Directions for Cooking by Troops, in Camp and Hospital: Prepared for the Army of Virginia, and published by order of the Surgeon General, with essays on "taking food," and "what food."Nightingale, Florence
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Directions for Cooking by Troops, in Camp and Hospital: Prepared for the Army of Virginia, and published by order of the Surgeon General, with essays on "taking food," and "what food."
Nightingale, Florence
Cooking for military personnel; Cooking for the sick; Quantity cooking
Again, the nutritive power of milk and of the preparations from milk,
is very much undervalued; there is nearly as much nourishment in half
a pint of milk as there is in a quarter of a lb. of meat. But this is
not the whole question or nearly the whole. The main question is what
the patient's stomach can assimilate or derive nourishment from, and
of this the patient's stomach is the sole judge. Chemistry cannot tell
this. The patients stomach must be its own chemist. The diet which
will keep the healthy man healthy, will kill the sick one. The same
beef which is the most nutritive of all meat and which nourishes the
healthy man, is the least nourishing of all food to the sick man, whose
half-dead stomach can _assimilate_ no part of it, that is, make no food
out of it. On a diet of beef tea healthy men on the other hand speedily
lose their strength.
I have known patients live for many months without touching bread,
because they could not eat bakers' bread. These were mostly country
patients, but not all. Homemade bread or brown bread is a most
important article of diet for many patients. The use of aperients may
be entirely superseded by it. Oat cake is another.
To watch for the opinions, then, which the patient's stomach gives,
rather than to read "analyses of foods," is the business of all
those who have to settle what the patient is to eat—perhaps the most
important thing to be provided for him after the air he is to breathe.
Now the medical man who sees the patient only once a day, or even only
once or twice a week, cannot possibly tell this without the assistance
of the patient himself, or of those who are in constant observation on
the patient. The utmost the medical man can tell is whether the patient
is weaker or stronger at this visit than he was at the last visit. I
should, therefore, say that incomparably the most important office of
the nurse after she has taken care of the patient's air, is to take
care to observe the effect of his food, and report it to the medical
attendant.
It is quite incalculable the good that would certainly come from such
_sound_ and close observation in this almost neglected branch of
nursing, or the help it would give to the medical man.
Public-domain text, read in full here on John Shaqi.
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