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
No patient, unless ordered by the physician, should be allowed to keep
his cup and take his medicine at his leisure. Suicidal patients often ask
to do this, and then save the medicine, until they have enough to poison
themselves. Others will throw the medicine away. The way to administer
medicine to the insane is to give it personally to the patient, and also
see that it is swallowed. It is a frequent custom of many patients to
retain the medicine in the mouth, and, when the attendant has left, to
spit it out.
It is often very important that patients should take the medicine ordered,
and every effort should be made to induce them to take it. Such patients
should be designated by the physician. Night medicines, or those given
about bedtime, are usually of great importance. All patients who refuse to
take their medicine should be reported to the physician.
The reasons for refusing medicines are various; some say they are
perfectly well and need no medical treatment, others think the medicine
injures them, that it turns their skin black, or poisons them, or that it
is wrong to take it, or displeasing to God; ideas much like those that we
learned were the causes for the refusal of food. Attendants are to use
every effort to get patients to take medicine, and may employ as much
force as they were instructed to use in giving food, but no more.
Patients should not be deceived about medicines, nor told by attendants
that it is nothing, that it is only a little water, or some nice drink
that is sent to them, nor should an attempt be made to give them, by
trying to disguise them in food or drink, except by the permission of a
physician. Patients should, on the other hand, be told that it is
medicine, that the doctor ordered it for them, that it is for their good
to take it, that it is given to help them get well.
The giving of medicine and food is among the most important and frequent
duty that an attendant is called upon to perform, or assist others in
doing. Attendants must remember that many medicines are injurious or even
poisonous, if not properly given, or if mixed with other medicines, or if
given to the wrong patient; they should therefore, never make a mistake,
or, if by carelessness they commit one, should immediately report it.
_Opium and Some of its Preparations._--Opium is a medicine that is very
frequently given to patients in an asylum. The ordinary dose is one grain.
_Tincture of opium, or laudanum_, is opium dissolved in alcohol. Ten
minims equal one grain of opium. _Camphorated tincture of opium, or
Paregoric_, is a weaker alcoholic solution, with some camphor, and
flavored with a pleasant aromatic. One half a fluid ounce equals a grain
of opium. _Morphine_ is a white powder extracted from opium. An eighth of
a grain about equals a grain of opium.
Public-domain text, read in full here on John Shaqi.
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