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
We must not forget what, in ordinary language, is called
"Infection;"[10]--a thing of which people are generally so afraid that
they frequently follow the very practice in regard to it which they
ought to avoid. Nothing used to be considered so infectious or
contagious as small pox; and people not very long ago used to cover up
patients with heavy bed clothes, while they kept up large fires and shut
the windows. Small pox, of course, under this _regime_, is very
"infectious." People are somewhat wiser now in their management of this
disease. They have ventured to cover the patients lightly and to keep
the windows open; and we hear much less of the "infection" of small pox
than we used to do. But do people in our days act with more wisdom on
the subject of "infection" in fevers--scarlet fever, measles, &c.--than
their forefathers did with small pox? Does not the popular idea of
"infection" involve that people should take greater care of themselves
than of the patient? that, for instance, it is safer not to be too much
with the patient, not to attend too much to his wants? Perhaps the best
illustration of the utter absurdity of this view of duty in attending on
"infectious" diseases is afforded by what was very recently the
practice, if it is not so even now, in some of the European
lazarets--in which the plague-patient used to be condemned to the
horrors of filth, overcrowding, and want of ventilation, while the
medical attendant was ordered to examine the patient's tongue through an
opera-glass and to toss him a lancet to open his abscesses with!
True nursing ignores infection, except to prevent it. Cleanliness and
fresh air from open windows, with unremitting attention to the patient,
are the only defence a true nurse either asks or needs.
Wise and humane management of the patient is the best safeguard against
infection.
[Sidenote: Why must children have measles, &c.?]
There are not a few popular opinions, in regard to which it is useful at
times to ask a question or two. For example, it is commonly thought that
children must have what are commonly called "children's epidemics,"
"current contagions," &c., in other words, that they are born to have
measles, hooping-cough, perhaps even scarlet fever, just as they are
born to cut their teeth, if they live.
Now, do tell us, why must a child have measles?
Oh because, you say, we cannot keep it from infection--other children
have measles--and it must take them--and it is safer that it should.
But why must other children have measles? And if they have, why must
yours have them too?
If you believed in and observed the laws for preserving the health of
houses which inculcate cleanliness, ventilation, white-washing, and
other means, and which, by the way, _are laws_, as implicitly as you
believe in the popular opinion, for it is nothing more than an opinion,
that your child must have children's epidemics, don't you think that
upon the whole your child would be more likely to escape altogether?
Public-domain text, read in full here on John Shaqi.
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