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 Care of a Cut Throat._--Patients may cut their throats from ear to
ear and do really little injury, or they may make a small stabbing wound
and divide a large blood-vessel and die almost immediately, or they may
cut the windpipe and not cut the blood-vessels. The windpipe you can
notice upon yourselves as a large, stiff tube, prominently situated in the
middle and front of the neck; the blood-vessels are together on each side
of the windpipe, and situated quite deep down among the muscles, and the
carotid artery may be felt beating by the finger. Little can be done by
the attendants to stop the flow of blood, even if the great blood-vessels
are not cut. The head should be kept bent forward and the chin pressed
against the chest.
After the physician has dressed the wound, constant watching day and night
may be required to prevent the patient tearing off the bandages and
reopening it. This same rule of watchfulness applies to the after-care
needed to be given to many cases of fracture, and other serious injuries
among the insane.
_Care of Wounds of the Extremities with Hemorrhage._--The hemorrhage from
most simple wounds involving the cutting of skin and flesh or small
arteries, can usually be controlled by direct and continued pressure. This
may be done by a pad made of cloth, packed and pressed into the wound, or
lint may be used in the same way. Water as hot as can be borne poured into
the wound will frequently stop a hemorrhage when other means fail; cold
applications and ice are also useful. If dirty, a wound should be
thoroughly cleaned, being washed, and, if necessary, soaked in warm water.
Iodoform sprinkled so as to cover wounds, is the best dressing for all
attendants or nurses to apply, while awaiting directions from a
physician. It keeps them clean, promotes healing, and lessens the danger
of inflammation or the formation of pus.
When the arteries of the extremities are cut, pressure should be made on
the large artery leading to the part. When the wound is high up on the
arm, pressure is made by the fingers or a padded key upon the artery that
lies back of the collar bone, and the attempt should be made to press it
against the bone. This is a difficult thing to do, but nevertheless it
should be attempted. When the wound is lower down, pressure is to be made
by the fingers on the inner side of the upper arm, at about the middle
point and against the bone. The artery runs downward, near the inner
border of the biceps muscle, which is the large, bulging muscle of the
upper arm, and can, with a little care, be felt beating by the fingers.
Patients in breaking glass often cut one or both arteries at the
wrist-joint where the pulse is felt. These are large and bleed rapidly,
and when cut need the care just described.
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