Dietetics for NursesProudfit, Fairfax T. (Fairfax Throckmorton)
Science
Dietetics for Nurses
Proudfit, Fairfax T. (Fairfax Throckmorton)
Diet in disease
~Tuberculosis Nursing.~--The nurse must keep in mind that the lungs
are in a condition more or less out of commission, and their work of
excretion is forced upon the kidneys. For this reason, as well as on
account of the increased strain upon the heart, it is necessary to
keep the diet light and avoid all foods which may in any way exert an
unfavorable influence upon either the kidneys or the heart.
~Milk Diet.~--A strict milk diet has been found necessary in certain
cases of pneumonia, but this is used only while the febrile condition
lasts, after which the diet is gradually increased, as in the case of
acute nephritis and in diseases of the heart, to meet the needs of the
individual.
TONSILLITIS
~Dietetic Treatment.~--The diet in this condition is much the same as
that used in other acute febrile conditions, that is, a fluid diet,
the basis of which is, as a rule, milk.
The development of nephritis and certain cardiac symptoms at times
follow attacks of tonsillitis, and for this reason the urine must be
examined frequently and the diet carefully adjusted to avert, if
possible, this danger. When acute nephritis does follow the attack of
tonsillitis, the diet must necessarily be adjusted to meet that
condition rather than that of the original disease.
~Special Diets.~--The Mosenthal diet, and at times the Karell Cure, is
used with more or less success. This, however, is adjusted by the
physician. It remains for the nurse to report any unfavorable symptoms
as soon as they occur, and to carry out the line of dietetic treatment
deemed advisable by the physician.
SUMMARY
TUBERCULOSIS
~Form.~--Acute and chronic in character. The chief aim of the
treatment in the former is to prevent its development into a chronic
form.
~Rest.~--~Sleep~, preferably in the open air, in a tent or on a
sleeping porch.
~Proper Surroundings~ should be striven for. The patient should be
kept tranquil in mind and body, free from disturbing worries and
assured of the possibility of recovery with proper care.
~Diet~ should be adequate without being too abundant; stuffing the
patient is no longer considered necessary, in fact it is believed that
forcing the eating of large quantities of eggs, etc., defeats its own
ends, upsetting the digestion and causing a disgust for food almost
impossible to overcome.
~Gastro-intestinal Disturbances~ are apt to develop as the disease
progresses. These are treated as in other conditions so complicated,
except that the period of starvation must necessarily be limited on
account of the metabolic waste already taking place from the disease
itself.
PNEUMONIA
~The Lungs~, as in pulmonary tuberculosis, are the seat of infection
and are temporarily hampered in their work of excretion.
~The Kidneys~ bear the brunt of the extra work caused by the
impairment of the lungs, consequently all unnecessary work must be
spared these organs if they are to be prevented from being overtaxed.
Public-domain text, read in full here on John Shaqi.
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