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
At a recent celebrated trial, the following leading question was put
successively to nine distinguished medical men. "Can you attribute these
symptoms to anything else but poison?" And out of the nine, eight
answered "No!" without any qualification whatever. It appeared, upon
cross-examination:--1. That none of them had ever seen a case of the
kind of poisoning supposed. 2. That none of them had ever seen a case of
the kind of disease to which the death, if not to poison, was
attributable. 3. That none of them were even aware of the main fact of
the disease and condition to which the death was attributable.
Surely nothing stronger can be adduced to prove what use leading
questions are of, and what they lead to.
I had rather not say how many instances I have known, where, owing to
this system of leading questions, the patient has died, and the
attendants have been actually unaware of the principal feature of the
case.
[Sidenote: As to food patient takes or does not take.]
It is useless to go through all the particulars, besides sleep, in which
people have a peculiar talent for gleaning inaccurate information. As to
food, for instance, I often think that most common question, How is your
appetite? can only be put because the questioner believes the questioned
has really nothing the matter with him, which is very often the case.
But where there is, the remark holds good which has been made about
sleep. The _same_ answer will often be made as regards a patient who
cannot take two ounces of solid food per diem, and a patient who does
not enjoy five meals a day as much as usual.
Again, the question, How is your appetite? is often put when How is your
digestion? is the question meant. No doubt the two things depend on one
another. But they are quite different. Many a patient can eat, if you
can only "tempt his appetite." The fault lies in your not having got him
the thing that he fancies. But many another patient does not care
between grapes and turnips,--everything is equally distasteful to him.
He would try to eat anything which would do him good; but everything
"makes him worse." The fault here generally lies in the cooking. It is
not his "appetite" which requires "tempting," it is his digestion which
requires sparing. And good sick cookery will save the digestion half its
work.
There may be four different causes, any one of which will produce the
same result, viz., the patient slowly starving to death from want of
nutrition:
1. Defect in cooking;
2. Defect in choice of diet;
3. Defect in choice of hours for taking diet;
4. Defect of appetite in patient.
Yet all these are generally comprehended in the one sweeping assertion
that the patient has "no appetite."
Public-domain text, read in full here on John Shaqi.
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