Dietetics for NursesProudfit, Fairfax T. (Fairfax Throckmorton)
Science
Dietetics for Nurses
Proudfit, Fairfax T. (Fairfax Throckmorton)
Diet in disease
~Lavage.~--When lavage is necessary the patient must be allowed to
rest after the process before being given food, otherwise it is apt to
be vomited.
~Instructions to Nurse.~--The treatment for gastric ulceration is thus
seen to be strenuous. In the beginning the patient is placed on a
liquid or semi-solid diet, or is not fed at all for a time. This is
done that the diseased organ may have a chance to adjust itself as far
as possible and to give the physician an opportunity of studying the
changes taking place in that organ. During the course of the disease
the general symptoms which develop from time to time, causing more or
less pain and discomfort to the patient, are nervousness, which in
some individuals amounts to melancholia, extreme anemia and an utter
distaste for food, all of which require patience on the part of the
physician, the nurse, and the patient herself to overcome. The nurse
must see that the patient is not disturbed or made unhappy by having
business or home cares talked over in her presence; she must be kept
as cheerful and as comfortable as her condition permits and urged to
use care in her diet. After the ulcer is healed, to prevent a return
of the trouble she must be warned against eating too fast or when
over-tired, and she must be advised against very hot and highly
seasoned foods, for, in the observance of these simple common-sense
precautions only is she even in a measure saved further attacks.
~Special Diets Used for Gastric and Duodenal Ulcer.~--There are
several well-known diets used in these conditions. Among those that
have been found most satisfactory may be mentioned the Sippi diet, the
Lenhartz diet.
All of these diets require the most careful adjustment as to
regulation of intervals of feeding, type of food material used, and
method of preparation and administration of food.
The treatment is directed toward the reduction of the free
hydrochloric acid in the stomach in order that the ulcer may have an
opportunity for healing.
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