Dietetics for NursesProudfit, Fairfax T. (Fairfax Throckmorton)
Science
Dietetics for Nurses
Proudfit, Fairfax T. (Fairfax Throckmorton)
Diet in disease
If a meal is made up of the right kind of foods, in the proper
proportion, and each individual eats sufficient to assure the
maintenance of the normal weight, is free from gastro-intestinal
disturbances, and shows a normal resistance to disease, it is more
than probable that a sufficient quantity is being consumed each day.
All foods should be carefully selected, and properly prepared in order
to derive the maximum benefit therefrom, and the regularity and
attractiveness with which the meals are served have almost as much to
do with the health and happiness of the individual, as the character
of the foods included in the day's dietary.
PROBLEMS
(a) Calculate the dietary requirements of a nurse weighing 125 pounds,
who spends 8 hours sleeping, 8 hours on duty, 2 hours at meals, 2
hours brisk walking, 2 hours in the class room, and 2 hours reading or
studying.
(b) Calculate the diet for a child of ten years of age, weighing 65
pounds, showing the number of calories, the amount of protein,
calcium, phosphorus and iron necessary to make this diet cover the
requirements of the child.
FOOTNOTES:
[20] "Archives of Internal Medicine," Vol. XXVII (1916), p. 916.
[21] "Chemistry of Food and Nutrition," (revised), p. 186, by Henry
Sherman.
[22] The Same.
[23] Gillett, A. I. C. P. of N. Y.
[24] Table compiled from material in "Feeding the Family," by Rose.
[25] "The Adequacy and Economy of Some City Dietaries," by Sherman and
Gillett.
[26] Part of soft-cooked egg may be given at the beginning of eleventh
month; this must be given at the noon meal, and should not be included
in each day's meal (two or three times a week is sufficient).
[27] Dr. Hess advises the use of canned tomato juice as a substitute
for orange juice when the latter is unobtainable.
SECTION II
LABORATORY OR DIET KITCHEN WORK
CHAPTER IV
METHODS OF FEEDING IN NORMAL AND ABNORMAL CONDITIONS
There are several methods of feeding which have been adopted to meet
the needs of the individual under various conditions: Feeding by
mouth, gavage or forced feeding, rectal feeding (nutrient enemata),
and inunction.
~Feeding by Mouth.~--The first method is the one used in health and in
the majority of abnormal conditions. In cases where there is a certain
abnormal development of the mouth or throat, and in some cases of
insanity or unconsciousness, where for some reason it is impossible
for the individual to swallow, this method cannot be used.
~Forced Feeding.~--With very young children and babies gavage or
forced feeding is found at times to be necessary. In these cases a
small rubber catheter is introduced into the stomach through the
nostrils and the milk or other fluid poured through the tube. In
unconscious or insane patients it is often found necessary to insert a
gag (a cork will serve the purpose) between the teeth to prevent the
biting of the tube when it is inserted through the mouth into the
stomach.
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