Hospital housekeepingAikens, Charlotte A. (Charlotte Albina)
Science
Hospital housekeeping
Aikens, Charlotte A. (Charlotte Albina)
Hospitals
For patients on fluid or liquid diet, such articles must be provided
as beef tea, beef juice, chicken broth, mutton broth, gelatine, barley
water, cocoa, certain forms of strained gruel, albumen water, koumyss,
buttermilk, whey and sweet milk served in its natural state or in its
almost numberless combinations that vary the flavor.
For those on semi-solid diet such foods as oatmeal gruel, custard,
ice cream, rice, tapioca, sago, and sometimes milk toast are used in
addition to the foods included in fluid diet.
For patients on light diet such additions are made as bread, toast,
some fruits, certain kinds of fish, such as oysters, clams and the
white-fleshed fishes, poultry and game.
Regular diet in a hospital may include all the above articles with
beef, mutton and other meats added, certain vegetables and all fruits.
For patients in the transition stage with weakened digestive functions,
the shorter fibred meats are usually served in small quantities, before
beef, mutton and other meats more difficult of digestion. But even in
the regular diets, much discretion needs to be used. Many articles
that are permitted in health have no place on the hospital dietary.
Boiled cabbage, or cucumber pickles, or boiled dumplings, might be
relished by the heartier of the patients on regular diet, but would be
entirely unsuitable for the majority, and therefore not an economical
food to serve. Even though digestion is not seriously impaired, the
functions because of lack of exercise are sluggish, and it is unwise
to put unnecessary tax on the excretory organs. So that though doctors
may give full permission for the patient to “eat anything,” the
housekeeper’s common sense will prevent her from incorporating in the
hospital dietary many articles of food allowed in health.
The foods included in each class of diets and the limitations should be
thoroughly understood by the whole working staff of the hospital. It
is well to have printed lists conspicuously posted in different parts
of the hospital. On no account should milk be allowed to be given to
hearty patients on full diet, or to any patient on that class of diet
unless specially ordered by the physician in charge. This rule needs
special emphasis or milk bills may be greatly increased with no special
benefit to any one.
As a rule the patient who is on an exclusive liquid diet must be dealt
with individually and with great discrimination. The amount and kind of
diet will be prescribed by the physician. But in these cases special
preparation becomes very important. Milk frequently forms a large part
of the fluid diet, as it is one of the very few complete foods.
Various forms of pre-digested and concentrated foods are in use that
are of great value in such cases, but they belong to the drug room,
rather than the kitchen, and need not be mentioned here.
[Sidenote: Broths]
Public-domain text, read in full here on John Shaqi.
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