Nightingale, Florence, 1820-1910; Nurses -- England -- Biography
Under the heading of “Chattering Hopes and Advices,” Miss Nightingale
evidently speaks out of the fulness of her own experience. “‘Chattering
Hopes,’” she says, “may seem an odd heading. But I really believe
there is scarcely a greater worry which invalids have to endure than
the incurable hopes of their friends. There is no one practice against
which I can speak more strongly from actual experience, wide and long,
of its effects during sickness, observed both upon others and upon
myself. I would appeal most seriously to all friends, visitors, and
attendants of the sick to leave off this practice of attempting to
‘cheer’ the sick by making light of their danger and by exaggerating
their probabilities of recovery.... The fact is that the patient is
not ‘cheered’ at all by these well-meaning, most tiresome friends.”
The advice or opinion of the experienced does not of course come under
the head of “Chattering Hopes,” but it is the advice of “inexperience
to bitter experience” which Miss Nightingale condemns, and which
amounts to nothing more than this, “that you think I shall recover
from consumption, because somebody knows somebody, somewhere, who
has recovered from fever.” Nurses should protect their patients from
visitors of the class indicated.
The “Observation of the Sick” is a quality which needs cultivation.
“The most important practical lesson that can be given to nurses is
to teach them what to observe,” writes Miss Nightingale, also “how
to observe,” and to accurately state the result of observation. It
is a more difficult thing to speak the truth than people commonly
imagine. “Courts of justice seem to think that anybody can speak ‘the
whole truth and nothing but the truth,’ if he does but intend it.” It
requires many faculties combined of observation and memory to do that.
She quotes a little incident to illustrate the point. “I know I fibs
dreadful; but believe me, miss, I never finds out I have fibbed until
they tells me so,” was a remark once made to her, which is, as she
says, “one of more extended application than most people have the least
idea of.”
Needless to say, unintentional “fibbing,” or in other words lack of
observation, which leads a nurse to wrongly inform the doctor regarding
the patient, often leads to disastrous results. “I knew,” says Miss
Nightingale, “a very clever physician of large dispensary and hospital
practice, who invariably began his examination of a patient with ‘Put
your finger where you _be_ bad.’ That man would never waste his time
with collecting inaccurate information from nurse or patient.” Nothing
leads to inaccurate information more than putting “leading questions”
to sick people. “How do you sleep?” “How is your appetite?” A tactful
and observant nurse will be better able to answer such questions than
the patient himself.
Public-domain text, read in full here on John Shaqi.
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