It is unreasonable to be offended by acts or speeches of an insane
patient, to bear a grudge or expect an apology. Very frequently such a
patient will turn savagely upon the nearest and dearest, and make
cutting remarks and accusations or exhibit baseless contempt. All this
conduct must be ignored and forgotten; for the unkind words of an
unaccountable and really ill person should not be taken at all
seriously.
Should a patient escape from home, it is the duty of the one in charge
without hesitation to overtake him, and then accompany him or at least
follow at a short distance. The nurse should go with and stay with the
patient, telephoning or telegraphing home when opportunity offers, and
finally securing aid; he should know where the patient is at all
times, foregoing sleep if necessary to protect his charge, and should
avoid as long as prudence permits the publicity of an arrest; though
the latter may finally be essential to safety, and to the prevention
of embarking on a voyage, or taking a train to a distance, or
purchasing weapons.
=Diversions.=--Music favorably affects many patients, so the pleasure
of listening to it should be afforded at frequent intervals. Patients
should be encouraged to absorb themselves in it. It is often possible
to take insane people to opera, musical comedy, or concert. Vocal and
instrumental practice at suitable intervals is of great value in
fixing the attention, filling the mind with desirable thoughts and
memories, and allaying irritability. Drawing and painting are of
service when within the number of the patient's accomplishments.
Intellectual pastimes, as authors, anagrams, billiards, chess, and
many games with playing cards, are generally helpful. Gardening,
croquet, and tennis are very desirable. Golf, rowing, swimming, and
skating are excellent, but are within the reach of very few insane
patients. All regular occupation that necessitates attention and
concentration is of supreme value; in fact, insane patients not
infrequently ask for occupation and find relief in the accomplishment
of something useful, as well as in the healthful sleep and increased
appetite that attend judicious physical fatigue.
_The Beneficial Atmosphere of Sanitariums_
Public-domain text, read in full here on John Shaqi.
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