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 remember a case in point. A man received an injury to the spine, from
an accident, which after a long confinement ended in death. He was a
workman--had not in his composition a single grain of what is called
"enthusiasm for nature,"--but he was desperate to "see once more out of
window." His nurse actually got him on her back, and managed to perch
him up at the window for an instant, "to see out." The consequence to
the poor nurse was a serious illness, which nearly proved fatal. The man
never knew it; but a great many other people did. Yet the consequence in
none of their minds, so far as I know, was the conviction that the
craving for variety in the starving eye, is just as desperate as that
for food in the starving stomach, and tempts the famishing creature in
either case to steal for its satisfaction. No other word will express it
but "desperation." And it sets the seal of ignorance and stupidity just
as much on the governors and attendants of the sick if they do not
provide the sick-bed with a "view" of some kind, as if they did not
provide the hospital with a kitchen.
[21]
[Sidenote: Physical effect of colour.]
No one who has watched the sick can doubt the fact, that some feel
stimulus from looking at scarlet flowers, exhaustion from looking at
deep blue, &c.
[22]
[Sidenote: Nurse must have some rule of time about the patient's diet.]
Why, because the nurse has not got some food to-day which the patient
takes, can the patient wait four hours for food to-day, who could not
wait two hours yesterday? Yet this is the only logic one generally
hears. On the other hand, the other logic, viz., of the nurse giving a
patient a thing because she _has_ got it, is equally fatal. If she
happens to have fresh jelly, or fresh fruit, she will frequently give it
to the patient half-an-hour after his dinner, or at his dinner, when he
cannot possibly eat that and the broth too--or worse still leave it by
his bed-side till he is so sickened with the sight of it, that he cannot
eat it at all.
[23]
[Sidenote: Intelligent cravings of particular sick for particular
articles of diet.]
In the diseases produced by bad food, such as scorbutic dysentery and
diarrhoea, the patient's stomach often craves for and digests things,
some of which certainly would be laid down in no dietary that ever was
invented for sick, and especially not for such sick. These are fruit,
pickles, jams, gingerbread, fat of ham or of bacon, suet, cheese,
butter, milk. These cases I have seen not by ones, nor by tens, but by
hundreds. And the patient's stomach was right and the book was wrong.
The articles craved for, in these cases, might have been principally
arranged under the two heads of fat and vegetable acids.
There is often a marked difference between men and women in this matter
of sick feeding. Women's digestion is generally slower.
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