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
Many patients go out to walk on parole. Those who are allowed this liberty
will be designated by the physicians; any change in the patient that
makes such liberty dangerous should at once be reported. Others go out in
large parties, with few attendants to care for them, while the old, sick,
and feeble, the homicidal and suicidal, the noisy and violent, require
special care and attention in their exercise and walks.
_Clothing of Patients._--In many asylums each patient has his own
clothing. Every article should be plainly marked with his own name, and
should be used only by the patient to whom it belongs, and never given to
any one else to wear. All clothing should be kept clean and well mended,
and should be properly put on and kept on during the day. There should
always be enough to keep the patient warm, and changed with the changes in
the weather, or the temperature of the ward, or the needs of the patient.
The sick, feeble, and old always need extra clothing; that worn next the
skin should be changed at least once a week, and all clothing should be
changed as often as soiled.
_Bathing of Patients._--Every patient should be bathed once a week and as
much oftener as is necessary. The tub should be cleaned and the water
changed for each patient; the temperature should be about ninety-five
degrees, or not hot to the hand, and the tub should be about two-thirds
full. The head, neck, and body should be washed with soap; each patient
should have a clean towel, be wiped dry, and given a change of clean
clothing.
Some patients object to bathing; they fear the tub, but will wash with
water and a sponge, and they should be allowed to do so. Others want to
bathe first; let them, if possible. Others will not bathe the day the rest
do; it is sometimes best to humor them.
Some patients have to be forcibly bathed. In such cases always wait, use
every art to induce them to bathe, and before acting send for advice.
Attendants are too prone to think that every thing should be done by rule,
and that all must be forced to obey the rule. Most will observe it without
trouble, and the object sought can generally be gained by patience, tact,
and kindness.
_Serving of Food._--The dining-tables should be neatly set and made
attractive; the food should be promptly served, and while hot; all
patients should be at meals, unless excused by the physicians. Economy
should be practised, and every thing should be used or saved. Each person
should have enough, but no one should be allowed to make a meal of a
delicacy, or take all of the best of a dish. Some patients would waste a
pound of butter or sugar at each meal; enough is sufficient for anybody.
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