white sign is on the right hand upper corner of the building and has the words, written in blue capital letters, "Royal District Nursing Service Altona Centre". Part of a window can be seen beneath this. Part of two other windows can be seen in the centre and to the left of the building. Most Sisters are wearing RDNS uniforms, some with a short sleeve white with a blue pattern dress and a red belt. Others with a white with pattern blouse and dark blue skirt, and some have a red sleeveless jumper over their uniform, and some are wearing a dark blue cardigan or long sleeve dark blue jumper. Three staff are wearing day wear, one with a purple blouse and black skirt, another with a white blouse and pale blue skirt and the third wearing a white blouse, brown cardigan and bone slacks.. royal district nursing service, rdns, rdns centre, rdns uniform

This photograph is taken in Mrs Mann's home in the Melbourne suburb of Surrey Hills. The RDNS uniform worn by the Health Aides was a Royal blue dress with white piping on the collar and pockets worn under a dark blue cardigan. The RDNS Health Aides are visiting Mrs. Mann to administer nursing care which the RDNS Sister who attended Mrs. Mann had assessed and then demonstrated to them. Specific instruction.were written for the Health Aides to follow and the RDNS Sister did regular supervisory visits.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 Registered Nurses, (Sisters). The Sister assessed each patient, then introduced and supervised the Health Aide in the 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. This black and white photograph shows, on the left hand side, Mrs. Gertrude Mann sitting at the table in the kitchen of her home. She has her grey hair drawn back and has a string of beads over her grey buttoned cardigan Standing to her right are two Royal District Nursing Service (RDNS), Home Health Aides. The closest is Miss Penny Goodwill who has long blonde hair, and far right,is Mrs Dorothy Byrne who has short curly dark hair. The Health Aides are wearing dark coloured dresses with white piping on the collars and pockets, Part of a white RDNS insignia can be seen beneath their dark coloured cardigans. . A check tablecloth is covering the table, and a bottle of milk, some jars, and a vase of flowers adorn it. The mantelpiece and part of a tiled fireplace containing a stove is in the background. Part of an open door is to the right rear. The top of a wooden slatted chair is seen in the right hand side foreground.Hand written names and information on back of photographroyal district nursing service, rdns, rdns home health aides, rdns education, mrs gertrude mann, home health aide dorothy byrne, home health aide penny goodwill

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

The RDNS Sister is visiting a lady in her own home to take and record her blood pressure reading. The Sister will assess if these readings are within normal limits and relay these readings to the lady's Doctor as necessary. The RDNS uniform worn by the Sister is a white short sleeve blouse under a royal blue V neck tunic style dress and a dark blue cardigan. 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. 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 RDNS Trained nurses (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, 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.A black and white photograph showing on the left, a Royal District Nursing Service (RDNS), Sister who has short dark curly hair and who has the ends of a stethoscope in her ears and with her left hand holding the other end below the blood pressure cuff on an elderly lady's extended right arm.. She is looking down at the blood pressure dial which is held in her right hand. The Sister is wearing her RDNS uniform of a white blouse, the peaked collar of which can be seen, under a darker V neck tunic style frock and a dark cardigan. The lady who has short grey curly hair, is watching the procedure. She is wearing a grey short sleeved frock with a broach at its neck and with dark long sleeves seen underneath. The lady is sitting in a patterned padded chair which has a carved wooden top. Long opened curtains with voile curtain in the centre can be see behind her. In the left background, part of a cabinet with ornaments can be seen, and in the left foreground part of a patterned lounge chair can be seen.royal district nursing service, rdns, rdns patient care - blood pressure check

