Dietetics for NursesProudfit, Fairfax T. (Fairfax Throckmorton)
Science
Dietetics for Nurses
Proudfit, Fairfax T. (Fairfax Throckmorton)
Diet in disease
As has already been said, no food has so far been discovered which
could be effectually substituted for milk. There is no food, however,
which requires more attention in its selection and care. It is very
susceptible to both odors and flavors, absorbing them both readily, as
will be found if milk be placed in the same compartment with foods of
strong odor and flavor, without being properly covered and protected.
This is particularly noticeable with cucumbers, melons, etc.
Milk also furnishes a splendid medium for bacterial growth, and if
left exposed to the air, put into unclean receptacles, or kept in a
warm place, will immediately become more or less contaminated, after
which it is unwise to use it. Sterilization and pasteurization will in
a measure overcome the bacterial contamination, but milk purchased
from a dairy which is not clean or milked under unsanitary conditions
will remain dirty, hence unfit for human consumption. When the
morning's milk supply is brought to the house it should be in clean,
well-stoppered bottles, but before placing it in the ice-box the tops
of the bottles should be carefully wiped off with a wet cloth to
remove any superficial dust which may be adhering to them. Every time
a portion of the milk is removed thereafter the tops should be again
cleansed before the milk is poured out. This is a wise precaution, and
often prevents contamination from the hands, etc.
The amount of water in milk prevents its being an adequate food for
adults except in certain pathological conditions. However, it
furnishes a supplementary food unequaled by any other beverage known.
There are fortunately only a few individuals who are unable to drink
milk. There are many who fancy they cannot do so, but if the nurse has
the ingenuity to utilize some of the various methods whereby milk is
made more digestible, it will generally be found that the patient can
take it without trouble. In cases of personal dislike, if the milk is
flavored or colored or made up into soup, cocoa, chocolate, junket,
custards, blanc-mange, etc., it will usually prove acceptable.
~Application of Heat.~--A word as to the changes which are brought
about as the result of heat as applied to milk. These changes are
demonstrated in the two methods commonly used in the preparation of
milk known as "pasteurization" and "sterilization." Pasteurization is
rather an indefinite term to use, unless the time and the temperature
to which the milk is subjected are given. According to Morse and
Talbot "the term sterilization should never be applied to the
processes used in the preparation of milk for the feeding of infants,
because the milk is never rendered bacteriologically sterile by
them."[31]
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