God it's grim out there, isn't it? Maybe that's why DH always refuses to see doctors or go to hospitals. As a total ignoramous, my feeling is that nursing started to slide at the same time as they tried to make it more academic, taking it out of the wards into the classroom, or worse, university, and messing about with the perfectly useful SEN, SRN career routes. But that's just my ignorant opinion.
Berrie, I think you're doing really well hanging in there, with so much going on.