Conference of Officers in Charge of Government Hospitals Serving Veterans of the World War
History
Conference of Officers in Charge of Government Hospitals Serving Veterans of the World War
Medicine, Military; Military hospitals; World War, 1914-1918 -- Veterans -- Medical care -- United States
Among these patients we find the necessity for a wide variety of diet,
ranging from the more common types as liquid, soft and light to the more
complicated pathogenic diets. In what are termed the General Hospitals
are found patients suffering from many ailments such as nephritis,
diabetes, colitis and many gastric disturbances. In some Public Health
Service Hospitals, as many as four hundred special diets are served
daily. In planning and equipping new buildings provision should be made
for such a volume of work. It is impossible to satisfactorily serve many
special diets from a general kitchen without proper facilities. Careful
planning is not only necessary in the kitchen, but also in the serving
and dining rooms. The patient on regular diet who may, perhaps, be
eating corned beef and boiled potatoes is not likely to see his neighbor
eating broiled steak and mashed potatoes, without making some comment.
If this is not handled carefully, serious trouble may result. Where
there are a number of small dining rooms it will be found wiser to use
some of them for special diets.
In one hospital the large mess hall was divided into sections. There
happened to be a number of doors, over each of which were placed signs
reading—Diabetic Diet, Nephritic Diet, etc. This arrangement worked very
satisfactorily, the patients filing in in an orderly manner wherever
their particular diet was indicated. This is a matter which is entirely
dependent on the construction of the hospital however.
Of course, care must always be taken that patients on regular diet who
want a few extras do not slip into a special diet dining room. In a
hospital too large for the dietitian to easily recognize her patients,
this may be regulated by a pass of some description. Often times the
Officer of the Day in making his inspection of meals may discover one of
these visitors.
Not only must we consider the patient who comes to the dining room, the
bed-ridden patient is perhaps worthy of even greater consideration. His
appetite must be coaxed, his tray must be attractive, and above all, his
food must be hot or cold, as the case requires. The satisfactory
conveyance of food from kitchen to patient is a problem in all
hospitals. Many institutions are so arranged that it is necessary to
serve a few trays in almost every corner of the building. In such cases,
it is well nigh impossible to attain the desired results. The ideal
arrangement is one whereby the sick patients are focussed at a point
near a kitchen. If Medical Officers would arrange this, other conditions
permitting, they would find that many of the difficulties of food
service would be eliminated.
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