A reference hand-book for nursesBeck, Amanda K. (Amanda Kathryn)
Science
A reference hand-book for nurses
Beck, Amanda K. (Amanda Kathryn)
Nursing
=Exercise.=—Exercise should be moderate. Light work about the home may
be encouraged, care being had to avoid over-lifting, over-reaching,
etc. Walking should be insisted upon, to maintain correct carriage and
posture of the body. Outdoor enjoyments may be had if indulged in with
discretion. Tiredness may be overcome by the patient lying down on an
incline, the head lower than the body, thereby relieving all tension
of the muscles and nerves. Any recumbent position for comfort is
beneficial.
=Breasts and Nipples.=—Plenty of room should be given to permit full
growth and to encourage the nipples to prominence. Their inversion or
depression may be remedied by massage and manipulation. No alcohol
or other strongly astringent washes should be used. The nipples must
not be hardened, but should be kept soft and pliable; cocoa-butter or
other healing ointments may be applied. Cracks and fissures not only
render nursing difficult or impossible, but may lead to mastitis and
subsequent abscess formations. There should be perfect cleanliness, to
promote pure secretion and prevent sepsis.
=Pelvic Organs.=—Pelvic organs do not, under normal conditions, require
douches. The normal vagina cleanses itself, and a hot douche may induce
abortion.
LYING-IN PERIOD.
=Confinement Room.=—A quiet room should be selected, in which there
has been no recent sickness and which is not in proximity to any
sewerage. The room should be well ventilated, with no draughts, and
at a temperature from 65°-75° F. The furnishings should be plain and
few as possible. They should consist of a table or two, a few chairs,
and a narrow iron bed of medium height. If the bedspring is soft,
a few boards may be placed under it to make it firm. If the patient
is to be delivered in bed, it should be made up as follows: (1) Long
rubber sheet; (2) long muslin sheet; (3) rubber draw-sheet; (4) muslin
draw-sheet; (5) a large pad, 3 ft. square and 3 in. thick. All sheets
should be fastened with large safety-pins, and the pad left free to
draw the patient to either side, if the bed is of the low-and-wide
variety commonly used in many homes. The ideal way is to deliver the
patient on a settee, or on two tables, covered with a small mattress;
the physicians and nurses have less work to do and they work to a
better advantage. Moreover, when the patient is carried from the table
to her clean, warm bed she gets immediate comfort and avoids the usual
disturbance and uncleanliness attending the clearing away of soiled
linen, etc.
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