Nurses' Papers on Tuberculosis :: read before the Nurses' Study Circle of the Dispensary Department, Chicago Municipal Tuberculosis SanitariumChicago (Ill.). Municipal Tuberculosis Sanitarium. Dispensary Department
Science
Nurses' Papers on Tuberculosis :: read before the Nurses' Study Circle of the Dispensary Department, Chicago Municipal Tuberculosis Sanitarium
Chicago (Ill.). Municipal Tuberculosis Sanitarium. Dispensary Department
Tuberculosis
The room of the patient should be well lighted and well ventilated, and
preferably have a southern exposure. Cross ventilation is very desirable.
When all unnecessary furniture and all hangings and bric-a-brac have been
removed, and the old paper stripped from the walls, the walls should be
whitewashed, or covered with washable paper, or painted. Painted walls are
inexpensive, and they have the further advantage that they can be washed
frequently. The floor should be bare and likewise frequently washed.
Simple furniture is commendable, and old pieces can be made very
attractive by having them enameled. Proper furnishings include a
comfortable bed (one made of iron and raised on wooden blocks makes
nursing care easier), a bedside table, chairs, a rocking chair, a
washstand, and even a couch on which the patient could be placed
occasionally to relieve the monotony. Two or three pictures which can be
readily dusted and cleaned will brighten the bare walls one finds in what
are generally recommended as sanitary rooms. Flowers always add to the
attractiveness of a room, and when the bed is placed near the window the
patient is given the opportunity of enjoying, to some extent, at least,
the pleasures of out-of-doors. The mattress should be provided with a
washable cover. Strips of muslin sewed across the tops of the blankets
will protect them from sputum, in case the sheets happen to slip. Soiled
bed linen must be handled as little as possible, soaked in water, washed
separately and boiled. If sputum-covered, it should be soaked in a five
per cent solution of carbolic acid or a solution of chloride of lime.
Instead of dry sweeping and dusting, the floors should be washed with soap
and water and dusted with wet cloths. Great care should be taken in
instructing and demonstrating to the family how to properly care for the
room. Special attention must be given to the bed, its comforts and its
cleanliness. Every nurse is familiar with what is known as the "Klondike"
bed, and it is unnecessary to discuss it here in detail. Since both
patient and family derive such direct benefit from a constant supply of
fresh air, too much attention can not be given to proper ways of securing
it, and at the same time keeping the patient warm. Where bed coverings are
limited, warmth can be secured by sewing layers of newspapers between two
cotton blankets; again, sheets of newspapers or tar paper keep out the
cold to a great extent. Proper ventilation prevents night sweats. Means of
heating the room must be provided, because of the low vitality of the
patient and the need of frequent care.
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