Hospital housekeepingAikens, Charlotte A. (Charlotte Albina)
Science
Hospital housekeeping
Aikens, Charlotte A. (Charlotte Albina)
Hospitals
Next in value to milk and its preparations, on the liquid diet sheet,
come broths. When broths are required for patients suffering from
acute or febrile diseases, the housekeeper should see that a rich and
nutritious article is provided—not water flavored. In the preparation
of these broths, the object should be to extract as much as possible of
the soluble elements of the meat into the water. The meat should be cut
in small pieces and put in cold water, the temperature being gradually
raised to about 160° F. The remainder of the cooking should be a gentle
simmering process. For these broths the cheaper part of meat may be
utilized, and it is hardly necessary to add that when a cheaper grade
article can be used with equal satisfaction it should always be done.
In the preparation of soups, care must be exercised regarding the
flavor. All strong and decided odors, such as onion, should be avoided.
In fact it is usually better to have a carefully combined flavor than
one special flavor that may be disagreeable to some tastes.
[Sidenote: Soups]
As a general rule it is well to have soup of some kind on all the
dietaries of the hospital once a day, except in the very hot weather.
The body, even in health, requires a large proportion of water, and
in most diseases water has a real therapeutic value. It is needed as
a solvent agent during digestion and assists in the various processes
of absorption, secretion and excretion. When, therefore, it can be
combined with certain food substances to form an acceptable article
of diet, it should be done. The value of broths and soups is not
sufficiently appreciated by the poorer classes, and the hospital
dietary should form a practical lesson on sensible diet. The bones
of meat can be utilized in the making of soups, a nutritious extract
consisting chiefly of gelatin being obtained by boiling them. It is
said that three pounds of bone contains as much carbon as one pound of
meat, and as much nitrogen as seven pounds of meat. In serving broths
to patients care must be taken to remove all floating grease. When
there is time, it is always better to allow the soup or broth to become
thoroughly cold, and then have it carefully skimmed. A few drops of
oil or grease on the broth may be sufficient to destroy the appetite
for food that is such an important factor in tiding a patient over the
critical period.
[Sidenote: Cooking Meats]
Public-domain text, read in full here on John Shaqi.
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