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
Of course no attendant would undertake to feed any patient unless ordered
to do so by the physician, which order would be given, if at all, only
after careful training and in cases easily fed.
_Nutritive Enemata._--It is often necessary to feed patients by the
rectum. This is done by injecting food, to the amount of four or six
ounces. Care should be used to inject no air. The nozzle of the syringe
well oiled is to be gently introduced, and the fluid slowly forced into
the bowel. The patient should lie on the left side, near the edge of the
bed, with the knees well drawn up. If the patient resist, he must be
placed upon the back, the legs separated and firmly held. This may require
four or six attendants, but enough should always be at hand to thoroughly
and easily overcome the patient. Before giving the first injection of food
the bowels should be moved by an injection of soap and water. Sometimes
the injected food escapes from the rectum. The patient should be watched
to see if this happens. In such a case a long tube can be introduced into
the rectum, about four or six inches, and the food injected through it.
The tube should be well oiled, and introduced slowly and with gentle
force.
Patients often thrive upon this way of feeding. The character of the food
will be ordered by the physician.
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