Dietetics for NursesProudfit, Fairfax T. (Fairfax Throckmorton)
Science
Dietetics for Nurses
Proudfit, Fairfax T. (Fairfax Throckmorton)
Diet in disease
~The Stools.~--When the diarrhea is chronic in character, the
character of the stools indicates the seat of the inflammation. When
there is a great deal of undigested food found in them the upper part
of the bowel is more affected; when the stools contain more mucus than
food the lower bowel is the chief seat of the trouble. The frequency
and fluidity of the stools impose a great strain upon the entire body,
causing a progressive emaciation and anemia.
The treatment is similar to that instituted in acute attacks. The
starvation regime cannot be carried out for a long period. Efforts
must be made to ascertain the cause of the trouble and to overcome it.
This is, as a rule, more easily accomplished with adults than with
infants and children.
~Dietetic Treatment.~--The diet is the chief point of observation and
attention. The same care must be observed as is found necessary in the
after-treatment of acute diarrhea. The patient must be cautioned not
to eat indigestible foods or those which are known to cause trouble in
this respect. She must be warned against eating when over-tired.
ENTEROCOLITIS
Enterocolitis is an inflammation of the lower intestines and colon.
The stools contain more mucus than those occurring when the
inflammation is higher up in the intestines and blood is also more
frequent in these stools. The prostration is more marked and the fever
apt to be higher than in ordinary diarrheal attacks. However, acute
attacks of enterocolitis do not produce the marked anemia or the
emaciation which are so common in the chronic cases of enteritis.
Dietetic treatment the same as that used in acute diarrhea.
ACUTE DYSENTERY
Dysentery is a disease in which the seat of inflammation is the colon.
The bowels are distended and tender, the pain at times is acute and
spasmodic, and the fever moderate. The constant desire to defecate and
the straining which accompanies each effort, as well as the small
stools, containing both blood and mucus, furnish the characteristic
symptoms of this disease. Rest in bed is absolutely necessary; the
patient must be induced to use a bedpan.
~Dietetic Treatment.~--The diet consists entirely of liquids as in
acute diarrhea, the same careful regime being observed as in those
conditions. The soreness in the abdomen is at times relieved by spice
poultices or a hot turpentine stupe.
CHRONIC DYSENTERY
When the above conditions become chronic, the patient loses weight and
strength rapidly, becomes anemic and emaciated. The treatment, like
that used in the acute disease, consists of rest and liquid diet. The
medicinal treatment is left entirely in the hands of the physician.
APPENDICITIS
Appendicitis is an inflammation of the vermiform appendix. It may be
acute or chronic in form.
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