Hospital housekeepingAikens, Charlotte A. (Charlotte Albina)
Science
Hospital housekeeping
Aikens, Charlotte A. (Charlotte Albina)
Hospitals
As a general rule the heaviest meal of the day—the dinner—should be
served in a hospital at mid-day. This plan will be more satisfactory
to those on whom the preparation of the meal devolves, and it is
distinctly better for the patients. The time needed for the digestion
of meats and vegetables is estimated at from three to five hours. If
the heavy meal is served late in the day the work of the stomach cannot
be completed in time for the patient to get to sleep early, and if
the stomach is actively engaged in digestion the rest is likely to be
retarded or disturbed. This rule of course does not apply to patients
in a weak condition who must be fed at frequent intervals and in
smaller quantities. And it needs also to be remembered that a perfectly
empty stomach does not contribute to repose, and indeed is a frequent
cause of wakefulness.
A plain, wholesome early breakfast for the “help” and for the nurses is
a necessity in a hospital where the heaviest work comes in the morning
hours. This should be as substantial as the appetite and digestion
are equal to. With nurses who are constantly exposed to morbid and
depressing influences, the breakfast is of special importance, and
a nurse who does not partake of a hearty breakfast is always more
susceptible to deleterious influences. The rush of work, long hours,
mental anxiety, and almost constant walking or standing, which are
incident to hospital life, make it very necessary for a good quality
and quantity of food to be prepared for those who have the direct
responsibility of the care of the sick. And while extravagance ought to
be guarded against, yet no mistaken idea of economy should prevent the
housekeeper from serving a well-balanced, nutritious and attractive
dietary to these important members of her household.
The housekeeper should not fail to remind herself constantly that
“variety is the spice of life,” and should see that “wholesome variety”
characterizes her meals, for the nurses as well as patients, from week
to week. The element of surprise or unexpectedness figures largely
in the pleasures of every-day life. Anything that leaves out the
possibility of the “unexpected,” especially on a nurses’ table, has
much in it to condemn and little to commend.
On the nurses’ table clean table linen at frequent intervals ought
not to be regarded as a luxury, and certainly it adds greatly to the
enjoyment of a meal. A few of the flowers that are often distributed
lavishly in a ward would as fully fulfil their mission there. A pretty
growing plant purchased occasionally for the same purpose is an
extravagance that could be forgiven. Then, besides refined surroundings
and neat, attractive table service, the character of the food, the
quality, could be greatly improved by a little careful planning without
any great, if indeed any, increase of expense. Dr. Peters, of the Rhode
Island Hospital, in an admirable paper on hospital dietaries, asked the
following pertinent questions:
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