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Important medicine chests at Florence Nightingale Museum, London

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We know that medicine chests filled with bottles of herbal remedies and medicines were purchased by affluent families for domestic use from apothecaries in Britain in the C18th-C19th. These chests usually came equipped with a manual on how to use the medicines, what illnesses they could be us­ed for and the correct dosage for each. They were particularly useful when the families were travelling. Medicines that often feat­ured in those chests included 1] laudanum, an opioid that was widely available and usually used as pain relief and 2] med­icines needed for immediate first aid eg emetics, purgatives, stimulants and ant­icon­vulsants.

In larger chests, dressings and plasters were included for minor wounds, as were burns treatments. They also included a variety of instru­ments like a mortar and pestle, scales, meas­ures, spatula and lancet. Florence Nightingale had such a chest, as we will see.

Florence Nightingale's medicine chest, c1855
Bottles of medicine in the main compartment
Small instruments in the bottom drawer

From her late teens, Florence Nightingal(1820–1910) became capt­iv­ated by the idea of becoming a nurse; a passion that distressed her parents as nursing was viewed as an unfit profession for respect­able women. Florence studied nursing secretly, defying her parents and the ex­pec­t­ations of society, which, she believed, rendered middle class women unable to make full use of their energy and intel­ligence.

Nightingale had been working at a Harley St nursing home when she learned of the horrific conditions facing British army soldiers in their Crimean War hospital base. The British Secretary of State for War asked her to lead a team of 38 nurses to make urgent improve­ments in Scutari. She was told that with no understanding of the necessity for good hygiene in preventing disease, almost as many British soldiers were dying from illness and exposure as from wounds.

She became the best known name of the Crimean War (1853-56) when she and the nurses went out to Scutari hospital in Istanbul Turkey in Nov 1854, to run the soldiers' hospital. Faced with these appalling conditions and the hostility of army doctors, all the nurses worked tire­lessly, walking the hospital corridors to attend to thousands of cas­ualties, bringing organisation, new supplies and cleanliness, dedicated to reducing the spread of infection. Florence did indeed find that the young men were dying at an alarming rate, from diseases like dysentery caught in the hosp­it­al.

Back in UK, the rest of Nightingale’s life were dedicated to transforming healthcare, stressing the vital importance of hand wash­ing and cleanliness. Nightingale was passionate about using stats and research to physically change the design and structure of hospitals in ways relevant still - ward design, nurse training, hygiene, infection cont­rol and the compassionate treatment of patients. Meantime Florence was herself suffering from fever, insom­nia and exhaustion.

The Florence Nightingale Museum in Lambeth Palace Rd London opened in 1989. It is loc­ated in the grounds of St Thomas’ Hospital, close to the Houses of Parliament. The Nightingale in 200 Objects, People & Places Exhibition marked the 200th anniversary of her birth.

See a speech to the staff and trainees of The Nightingale Training School for Nurses showed her as a pioneer of evidence-based health care: gathering data to prove the importance of cleanliness and sanitation, her passion for data led to her being the first female member of the Royal Statistical Society.

Florence Nightingale's medicine chest
Bottles of medicine removed from the main compartment to read the labels clearly

The nurses and soldier’s wives cleaned shirts and sheets; bed pans & toilets were emptied; scrubbing brushes, buckets, blankets & operating tables were purchased from donations. Nightingale’s related writings, packed with advice, were put on display: You ought to use fresh water as freely for the skin ..as fresh air for the lungs (Notes on Nursing for the Labouring Classes, 1868).

Exhibition Display #28 was the medicine chest (c1855) that Florence took to the Crimean War. It contained medicines like quin­ine to treat malaria and carbonate of potassium for fever. It also contained a tiny set of scales, and a glass beaker for carefully measuring liquids. The chest was beautifully designed and crafted, making it transportable over distant and rugged travel.

Nightingale led her nurses to Scutari, to bring order, clean­liness and new supplies to the wards where the wounded were being treated. She took this medicine chest for her and her nurses to use,  most of the medicines being for upset stomachs or diarrhoea. But was it the only chest for all those sick men?? Could the medicine bottles be refilled in Turkey? The only comfort came from knowing that even when the men died in the nurses’ care, they died under loving conditions.

Mary Seacole's medicines
Photo credit: Helen Rappaport

Note that Nigh­t­ingale’s contemp­orary, nurse Mary Seacole, also arrived at the Crimean War equip­ped with a medicine chest fil­l­ed with her herbal remed­ies. Pomegranate bark was ground to a paste, for example, to be used for the expulsion of tapeworms and as a purgat­ive. Seacole demonstrated that her home-grown Jamaican practice of hygiene, healthy food, natural rem­edies and kindness had as much to offer as traditional medicine. Thus she made her nursing practice a more holistic one. 

Florence Nightingale Museum reopened after the coronavirus lockdown from the 1st August 2020 onwards, with timed tickets Thurs-Sunday. Do visit.









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