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Case Study 3.4

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Rose Hawthorne was born in 1851 and, after the death of her only child from diphtheria, she left her husband and took a short course in cancer nursing at the New York Cancer Hospital, now Memorial Sloane‐Kettering Cancer Center. Her aim was to nurse poor people with cancer. Hawthorne ran a dispensary and then a home for people dying of cancer, without attracting questions from the medical establishment about encroachment on their medical practice. Hawthorne applied different types of salves (ointments) to the open wounds of her patients, depending on her judgment of the wound's condition and the type of dressing needed. For Mary Watson, her first patient, Hawthorne cleansed the wound with either water or a weak creolin (tar) solution, or with peroxide. She then applied the type of ointment she thought appropriate. Hawthorne also gave Watson one to three tablets of morphine a day (Hawthorne, 1896). Hawthorne's patients were poor and that is probably why she was allowed to diagnose and prescribe without complaints from physicians. Hawthorne was indeed practicing as a NP back in the nineteenth century.

Has the knowledge that NPs have a long history, as demonstrated by Hawthorne, changed your perspective, as a consumer and as an undergraduate nurse, of the NP role today?

Based on your knowledge of nursing at this time, do you think you could set up a nursing practice that included diagnosis and treatment, such as Hawthorne's practice, today? Why or why not?

Kelly Vana's Nursing Leadership and Management

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