How to Care for the Insane: A Manual for Nurses — John Shaqi
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 Control and Influence of Attendants over Patients._--By a "smart
attendant" is meant one who sees little to do beyond having a control of
the ward by a rule that is close and exacting, who maintains a strict
discipline, and who has a love for cleanliness, order, work, and
scrubbing. But a "useful attendant" is one who tempers these mentioned
traits, by striving to gain the confidence of his patients, by exerting
over them a beneficial influence, who is able to bring the individual
patient into accord with his surroundings in the asylum, so as to help his
improvement or recovery, meet his wants, and increase his comfort and
enjoyment. In order to do this it is necessary that the attendant should
give careful study and attention to each patient. Such a study will soon
demonstrate to, and teach the attendant the fact, that the insane are very
individual in their habits, and while no two are alike, there are
resemblances that in an asylum are made the basis of classification by
wards: there is the convalescent, the suicidal, the demented, the sick and
feeble, and the noisy or violent wards.
Attendants must first learn that patients are not to be treated merely as
a ward full of people to be kept in order, to be clothed, fed, and put to
bed, but that the peculiarities of each patient are to be studied, and
that it is their duty to know thoroughly the wants, and condition of each
case, and how best to care for and control it. The better knowledge an
attendant has of the individual, the better he can care for a ward full of
individuals.
The persons who are under our care are always to be considered as
patients, and it must be remembered that these sick people are sent away
from their homes and given over to us, though strangers, because it is
supposed that we can do better by them than their friends are able to do.
Their position is one of helplessness and dependence upon those who are
placed in charge, and we are properly held responsible by the friends and
the public, for a judicious exercise of the power and influence we possess
over them.
Patients are not rightly influenced by the mere exercise of authority or
by dictation or command; these they fear and obey, or resent and resist;
but we should always appeal to the highest motives for obedience and
correct conduct, and we should lead our patients to trust and not to fear
us. In our dealings with them we should be truthful, straightforward, and
strictly upright, and exercise over ourselves patience and self-control.
We can generally control our patients by the exercise of sympathy,
kindness, and tact, joined with a reason for what is required, and where
more is needed, a firm, kind authority and command will suffice.
The use of authority, restriction, and restraint is to be avoided, while
on the other hand patients are to be allowed all the liberty and freedom
they can safely enjoy, and taught to exercise all the self-control they
are capable of.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account