The management of the convalescence is one of the most difficult parts
of the treatment and one of the most unsuccessful, not because there is
any thing which requires to be done, nor because there is any disease
which prevents recovery, but because the patient is considered as well
when he is only convalescent. Of the great tendency there is to relapse
during the whole of this period few medical men are sufficiently aware,
and the unprofessional attendants on the sick are totally ignorant of
it. For a long time the brain, the bronchi, and the intestines remain so
irritable that the slightest excitement is capable of renewing the
diseased action which has recently subsided; but without excitement of
some kind, that renewal never takes place. It is the duty of the
physician and the nurse to guard the patient from such excitement, which
they may always do completely; so that whenever there is a relapse, the
physician, or the nurse, or both must be in fault: as long as they
perform their duty with judgment and firmness there is no such thing;
but this part of their duty which is extremely simple, they cannot be
induced to believe to be of importance: no one who has not seen death
happen over and over again from the neglect of it will believe it, and
even those upon whom melancholy experience has impressed the truth most
strongly, constantly allow themselves to be surprised at the slightness
of the excitement by which, and the advanced period of the convalescence
at which relapse may happen. It is not easy for a nurse to resist
incessant importunity and even reproach; and there are suspicions to
which a physician is subjected, which, when he sees that they are
entertained, it requires some moral courage to enable him to bear.
Without doubt he deserves the worst that can attach to him if he allow
the caprice, or the impatience, or the injustice of his patient, or any
earthly consideration to induce him to swerve from the faithful
discharge of the duty he has undertaken. The unreasonableness of the
convalescent, should be considered and treated as the delirium of the
preceding stage.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account