How to Care for the Insane: A Manual for NursesGranger, William D.
Science
How to Care for the Insane: A Manual for Nurses
Granger, William D.
Psychiatric nursing
The digestion.--Observe if natural, or painful, and if so, whether upon
taking food, or if the pain is delayed; if gas is discharged from the
mouth, if the stomach is sour, if the food is heavy and distressing; also
observe what kinds of food give dyspepsia, and what seem to be well borne.
Of vomiting.--Observe if occasional or constant, if immediately after
food, or delayed, if sour or bitter, if preceded by pain or nausea, if it
contains any undigested food.
Of diarrhoea.--Observe how frequent the discharges, if with pain, and
where it is situated, the color, the consistency, if there is any blood
or mucus, if it alternates with constipation.
Of constipation.--Observe if alternating with diarrhoea, if habitual,
the effect of medicine and food; if there are any piles.
The menses.--The quantity, if there is any pain, its cessation and
reappearance, if any effect upon the mental condition.
Of pain.--Observe the character and severity, its location, and any
evidence of a cause.
Of dropsy.--Observe if it is general or local, if in the chest, face,
abdomen, arms, or legs; if there are any varicose veins.
Of sleep.--Observe the length of time, if quiet and natural, if restless,
if deep or light, if there is great drowsiness or continued wakefulness,
and the effects of medicine.
Of unconsciousness.--Observe if it comes on slowly or suddenly, if partial
or complete, if the patient can be aroused.
Of convulsions.--Observe if slight or severe, if of short or long
duration, if continued or interrupted, if general or of one side, or of an
arm or a leg, or the face, or of a few muscles only.
Of the mental condition.--Observe if fixed or changeable, the nature of
delusions, illusions, or hallucinations; dangerous attempts or threats
toward himself or others; any change in the mental state.
Of habits.--Observe if fixed or changeable, how formed or how corrected.
Of the general conduct.--Observe the dress, if neat and tidy, or
otherwise, private habits, care of personal wants, improvement in conduct,
the influence of attendants and other patients, or the influence the
patient himself exerts on others.
This by no means includes all that it is necessary to observe, but it
contains much that is important, and the system, if studied and used
practically, will suggest to the observer whatever may require attention.
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