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 you consider that an adult in health exhales by the lungs and skin in
the twenty-four hours three pints at least of moisture, loaded with
organic matter ready to enter into putrefaction; that in sickness the
quantity is often greatly increased, the quality is always more
noxious--just ask yourself next where does all this moisture go to?
Chiefly into the bedding, because it cannot go anywhere else. And it
stays there; because, except perhaps a weekly change of sheets, scarcely
any other airing is attempted. A nurse will be careful to fidgetiness
about airing the clean sheets from clean damp, but airing the dirty
sheets from noxious damp will never even occur to her. Besides this, the
most dangerous effluvia we know of are from the excreta of the
sick--these are placed, at least temporarily, where they must throw
their effluvia into the under side of the bed, and the space under the
bed is never aired; it cannot be, with our arrangements. Must not such a
bed be always saturated, and be always the means of re-introducing into
the system of the unfortunate patient who lies in it, that
excrementitious matter to eliminate which from the body nature had
expressly appointed the disease?
My heart always sinks within me when I hear the good house-wife, of
every class, say, "I assure you the bed has been well slept in," and I
can only hope it is not true. What? is the bed already saturated with
somebody else's damp before my patient comes to exhale into it his own
damp? Has it not had a single chance to be aired? No, not one. "It has
been slept in every night."
[Sidenote: Iron spring bedstead the best.]
[Sidenote: Comfort and cleanliness of _two_ beds.]
The only way of really nursing a real patient is to have an _iron_
bedstead, with rheocline springs, which are permeable by the air up to
the very mattress (no vallance, of course), the mattress to be a thin
hair one; the bed to be not above 3-1/2 feet wide. If the patient be
entirely confined to his bed, there should be _two_ such bedsteads; each
bed to be "made" with mattress, sheets, blankets, &c., complete--the
patient to pass twelve hours in each bed; on no account to carry his
sheets with him. The whole of the bedding to be hung up to air for each
intermediate twelve hours. Of course there are many cases where this
cannot be done at all--many more where only an approach to it can be
made. I am indicating the ideal of nursing, and what I have actually had
done. But about the kind of bedstead there can be no doubt, whether
there be one or two provided.
[Sidenote: Bed not to be too wide.]
Public-domain text, read in full here on John Shaqi.
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