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
Above all leave the sick room quickly and come into it quickly, not
suddenly, not with a rush. But don't let the patient be wearily waiting
for when you will be out of the room or when you will be in it.
Conciseness and decision in your movements, as well as your words, are
necessary in the sick room, as necessary as absence of hurry and bustle.
To possess yourself entirely will ensure you from either failing--either
loitering or hurrying.
[Sidenote: What a patient must not have to see to.]
If a patient has to see, not only to his own but also to his nurse's
punctuality, or perseverance, or readiness, or calmness, to any or all
of these things, he is far better without that nurse than with
her--however valuable and handy her services may otherwise be to him,
and however incapable he may be of rendering them to himself.
[Sidenote: Reading aloud.]
With regard to reading aloud in the sick room, my experience is, that
when the sick are too ill to read to themselves, they can seldom bear to
be read to. Children, eye-patients, and uneducated persons are
exceptions, or where there is any mechanical difficulty in reading.
People who like to be read to, have generally not much the matter with
them; while in fevers, or where there is much irritability of brain, the
effort of listening to reading aloud has often brought on delirium. I
speak with great diffidence; because there is an almost universal
impression that it is _sparing_ the sick to read aloud to them. But two
things are certain:--
[Sidenote: Read aloud slowly, distinctly, and steadily to the sick.]
(1.) If there is some matter which _must_ be read to a sick person, do
it slowly. People often think that the way to get it over with least
fatigue to him is to get it over in least time. They gabble; they plunge
and gallop through the reading. There never was a greater mistake.
Houdin, the conjuror, says that the way to make a story seem short is to
tell it slowly. So it is with reading to the sick. I have often heard a
patient say to such a mistaken reader, "Don't read it to me; tell it
me."[18] Unconsciously he is aware that this will regulate the plunging,
the reading with unequal paces, slurring over one part, instead of
leaving it out altogether, if it is unimportant, and mumbling another.
If the reader lets his own attention wander, and then stops to read up
to himself, or finds he has read the wrong bit, then it is all over with
the poor patient's chance of not suffering. Very few people know how to
read to the sick; very few read aloud as pleasantly even as they speak.
In reading they sing, they hesitate, they stammer, they hurry, they
mumble; when in speaking they do none of these things. Reading aloud to
the sick ought always to be rather slow, and exceedingly distinct, but
not mouthing--rather monotonous, but not sing song--rather loud, but not
noisy--and, above all, not too long. Be very sure of what your patient
can bear.
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