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
When the artery in the leg is wounded, pressure is to be made on the inner
side of the thigh, just below the groin. The position of these large
arteries, and how to press against the bone, is best learned by
instruction and demonstration from a physician, and with a little practice
attendants will be able to easily and successfully do the act.
It is very tiresome to continue pressure with the fingers for a long time,
and attendants should relieve one another till the physician comes.
_The Care of Sprains._--Sprains are a common accident and easily produced.
The great end of treatment is to keep the sprained joint quiet. If the
ankle or knee is sprained, the patient should be carried to bed. Perhaps
the best early treatment, and the one that gives the greatest relief to
pain, is to place the joint in a tub of water as hot as can be borne, and
keep it hot by pouring in more. The part should be kept in the water until
it is parboiled. The skin of some feeble or paralytic patients is easily
scalded, and some cannot tell when it is too hot; the water therefore
should never be uncomfortable to the hand of the attendant.
_Care of Patients Choking._--This is a frequent accident, and in order to
know what to do when it occurs, it is necessary to have a knowledge of the
air passages of the throat.
We breathe through the mouth and nose. They open into a common passage,
the pharynx, which can be seen by looking into the mouth, lying back of
the tonsils. Passing downward, it divides by branching into two tubes; one
the windpipe, which is in front, behind it is the oesophagus or gullet.
The point of division is just beyond the tongue, and is almost within
reach of the forefinger when crowded into the mouth.
The air we breathe passes through the mouth and nose to the pharynx,
thence to the lungs by the windpipe. The food we eat passes from the mouth
to the pharynx, and thence to the stomach by the oesophagus.
There is at the opening of the windpipe a cover, the epiglottis, which is
generally open, but which closes when food is swallowed and helps to keep
food from entering. When a substance touches the opening of the windpipe,
we instantly cough to expel it.
A person may choke, when the mouth and the pharynx back of it are filled
with food; or when a piece is lodged in the wind-pipe, or a large piece in
the oesophagus at the point of division, and which crowds upon the
windpipe, or covers the opening. Food gets into the windpipe, by being
drawn in by a sudden and unexpected inspiration of air. This may happen
while eating or in vomiting solid food. With this accidental exception all
breathing stops during the act of swallowing.
Some patients, from paralysis, especially paretics, do not feel food when
it is lodged in the throat; others, from great dementia, may not know when
they are choking, and show no emotional signs of distress. Paretics are
particularly liable to bolt their food, and cram the mouth and throat
full.
Public-domain text, read in full here on John Shaqi.
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