Obstetrical Nursing: A Text-Book on the Nursing Care of the Expectant Mother, the Woman in Labor, the Young Mother and Her BabyVan Blarcom, Carolyn Conant
Science
Obstetrical Nursing: A Text-Book on the Nursing Care of the Expectant Mother, the Woman in Labor, the Young Mother and Her Baby
Van Blarcom, Carolyn Conant
Infants -- Care; Maternity nursing; Pregnancy
It is difficult to outline the nursing care of such patients with any
degree of precision, as no two can be cared for in quite the same way.
While in some cases the patient is a selfish, overindulged woman who
objects to motherhood because of its inconveniences, in others, she is
tortured by fear of inability to go through her pregnancy successfully,
though sincerely wanting to; or she may be bewildered and overwhelmed by
the prospect of the dangers of childbirth and responsibilities of
motherhood, a truly pathetic figure whose distress may often be greatly
relieved by the nurse who has enough insight to grasp the situation. As
I have discussed this subject more at length in the chapter on mental
hygiene, I shall say only a word here, as a reminder that the nurse will
need all of the tact, resourcefulness, sympathy and understanding which
she is capable of offering, if she is to give real help to some of her
patients who suffer from neurotic vomiting.
In addition to the mental nursing, which will be necessary, the patient
also needs physical care, for though her trouble may be of emotional
origin, she is, nevertheless, physically ill. As a rule, the best
results are obtained by putting the patient to bed and separating her
from her family as completely as possible. A daily routine should be
adopted and rigidly observed, and the patient repeatedly assured that
the course being followed will end in recovery.
It is usually considered advisable not to offer food by mouth, in the
beginning, but instead to give nourishment, as well as large amounts of
saline and sugar solutions by enemata, during the first few days. One
routine is to give 500 cubic centimetres _very slowly_, every six hours
at first, gradually decreasing the treatments to one a day as the
patient improves. The rectum is irrigated with a simple enema, once
daily, immediately preceding one of the injections, consisting of an
ounce of dextrose or glucose and one dram of salt to a pint of water.
Small amounts of liquid nourishment are finally given by mouth, and
given frequently, the quantity being increased gradually as the patient
improves. Very light and easily digestible solid foods, chiefly
carbohydrates, are added by degrees, and in the end, five or six small
meals, rather than three full ones, are given in the course of the day.
In some cases the patient is induced to drink, daily, two or three
quarts of sugar solution (an ounce of lactose to a pint of water), and
to nibble at will on olives, walnuts, crisp crackers, or some such
articles of food, which are kept within reach on her bedside table.
These are usually retained, excepting in very severe cases, to the
patient’s great encouragement.
Public-domain text, read in full here on John Shaqi.
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