Notes on Nursing: What It Is, and What It Is NotNightingale, Florence
Science
Notes on Nursing: What It Is, and What It Is Not
Nightingale, Florence
Nursing
In laying down rules of diet, by the amounts of "solid nutriment" in
different kinds of food, it is constantly lost sight of what the patient
requires to repair his waste, what he can take and what he can't. You
cannot diet a patient from a book, you cannot make up the human body as
you would make up a prescription,--so many parts "carboniferous," so
many parts "nitrogenous" will constitute a perfect diet for the patient.
The nurse's observation here will materially assist the doctor--the
patient's "fancies" will materially assist the nurse. For instance,
sugar is one of the most nutritive of all articles, being pure carbon,
and is particularly recommended in some books. But the vast majority of
all patients in England, young and old, male and female, rich and poor,
hospital and private, dislike sweet things,--and while I have never
known a person take to sweets when he was ill who disliked them when he
was well, I have known many fond of them when in health, who in sickness
would leave off anything sweet, even to sugar in tea,--sweet puddings,
sweet drinks, are their aversion; the furred tongue almost always likes
what is sharp or pungent. Scorbutic patients are an exception, they
often crave for sweetmeats and jams.
[Sidenote: Jelly.]
Jelly is another article of diet in great favour with nurses and friends
of the sick; even if it could be eaten solid, it would not nourish, but
it is simply the height of folly to take 1/8 oz. of gelatine and make it
into a certain bulk by dissolving it in water and then to give it to the
sick, as if the mere bulk represented nourishment. It is now known that
jelly does not nourish, that it has a tendency to produce diarrhoea,--
and to trust to it to repair the waste of a diseased constitution is
simply to starve the sick under the guise of feeding them. If 100
spoonfuls of jelly were given in the course of the day, you would have
given one spoonful of gelatine, which spoonful has no nutritive power
whatever.
And, nevertheless, gelatine contains a large quantity of nitrogen, which
is one of the most powerful elements in nutrition; on the other hand,
beef tea may be chosen as an illustration of great nutrient power in
sickness, co-existing with a very small amount of solid nitrogenous
matter.
[Sidenote: Beef tea]
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