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
NOTE.--One word about pillows. Every weak patient, be his illness what
it may, suffers more or less from difficulty in breathing. To take the
weight of the body off the poor chest, which is hardly up to its work as
it is, ought therefore to be the object of the nurse in arranging his
pillows. Now what does she do and what are the consequences? She piles
the pillows one a-top of the other like a wall of bricks. The head is
thrown upon the chest. And the shoulders are pushed forward, so as not
to allow the lungs room to expand. The pillows, in fact, lean upon the
patient, not the patient upon the pillows. It is impossible to give a
rule for this, because it must vary with the figure of the patient. And
tall patients suffer much more than short ones, because of the _drag_ of
the long limbs upon the waist. But the object is to support, with the
pillows, the back _below_ the breathing apparatus, to allow the
shoulders room to fall back, and to support the head, without throwing
it forward. The suffering of dying patients is immensely increased by
neglect of these points. And many an invalid, too weak to drag about his
pillows himself, slips his book or anything at hand behind the lower
part of his back to support it.
FOOTNOTES:
[1]
[Sidenote: Nurses often do not think the sick room any business of
theirs, but only, the sick.]
I once told a "very good nurse" that the way in which her patient's room
was kept was quite enough to account for his sleeplessness; and she
answered quite good-humouredly she was not at all surprised at it--as if
the state of the room were, like the state of the weather, entirely out
of her power. Now in what sense was this woman to be called a "nurse?"
[2]
For the same reason if, after washing a patient, you must put the same
night-dress on him again, always give it a preliminary warm at the fire.
The night-gown he has worn must be, to a certain extent, damp. It has
now got cold from having been off him for a few minutes. The fire will
dry and at the same time air it. This is much more important than with
clean things.
IX. LIGHT.
[Sidenote: Light essential to both health and recovery.]
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