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
In the morning patients need attention before any thing else is done.
First, the suicidal, sick and feeble, the violent, and those likely to be
filthy should be visited, and every patient should be washed and dressed
before breakfast; or, if for any reason they do not come to this meal,
their faces and hands should be washed, the bed put in order, and the room
made clean and aired.
After these things have been attended to, the ward work should be done,
though generally the two can go on together.
_Care of Patients during the Night._--After the patients have gone to bed
the ward should be quiet, doors should be quietly closed, voices lowered,
and loud calls and laughter not indulged in, squeaking boots should not be
worn, and heavy walking avoided. Many patients go to sleep early, but are
easily awakened, and may remain sleepless till morning, or at least a part
of the night.
The night watchers have responsible, arduous, and trying duties.
Attendants should always, during the night, quickly respond whenever a
demand is made upon them for assistance, though an unnecessary call
should never be made. The night watchers should be informed of any changes
that have occurred during the day, that will require their attention
during the night; they should see new patients and be made acquainted with
their peculiarities; they should visit the wards during the evening before
they come to the medical office to receive instructions from the
physicians.
It is the duty of a night watch to visit regularly all the wards under his
charge; to see and know the condition of the sick, the helpless, feeble,
the suicidal, and the epileptic; to attend to, by taking up, those who are
inclined to be filthy, and wash those who need it, and make them, their
beds, and rooms perfectly clean. He should observe the conduct of new
patients, be watchful of the violent, know how much wakeful patients
sleep, visit all associated dormitories, wait upon all those who need
attention, and guard against fire and accident. The night watch should
place each day on the medical office table, a detailed account of every
patient that needed care or attention, who was disturbed, or did not sleep
during the previous night.
Patients should be left clean for the night watch, who should leave them
in as good condition in the morning, for the day attendants, and any
neglect in these directions should be reported by either party. Sick
patients frequently have to receive special night service, to be watched,
and given food and medicine. When this cannot be done by the night watch,
it devolves upon the day attendants, and is a duty that should be
cheerfully rendered.
Public-domain text, read in full here on John Shaqi.
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