Dietetics for NursesProudfit, Fairfax T. (Fairfax Throckmorton)
Science
Dietetics for Nurses
Proudfit, Fairfax T. (Fairfax Throckmorton)
Diet in disease
Second: the need for limiting the amount and type of exercise taken,
especially after eating, since the work of digestion requires all the
power and strain of which the heart is capable, and since an
additional tax placed upon it by muscular exertion might readily be
just the final straw, the added fraction which weighs down the balance
on the scale of life.
Third: the advisability of abstaining from alcoholic beverages, unless
specially prescribed by the physician in charge.
Certain elderly people suffer from a condition known as senile heart,
which is more or less associated with arteriosclerosis and high blood
pressure. These individuals should be prevailed upon to take the
precaution of regulating their habits of life, avoiding excesses of
all kinds, not only on account of the weakened condition of the heart,
but also on account of the condition of the arteries. They should
avoid excitement and worry, since the very fact that they are worrying
increases the blood pressure. Simple foods in limited quantities, five
meals a day instead of three, and an avoidance of too much fluid,
should be the keynote of their daily regime.
Tact on the part of the nurse is necessary in all cases, both young
and old. It is often more difficult to instill good dietary habits in
heart patients, after acute symptoms have subsided, than to carry them
out during the acute attack, when the life itself depends upon a rigid
adherence to the diet prescribed. But as these rules and regulations
are essential to the future welfare of the patient, he must be taught
with care, and in such a way that he will not be alarmed to an extent
when more harm than good will come of the teaching.
The diet should consist chiefly of milk, eggs, rare meat in
moderation (mutton, chicken, fish, and oysters), well-baked bread,
well-cooked cereals, potatoes and green vegetables, and simple
desserts. All foods which in any way cause gastric or intestinal
disturbances must be avoided. If these disturbances arise during the
course of the disease, the patient should be promptly returned to the
strict milk diet. When edema is prominent, it is treated as already
described in the treatment for the like condition in nephritis by the
Karell or salt-free diet.
The dietetic treatment given here is merely a guide to be used under
certain conditions. The physician formulates the diet, and the nurse
must understand what to expect and how to apply the treatment as the
symptoms arise.
SUMMARY
~Dietetic Treatment~, adjusted to relieve the weakened heart muscles
and to save the organ from all possible strain.
~Three Stages~, during which the treatment changes according to the
extent and progress made by the disease.
First Stage: The diet is practically normal. Compensation is good,
consequently no dietary measures save the limiting of alcoholic
beverages are necessary.
Public-domain text, read in full here on John Shaqi.
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