The Care and Feeding of Children: A Catechism for the Use of Mothers and Children's NursesHolt, L. Emmett (Luther Emmett)
Science
The Care and Feeding of Children: A Catechism for the Use of Mothers and Children's Nurses
Holt, L. Emmett (Luther Emmett)
Child care; Children -- Nutrition
The child should be put to bed. If it is an infant the food should be
diluted to one half the usual strength; if an older child, only fluid
food should be given. If the child seems feverish, take the
temperature If the bowels are constipated, give a teaspoonful of
castor oil; but no other medicine without the doctor's orders. Send
for the doctor at once, and until he comes carefully exclude all other
children from the room.
_By what nursery training may the examination and treatment of sick
children he made much easier?_
By teaching all children to gargle, to show the throat, to take pills,
and by constantly teaching them to regard the doctor as the child's
best friend, and his visits as a great treat. On no account should a
child be frightened into obedience by threats of what the doctor will
do.
With care and patience most children may be taught to gargle and take
pills at four or five years, and to show the throat willingly at two
or three. All these matters should be made a part of the child's
education.
SCURVY
_What is scurvy and how is it produced?_
Scurvy is a disease of general nutrition, usually caused by the
long-continued use of improper food. Most of the cases come from the
use of the prepared infant's foods sold in the stores, especially when
they are given without fresh milk; occasionally the use of condensed
milk and of sterilized milk is followed by scurvy; sometimes it is
seen when, owing to feeble digestion, it has been necessary to make
cow's milk very weak for a long time.
_What symptoms are seen in an infant with scurvy?_
At first there is only indefinite and occasional soreness in the legs
so that the child cries out when handled. As this soreness becomes
more severe the child is often thought to have rheumatism. The gums
swell and are of a deep purple colour. There may be bleeding from the
gums, nose, bowels, or black-and-blue spots may be seen upon the legs.
The ankles and knees may swell. The child grows very pale, loses
appetite and weight, and sleeps badly.
_What should be done when an infant shows signs of scurvy?_
The diet should at once be changed to fresh milk, properly modified
according to the child's digestion, but not sterilized or pasteurized.
The juice of a sweet orange should be given, best about an hour before
the feeding. At first one or two teaspoonfuls, four or five times a
day; later, more may be given if the symptoms are not improved.
Properly treated an infant with scurvy generally recovers promptly and
completely. If not recognised, or untreated, it may cause death.
CONSTIPATION
_When it is necessary to move the bowels immediately, what are some of
the easiest methods?_
An injection of one tablespoonful of sweet oil may be given, or half a
teaspoonful of glycerine in one tablespoonful of water, or a teacupful
of tepid soap and water, or a glycerine suppository. None of these
should be continued excepting under the physician's directions.
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