The temperature of a consumptive should be recorded three times a day,
and if above normal the patient should stay in bed till it is reduced.
When the temperature has been reduced, gentle exercise is very useful.
Gradually increasing walks should be taken each day.
Contraction of Sinews.--This often occurs at the knee, bending the
joint so that the patient cannot stretch his limb or walk properly. The
injury in such a case is usually at the ends of the sinews, where they
are inserted into the bone. If the limb be straightened and put up in
splints, so as to secure perfect rest, it is well to see that once
every twenty-four hours it be removed from its fastenings and treated
in some way to obtain a cure. Otherwise the whole limb will harden into
a straight and unbendable condition, worse than its original bend. When
the fastenings are removed, then, each day, let the limb be rubbed and
bathed for an hour. Treat the whole body with soaping and oil rubbing
(_see_ Lather and Massage). While bathing the limb it is to be rubbed
with this soap, and the lather rubbed gently into all the skin. Rub,
after soaping and drying, with hot olive oil. Dry this off, and wrap
the limb in warm flannel. With this treatment no splints or plaster
jackets are at all likely to be required. The limb usually soon comes
right.
Sometimes this contraction affects the hip joint, and causes great
distress and lameness. The upper end of the thigh bone is even
sometimes drawn a little out of its proper position. For this, the
muscles of the back, and specially of the side and hip which is lame,
are rubbed with gentle pressure and hot olive oil as often and as long
as may be convenient. Strong fomentations are also applied for
half-an-hour daily (_see_ Armchair Fomentation). We know of one case in
which this treatment has cured such contraction both of the knee and
hip joint. Whether the cause be rheumatism or other trouble, or an
injury, the treatment is the same.
Convulsions.--For an ordinary convulsive attack in the case of a child,
hold the child's head over a basin and pour tepid water (blood heat, 98
deg. F.) over the head. This will usually be sufficient. If not, seat
the child in a bath of hot water nearly up to the waist. If bad,
indigestible food causes the fit, give teaspoonfuls of hot water every
few minutes for some hours. If the case is obstinate, a BRAN POULTICE
(_see_) may be put over the lower back, and cold towels gently pressed
over the stomach and bowels.
Fits from children's teething are more troublesome. They may often be
prevented by placing a compress wrung out of cool water along the spine
while the infant is warm in the cradle, and changing it so as to
maintain the cooling effect. A handkerchief folded eight ply does very
well. Four or five changes may be sufficient. Rub with a little warm
oil when the cloth comes off. If the fits do come on, treat as above
directed for fits from indigestion.
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