A History of Caring:

How caring for a loved one has evolved over time

Caring for a loved one with physical or psychological injuries has always carried a sense of profound responsibility, but the way society approaches it has changed significantly over time. Advances in medical treatment, shifts in cultural attitudes, and the rise of professional carer services have transformed the experience for both those caring for a loved one and those receiving care. This article explores how these changes have shaped the role of carers and the quality of life for individuals with injuries.

Historical perspectives: family-centred care

Historically, caring for injured loved ones was almost entirely the responsibility of family members, often women who historically, were less likely to work. Before modern medicine, people tended to rely more on traditional remedies, community support, and religious institutions for guidance.

Until 1601, home care outside of friends and family was mostly accessible only to the wealthy. Those with money could afford to hire servants to undertake the bulk of the caring responsibilities. Doctors did do home visits but these also cost money, that many people simply didn't have.

In 1601, the Act of Relief for the Poor was passed. The aim was to help those who couldn't work. Every parish in England was now responsible for its parishioners who were for whatever reason, unable to care for themselves. This was done by providing either ‘indoor relief’, for example housing in a hospital, almshouse or early workhouse, or ‘outdoor relief’. Outdoor relief provided food, clothes, sometimes money and other necessities like kindling for the fire to people in their own homes.

From 1885, free outpatient health care was available to people who could not afford it under an amendment to the original law. At this point, if you received home care, it was still delivered by charities, many of them religious.

For those with physical injuries, care often focused more on comfort rather than recovery, as medical knowledge was limited. Psychological injuries, such as what we now recognise as PTSD, were misunderstood. Soldiers returning home, particularly from World War One were often labelled as "shell-shocked" or weak, and mental health conditions were stigmatised rather than treated.

The impact of medical advancements

The 20th century saw significant improvements in medical care that directly impacted on those caring for loved ones. The development of antibiotics, surgical techniques, and rehabilitation therapies meant that people with severe injuries had a better chance of survival and recovery. Physical therapy, prosthetics, and assistive technologies also improved mobility and independence.

Psychological injuries also became better understood, particularly after the World Wars. The recognition of PTSD led to more structured mental health treatments, although stigma remained an issue. Veterans' hospitals and psychiatric institutions offered some support, but families still provided most of the care.

The rise of professional carer services

By the mid-to-late 20th century, governments and healthcare systems began offering more support for both carers and those being cared for. The rise of social services, home healthcare providers, and mental health professionals helped to ease some of the caring responsibilities of families.

Technology and modern caring

Today, technology has revolutionised how people care for loved ones with injuries. Assistive devices, such as mobility aids, voice-activated assistants, and being able to order medicine online, have made it easier for people with physical injuries to live independently.

For those with psychological injuries, increased awareness and online therapy services have made mental health support more accessible. Governments and workplaces have introduced policies to support carers, including paid leave and respite care in some cases. But there’s more work to be done.

Changing Social Attitudes

One of the most significant changes in caring has been the shift in societal attitudes. Mental health conditions are now widely recognised, reducing a lot of the stigma and encouraging people to seek help. Advocacy groups and charities play a crucial role in supporting both carers and those with injuries.

Additionally, caring is no longer seen as solely a family responsibility. Community support, charities, government programmes, and professional services have made it a shared effort, in general, improving the quality of care and the well-being of carers.

Caring for a loved one with physical or psychological injuries has evolved from a private, family-centred duty to a more structured and supported experience. While challenges remain, advances in medicine, technology, and social attitudes have significantly improved both the lives of carers and the lives of those receiving care.

As awareness and resources continue to grow, we’d like to think that the future of caring looks increasingly hopeful.