Bergen-Belsen lessons underline vital role that nurses can play in patient feeding

September 20, 2012

Nurses can play a key role in feeding people and restoring their humanity in times of great crisis and this was very evident during their little-known involvement in the liberation of Bergen-Belsen at the end of World War Two. That is the key finding of a historical research paper published in the October issue of the Journal of Clinical Nursing.

"Much has been written about the role of the armed forces and medical teams during this distressing time in our history, but the contribution of is rarely mentioned when it comes to the liberation of this concentration camp" says Dr Jane Brooks from the UK Centre for the History of Nursing and Midwifery, part of the University of Manchester's School of Nursing, Midwifery and Social Work.

"This was partly because of government policy, partly because the liberation was seen as an unsuitable place for women and partly because of the desire of many nurses to hide their memories.

"However, valuable lessons can be learnt about the role of nurses from history and Bergen-Belsen demonstrates that the role of nurses in emergency feeding can be essential for patient care and, in some cases, even more vital for patient survival than medical care."

When the British Army and medical teams entered the Bergen-Belsen concentration camp in Northern Germany in 1945 they found 40,000 survivors and 10,000 unburied bodies.

Unlike those interned in death camps such as Auschwitz, the Belsen inmates - who included Anne Frank and her sister Margot - died from starvation, disease and despair rather than gas chambers. In the months leading up to the liberation, their typical diet of less than 800 calories a day consisted of 200 grams of rye bread and varying amounts of soup containing mangold-wurzel, a beet vegetable grown mainly for cattle fodder.

Nearly 50,000 people died in Belsen over the course of two months, with 18,000 dying in the two weeks leading up to liberation. By the time the Army arrived they had been without any food or water for seven days.

Over the next six weeks, the British Army, Red Cross, St John Ambulance and Society of Friends remained in the camp, saving those they could, burying the dead and ultimately burning the camp.

The emergency medical teams included nursing sisters from the British Army's Queen Alexandra's Imperial Military Nursing Service and its Reservists, as well as nurses from Australia, New Zealand and the USA.

Tragically, initial attempts to feed the starving inmates resulted in a further 2,000 deaths as they were unable to cope with the rich food they were given. Special diets were ordered, but these took days to arrive.

Gastric and nasal tubes required more supervision than was possible with the limited numbers of medical staff and it was soon noted that medical skills were of secondary importance and the most important resource requirement was nurses. This cast real doubt on the decision to send medical students in preference to nurses.

The nurses also had to cope with the psychological fears of the patients when it came to injections and intravenous and intra-nasal fluids. It is thought that many identified these methods with experiments carried out by Nazi doctors and were terrified of such interventions.

Despite the many challenges the nurses faced, they patiently fed the former inmates to the best of their abilities and with the resources available, despite the fact that they knew that many would die.

This was a huge task as there were 150 patients to each nursing sister, speaking many unfamiliar languages. Hoarding of food was common as the patients were terrified of hunger and this led to fights, vermin risks and infections.

Some patients were angry with the care they received as they did not understand that providing large rations straight away could kill them. And their physical condition, including severe mouth ulcers that often created holes in their cheeks, made feeding very hard.

"The range of the problems that the nursing sisters were required to overcome to ensure adequate feeding of their patients was unprecedented" says Dr Brooks. "It was not just the physical aspects of feeding the patients that the nurses needed to focus on. They clearly required substantial skills, patience and a well-developed understanding of the human condition.

"Liberating the Bergen-Belsen Concentration Camp was an unimaginable task for all concerned. The work of the nurses was vital, not only in saving the physical lives of the inmates, but also in restoring their humanity. Despite this, little credit has been given to these women.

"I hope that my research will encourage nurses in clinical practice to take ownership of the vital role of feeding and that patient nutrition will improve as its worth is acknowledged.

"However, they can not do it alone. During times of restricted resources, such as the global downturn, this is more of a challenge than ever. But it is clearly an essential part of the nursing role and it is vital that those who manage nursing resources realise its importance."

Explore further: Calling nurses to exercise as role models for their patients

More information: 'Uninterested in anything except food': the work of nurses feeding the liberated inmates of Bergen-Belsen. Brooks J. Journal of Clinical Nursing. 21, pp2958. (October 2012). doi: 10.1111/j.1365-2702.2012.04149.x

Related Stories

Calling nurses to exercise as role models for their patients

August 30, 2011
Nurses, just like many of their patients, struggle to find time and motivation to exercise. But a new study may give these all-important caregivers some additional pressure and responsibility: nurses' attitudes can influence ...

Themes identified for improving end-of-life care in ER

September 5, 2012
(HealthDay)—Major and minor themes have been identified by emergency nurses who often provide end-of-life (EOL) care in the emergency department setting, according to a study published in the September issue of the Journal ...

Increased collaboration between nursing home RNs and LPNs could improve patient care

March 14, 2012
Researchers estimate nearly 800,000 preventable adverse drug events may occur in nursing homes each year. Many of these incidents could be prevented with safety practices such as medication reconciliation, a process in which ...

Recommended for you

Breathing dirty air may harm kidneys, study finds

September 21, 2017
Outdoor air pollution has long been linked to major health conditions such as heart disease, stroke, cancer, asthma and chronic obstructive pulmonary disease. A new study now adds kidney disease to the list, according to ...

Excess dietary manganese promotes staph heart infection

September 21, 2017
Too much dietary manganese—an essential trace mineral found in leafy green vegetables, fruits and nuts—promotes infection of the heart by the bacterium Staphylococcus aureus ("staph").

Being active saves lives whether a gym workout, walking to work or washing the floor

September 21, 2017
Physical activity of any kind can prevent heart disease and death, says a large international study involving more than 130,000 people from 17 countries published this week in The Lancet.

Frequent blood donations safe for some, but not all

September 21, 2017
(HealthDay)—Some people may safely donate blood as often as every eight weeks—but that may not be a healthy choice for all, a new study suggests.

Higher manganese levels in children correlate with lower IQ scores, study finds

September 21, 2017
A study led by environmental health researchers at the University of Cincinnati (UC) College of Medicine finds that children in East Liverpool, Ohio with higher levels of Manganese (Mn) had lower IQ scores. The research appears ...

Higher levels of fluoride in pregnant woman linked to lower intelligence in their children

September 20, 2017
Fluoride in the urine of pregnant women shows a correlation with lower measures of intelligence in their children, according to University of Toronto researchers who conducted the first study of its kind and size to examine ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.