Subsidiary Notes as to the Introduction of Female Nursing into Military Hospitals in Peace and WarNightingale, Florence
History
Subsidiary Notes as to the Introduction of Female Nursing into Military Hospitals in Peace and War
Nightingale, Florence
Military hospitals -- Great Britain; Nurses -- Great Britain
15. SPECIAL WARDS.--It may be laid down as an axiom in the management
of sick affected with certain zymotic diseases, such as fevers,
cholera, dysentery, &c., that they should be distributed over a
wide superficial area, and have a large allowance of cubic space.
Agglomeration of such cases in small ill-ventilated wards is quite
sufficient of itself to occasion a high proportionate mortality
among the sick. In mild climates and seasons very little protection
is necessary from the change of temperature; so that the sick from
epidemic diseases can be camped out and exposed to the full influence
of the atmosphere, not only without danger, but often with great
benefit. It is only when the temperature is low and variable, and the
season inclement, that danger is likely to accrue from this exposure.
And hence the necessity of inquiring how we can best combine the
requisite elevation of temperature and the most suitable amount of
cubic space and ventilation for the treatment of these diseases in
Hospitals.
Medical Men generally are satisfied that these ends cannot be safely
arrived at by agglomerating sick in fever wards in Hospitals. And hence
has arisen a practice, which experience appears to have approved,
of intermingling a small number of fever cases in wards containing
a certain number of sick from other diseases. The practice appears
to be not only perfectly safe, but advantageous for the sick. It
is known, however, that if the proportion of fever cases exceeds a
certain number, the other cases in the ward are apt to become affected
with fever. It would appear as if, so far as the fever is concerned,
the cubic space occupied by other diseases was to a certain extent
available for the use of the fever cases. But the proportion of such
cases, that can be advantageously placed among the general sick of any
ward, will depend upon the size of the ward, the means of ventilation,
the number of cubic feet per patient, the position of the windows, the
exposure of the building, and other similar circumstances.
Again, it is doubtful whether the preservation of an uniform
temperature in any Hospital, even in one set apart for chest
complaints, is beneficial for the sick, or whether it be beneficial to
agglomerate consumptive cases, without very special precautions, under
the same roof. Without discussing the validity of the opinions held in
Southern Europe as to the contagious nature of consumption, it may be
very fairly doubted whether a number of cases placed under a common
roof, and breathing a common atmosphere, would not yield a higher rate
of mortality than the same cases would do if distributed through the
wards of a well-ventilated Hospital, among other diseases.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account