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
If the nurse is an intelligent being, and not a mere carrier of diets to
and from the patient, let her exercise her intelligence in these things.
How often we have known a patient eat nothing at all in the day, because
one meal was left untasted (at that time he was incapable of eating), at
another the milk was sour, the third was spoiled by some other accident.
And it never occurred to the nurse to extemporize some expedient,--it
never occurred to her that as he had had no solid food that day, he
might eat a bit of toast (say) with his tea in the evening, or he might
have some meal an hour earlier. A patient who cannot touch his dinner at
two, will often accept it gladly, if brought to him at seven. But
somehow nurses never "think of these things." One would imagine they did
not consider themselves bound to exercise their judgment; they leave it
to the patient. Now I am quite sure that it is better for a patient
rather to suffer these neglects than to try to teach his nurse to nurse
him, if she does not know how. It ruffles him, and if he is ill he is in
no condition to teach, especially upon himself. The above remarks apply
much more to private nursing than to hospitals.
[Sidenote: Nurse must have some rule of thought about her patients
diet.]
I would say to the nurse, have a rule of thought about your patient's
diet; consider, remember how much he has had, and how much he ought to
have to-day. Generally, the only rule of the private patient's diet is
what the nurse has to give. It is true she cannot give him what she has
not got; but his stomach does not wait for her convenience, or even her
necessity.[22] If it is used to having its stimulus at one hour to-day,
and to-morrow it does not have it, because she has failed in getting it,
he will suffer. She must be always exercising her ingenuity to supply
defects, and to remedy accidents which will happen among the best
contrivers, but from which the patient does not suffer the less, because
"they cannot be helped."
[Sidenote: Keep your patient's cup dry underneath.]
One very minute caution,--take care not to spill into your patient's
saucer, in other words, take care that the outside bottom rim of his cup
shall be quite dry and clean; if, every time he lifts his cup to his
lips, he has to carry the saucer with it, or else to drop the liquid
upon, and to soil his sheet, or his bed-gown, or pillow, or if he is
sitting up, his dress, you have no idea what a difference this minute
want of care on your part makes to his comfort and even to his
willingness for food.
VII. WHAT FOOD?
[Sidenote: Common errors in diet.]
[Sidenote: Beef tea.]
[Sidenote: Eggs.]
[Sidenote: Meat without vegetables.]
[Sidenote: Arrowroot.]
Public-domain text, read in full here on John Shaqi.
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