The maternal management of children, in health and diseaseBull, Thomas
Science
The maternal management of children, in health and disease
Bull, Thomas
Child care
REGIMEN.--Cooling drinks, as plain water, toast and water, barley water
flavoured with lemon peel, fresh whey, lemonade, and thin gruel, may
all be resorted to in their turn. The child may also be allowed
oranges, grapes, or lemons sweetened with sugar, particularly when the
mouth is foul and dry; but care must be taken that neither the pulp nor
the stones are swallowed. These will both refresh and feed the patient
as much as is necessary until the decline of the disease. The parent
must strictly forbid the attendants in the sick chamber giving, at this
period, any heating or stimulating fluid, as also animal food; and this
injunction must be strictly regarded, even in the mildest form of the
disease.
When the child is convalescent, mild nourishment will be required,
such as arrow-root, tapioca, chicken or mutton broth, beef tea,
jellies, and roasted apples; and by and by a mutton chop. Wine is
seldom necessary, except under circumstances of unusual debility after
a protracted illness, when its moderate use tends much to assist the
convalescence; but, if given unadvisedly, there will be great hazard of
exciting internal inflammatory disease.
Relapses are sometimes caused by the child getting about too soon, and
by indulgence of the appetite, particularly for food: a proper degree
of restraint, therefore, must be placed upon the child by the parent,
who cannot too strictly carry out the directions of the medical
attendant upon the diet and regimen during this period.
Great attention must still be paid to the state of the bowels, and,
indeed, to all the secretions and excretions.
PEELING OFF OF THE CUTICLE, AND FALLING OFF OF THE HAIR.--To promote
the more easy separation of the cuticle from the surface of the body, a
warm or tepid bath may be usefully employed at the close of the
disease. It will, moreover, greatly contribute to the comfort of the
child, and induce a more healthy condition of the skin. Occasionally
the cuticle of the whole hand and fingers will peel off unbroken, when
it will resemble precisely a glove in shape.
As is the case in all fevers, more or less, so particularly after
scarlet fever, there is a great tendency to the falling off of the
hair. It will be always well, therefore, to shave the head at this
time, and exhibit daily a tepid shower bath, as early as the strength
of the child will permit.
CAUTIONS, ETC.--The contagious character of this disease requires the
separation of the invalid from the rest of the family; and, when it is
practicable, the children should be removed to a distance. This measure
is imperatively called for, when the form of the disease is very severe
in its character.
Great caution must also be exercised, after the convalescence of the
patient, that the other children are not brought into too early contact
with him: for infection may be thus produced, though several weeks may
have elapsed from the period of the peeling off of the skin.
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