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
A patient should, if possible, not see or smell either the food of
others, or a greater amount of food than he himself can consume at one
time, or even hear food talked about or see it in the raw state. I know
of no exception to the above rule. The breaking of it always induces a
greater or less incapacity of taking food.
In hospital wards it is of course impossible to observe all this; and
in single wards, where a patient must be continuously and closely
watched, it is frequently impossible to relieve the attendant, so that
his or her own meals can be taken out of the ward. But it is not the
less true that, in such cases, even where the patient is not himself
aware of it, his possibility of taking food is limited by seeing the
attendant eating meals under his observation. In some cases the sick
are aware of it, and complain. A case where the patient was supposed to
be insensible, but complained as soon as able to speak, is now present
to my recollection.
Remember, however, that the extreme punctuality in well-ordered
hospitals, the rule that nothing shall be done in the ward while
the patients are having their meals, go far to counterbalance what
unavoidable evil there is in having patients together. I have often
seen the private nurse go on dusting or fidgeting about in a sick room
all the while the patient is eating or trying to eat.
That the more alone an invalid can be when taking food, the better, is
unquestionable; and, even if he must be fed, the nurse should not allow
him to talk, or talk to him, especially about food, while eating.
When a person is compelled, by the pressure of occupation, to continue
his business while sick, it ought to be a rule WITHOUT ANY EXCEPTION
WHATEVER, that no one shall bring business to him or talk to him while
he is taking food, nor go on talking to him on interesting subjects up
to the last moment before his meals, nor make an engagement with him
immediately after, so that there be any hurry of mind while taking them.
Upon the observance of these rules, especially the first, often depends
the patient's capability of taking food at all, or, if he is amiable
and forces himself to take food, of deriving any nourishment from it.
A nurse should never put before a patient milk that is sour; meat
or soup that is turned, an egg that is bad, or vegetables undone.
Yet often I have seen these things brought in to the sick in a state
perfectly perceptible to every nose or eye except the nurse's. It is
here that the clever nurse appears; she will not bring in the peccant
article, but, not to disappoint the patient, she will whip up something
else in a few minutes. Remember that sick cookery should half do the
work of your poor patient's weak digestion. But if you further impair
it with your bad articles, I know not what is to become of him or of it.
Public-domain text, read in full here on John Shaqi.
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