American Red Cross Text-Book on Home Hygiene and Care of the SickAmerican National Red Cross
Science
American Red Cross Text-Book on Home Hygiene and Care of the Sick
American National Red Cross
Home nursing; Hygiene; Nurses; Nursing
Old people are keenly sensitive to cold, since the circulation gradually
becomes less vigorous and they take little exercise. Keeping them warm
both in bed and out adds more perhaps to their comfort than any other
one measure. They should have warm underclothing and soft shawls and
other extra wraps. A real service will be rendered by the person who
invents a suitable and dignified wrap for old or feeble men, who dislike
the informality of sweaters and feel disgraced by shawls. Old persons
should and can be kept warm in bed, by providing them with hot water
bags, with warm night clothes including stockings, by using woollen or
outing flannel sheets if necessary, and by providing a sufficient number
of light but warm bed covers. It is not always understood that many
covers do not remedy the deficiencies of a thin mattress. If a thick
mattress or two thin mattresses cannot be provided, a thick comforter or
even many layers of newspaper should be placed between the mattress and
the springs, and another thick comforter should be placed between the
mattress and the lower sheet. Rubbing the body with warm olive oil often
affords great comfort, by improving the circulation and thus increasing
the sensation of warmth, and also by relieving the tendency of the skin
to become dry and cracked. Poor circulation at night may cause cramps in
the muscles of the legs; the cramps can usually be relieved by warmth
and gentle rubbing.
Old people frequently wish their rooms to be very hot, both by day and
by night, even as hot as 80° or 85°, but if it is possible to keep them
warm in any other way the temperature of the room should be kept at 70°.
Well ventilated rooms are highly important for old people as for all
others of low resistance, and it is entirely possible for their rooms to
be warm and yet well ventilated. Aged persons should be carefully
guarded from chill, exposure, crowds, and infected persons. Like little
children they are peculiarly susceptible to the respiratory diseases,
which cause many of the deaths commonly attributed to old age.
Digestion usually becomes weaker than in earlier years, and less food is
needed. It should be simple, hot, and divided into four or five meals
rather than three. Old people often wake at an early hour, and hot
nourishment will prevent them from growing weak and faint while waiting
for the family breakfast. Both constipation and looseness of the bowels
are common ailments in old age. So far as possible the bowels should be
regulated by means of diet; but muscular weakness resulting in inability
to control the bowels should not be mistaken for and treated as
diarrhœa.
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