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 old and feeble should be served by attendants; those without teeth
should have their food prepared, and the meat should be cut very fine.
Those who will not eat must be kept in the dining-room and fed; the
attendants may use force by holding the hands, and placing food in or to
the mouth; but it is dangerous to do more, and holding the nose is
something that is never allowable. If these efforts to get them to take
food do not succeed, report to the physician. Some patients from delusions
will eat certain kinds of food, and either not get enough or not a
sufficient variety.
A mixed diet is the best, and patients should if possible be made to eat
bread, butter, meat, vegetables, and drink milk and plenty of water. No
patient should be allowed to lose in flesh and strength on account of
failure to take sufficient, or proper food; before these things happen it
should be reported to the physician. Some patients will only eat enough if
they are allowed to eat it in their own way; they will eat it perhaps
standing, or after the others have finished, or alone, or in their room,
or they may steal it, if given the opportunity. Such peculiarities often
have to be indulged.
Some patients will take nothing but milk, then about three quarts a day
are needed; eggs may be added and are often readily taken, and some may be
got to eat bread and milk, which is a very nutritious diet.
The food of the sick should be nicely and invitingly served, and efforts
should be made to meet their whims and fancies.
Patients who are so profane, violent, or noisy, that they are not allowed
to come to the dining-room, must always be fed by, and in the presence of
an attendant, and meals should not be passed into a patient's room and
left there.
Knives and forks should always be counted by an attendant before and after
each meal; care should be used that they are not lost, secreted, or
carried out of the dining-room by patients. No one but an attendant should
ever handle the carving knife and fork, or the bread knife.
_Care of Patients when Going to Bed, or Rising._--The beds should be daily
aired, and always clean and nicely made up; for a filthy patient a straw
bed, that can be changed, alone is clean.
All patients do not need to go to bed at the same time, and while some are
able to care for themselves, most need care, attention, and watching. The
helpless should be dressed and undressed, and put to bed first: the
violent and homicidal need to be watched, and should be put to bed early,
while the suicidal should be kept under supervision, and put to bed at the
most convenient time. After a patient is in bed, an attendant should go
into the room, with a lantern, so as to see that every thing is in order
and safe, and, with a cheerful "good-night" close the door. Patients who
need care should be visited during the evening, and left clean and in good
condition to be cared for by the night watch.
Public-domain text, read in full here on John Shaqi.
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