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

The photograph is taken in a Hospital Physiotherapy Department. Anne Radford is the Physiotherapist at the Hospital and is teaching RDNS Liaison, Sister Short, the transfer technique required when transferring a patient who will be discharged home. This knowledge will be given to the RDNS Sister who will be attending to the patient in her home when she is discharged.Liaison had occurred between Doctors and the Trained nurses of the Melbourne District Nursing Society (MDNS), from its inception in 1885. This increased when Midwifery was introduced in 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), nursing staff, 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. They facilitated the smooth transition from hospital to home for many clients that required ongoing nursing care. Liaison Sisters regularly attended discharge planning meetings, interviewed prospective clients, co-ordinated discharge and booked the first visit by the visiting RDNS staff. 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 Sisters in the field and Doctors when patients were referred by General Practitioners and did not attend a hospital. RDNS also held Physiotherapy workshops for staff teaching safe transferring techniques. The Physiotherapist would visit the home of a patient with the attending Sister when required.On the left of the black and white photograph is Royal District Nursing Service (RDNS), Liaison, Sister Margaret Short, and to her right is hospital Physiotherapist, Anne Radford, who is smiling at the patient. She has short dark hair and is wearing a white hospital coat. She is kneeling on a physiotherapy table behind, and assisting, a young patient to transfer. Sister Short, who has short dark hair and is wearing her RDNS, grey short sleeve uniform with the RDNS insignia seen at the top of the sleeve, and her grey peaked hat, is slightly bent over the physiotherapy table with her arms under the legs of the young patient.. The Physiotherapist has her hands under the patient's armpits. The patient, who has dark short hair and is wearing a long sleeve white top and check slacks, has her forearms through a transfer ring which is hanging from a thick rope. Her buttocks are just touching the dark covered physiotherapy table and the Sister is supporting her legs which are slightly raised off the table.. A row of crutches can be seen in the left rear of the photograph and a bar with some equipment hanging on it can be seen on the right rear behind the physiotherapy table..Photographer stamp. Handwritten information.royal district nursing service, rdns, rdns liaison, rdns uniform, sister margaret short, ms anne radford

Sister Short is writing down information being given by patient Sue Rowley who will be discharged from the Hospital. It will be phoned through to the appropriate RDNS Centre where it is recorded by the Clerical staff and passed to the RDNS Sister who will visit Sue on her discharge. Liaison had occurred between Doctors and the Trained nurses of the Melbourne District Nursing Society (MDNS), from its inception in 1885. This increased when Midwifery was introduced in 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), nursing staff, 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. They facilitated the smooth transition from hospital to home for many patients who required ongoing nursing care. Liaison Sisters regularly attended discharge planning meetings, interviewed prospective clients, co-ordinated discharge and booked the first visit by the visiting RDNS staff. 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 Sisters in the field and Doctors when patients were referred by General Practitioners and did not attend a hospital. A Physiotherapist worked under contract to teach transfer techniques to RDNS Sisters before RDNS employed there own 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. The Physiotherapist made home visits with the attending RDNS Sister when required.Standing to the left of the black and white photograph is hospital Physiotherapist, Anne Radford, who has short dark hair and is wearing a white coat. She is side on and has her hands placed on the upper and lower right arm of Sue Rowley, who is sitting in a wheelchair. Sue has short dark hair and is wearing a neck brace and her left hand is holding a pulley rope. She is wearing a white top under a dark jacket and light coloured slacks. To her right is Royal District Nursing Service (RDNS), Liaison Sister, Margaret Short who is facing Sue. She has her left hand extended supporting an open book and has a pen in her right hand which is poised on a page in the book. Sister Short is wearing her RDNS grey short sleeve uniform dress and grey peaked hat over her short dark hair. The RDNS insignia is seen on the top of her left sleeve. Behind the wheelchair are some wooden bars, two upright and two vertical, which are attached to a brick wall, the pulley rope is through a wheel attached to the right hand upright. The brick wall joins another which has part of a window visible. Behind the Sister and wheelchair are four shelves attached to this brick wall. Several round weights are on the shelves.Photographer stamp. Hand written informationroyal district nursing service, rdns, rdns liaison, rdns uniform, ms sue rowley, physiotherapist anne radford, sister margaret short