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The Origins of Geriatric Nursing The Chronically Ill Elderly in Almshouses and Nursing Homes, 1900-1950 ELLEN SCHELL Department of Physiological Nursing University of California, San Francisco Of all the classes and kinds of destitute and vicious who were once promiscuously consigned to the poorhouse [almshouse], these, the aged and infirm, remain as the irreducible minimum, the irremovable residue, of the poorhouse population. -Caroline Bartlett Crane to the Nurses' Associated Alumnae, 1907 Nurses' concern for the elderly poor of the almshouse foreshadowed the birth of geriatric nursing, a specialty conceived in the womb of the alms house, a marginalized, stigmatized institution. The almshouse, a dreaded place of last resort, became a target of the reform effort of one of nursing's lwninaries, Lavinia L. Dock. Though the attempt to establish almshouse nursing failed, nurses' concern for the aged and chronically ill who inhabited these places continued. The institutions that arose to carry on the charge of the almshouse-nursing homes-inherited the stigma attached to the alms house and struggled with many of the same problems. Nurses who exam ined conditions within these marginalized institutions were among the first to address the unique needs of the chronically ill elderly. The Early American Almshouse
Nursing History Review – Springer Publishing
Published: Jan 1, 1993
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