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
I need scarcely say that the old four-post bed with curtains is utterly
inadmissible, whether for sick or well. Hospital bedsteads are in many
respects very much less objectionable than private ones.
[Sidenote: Scrofula often a result of disposition of bedclothes.]
There is reason to believe that not a few of the apparently
unaccountable cases of scrofula among children proceed from the habit of
sleeping with the head under the bed clothes, and so inhaling air
already breathed, which is farther contaminated by exhalations from the
skin. Patients are sometimes given to a similar habit, and it often
happens that the bed clothes are so disposed that the patient must
necessarily breathe air more or less contaminated by exhalations from
his skin. A good nurse will be careful to attend to this. It is an
important part, so to speak, of ventilation.
[Sidenote: Bed sores.]
It may be worth while to remark, that where there is any danger of
bed-sores a blanket should never be placed _under_ the patient. It
retains damp and acts like a poultice.
[Sidenote: Heavy and impervious bedclothes.]
Never use anything but light Witney blankets as bed covering for the
sick. The heavy cotton impervious counterpane is bad, for the very
reason that it keeps in the emanations from the sick person, while the
blanket allows them to pass through. Weak patients are invariably
distressed by a great weight of bed-clothes, which often prevents their
getting any sound sleep whatever.
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.
IX. LIGHT.
[Sidenote: Light essential to both health and recovery.]
Public-domain text, read in full here on John Shaqi.
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