Social Work; Essays on the Meeting Ground of Doctor and Social WorkerCabot, Richard C. (Richard Clarke)
Science
Social Work; Essays on the Meeting Ground of Doctor and Social Worker
Cabot, Richard C. (Richard Clarke)
Charities, Medical; Friendly visiting; Medical social work -- United States; Social service
(1) The accurate reading of the patient's temperature, pulse, and
respiration, which she must often teach the patient to do for himself
and to record accurately and clearly. This is of especial importance in
tuberculosis, for in suspected cases of this disease one often needs
daily measurements of the temperature as an aid in determining the
diagnosis or in estimating the severity of the case and the fitness of
the patient for work.
(2) The arrangement of a window tent or some other device for insuring
the maximum of fresh air for the tuberculous patient both day and night.
This device is also useful in pneumonia, typhoid fever, and other
diseases, in case they are to be cared for at home and not in a
hospital.
(3) The application of simple dressings to wounds, abscesses, and common
skin diseases such as eczema, and impetigo.
(4) The care of the skin in bedridden patients. Our primary object here
is the prevention of bedsores, those ulcerations which occur in very
emaciated patients at the points where their weight presses a bone
against the bedclothes.
(5) The simpler procedures for the preparation of milk for sick children
and of other foods commonly advised for patients who are confined to
bed.
(6) The methods of emptying the lower bowel by means of an enema.
Into the details of these procedures this is not the place to enter, but
I wish specially to assert that all of them may be learned within a few
weeks by persons who have not studied medicine or had the full course
for the training of a nurse. Any one who possesses these simple bits of
skill can do all that is necessary for the physical care of the sick
poor in their homes, unless continuous attendance upon the patient is
necessary. Such attendance is not within the province of the social
worker. But in the technical procedures just described it is all the
more important that she be expert, because such skill makes her a
welcome visitor and a trusted adviser outside the field of medicine.
Because she has given relief by dressing a wound, curing a skin disease,
or applying a poultice, she will be listened to with liking and with
confidence when, later, she comes to give advice in economic,
educational, or moral difficulties.
CHAPTER II
HISTORY-TAKING BY THE SOCIAL ASSISTANT
History-taking concerns the social assistant especially because
history-taking is one of the things one does, if one is wise, in any
matter in which one is trying to help a human being. Even if you were
concerned to help not a stranger, but a member of your own family, still
you would need a story or history of the person's life whether you wrote
it down or not.
_History and catastrophe_
In our attempts to be of use to people in their misfortunes, there are
two very common and quite opposite points of view (roughly the right and
the wrong), which I call (_a_) the "historic" and (_b_) the
"catastrophic," the accidental, or the emergency point of view.
Public-domain text, read in full here on John Shaqi.
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