The maternal management of children, in health and diseaseBull, Thomas
Science
The maternal management of children, in health and disease
Bull, Thomas
Child care
The chief and principal point in the maternal management (for it
includes every other) is promptly and faithfully to administer the
remedies prescribed by the medical attendant. A vigilant maternal
superintendence is more necessary in this than almost any other
disease; and it is highly desirable, therefore, that the mother should
have a day and night nurse--individuals upon whom she can depend. A
careful notice of symptoms and changes in the patient, in the intervals
of the medical man's visits, and a true and faithful report to him upon
his return, are of essential importance. A sleepy nurse will neglect
the application of the most important remedies, and necessarily give an
unfaithful report of symptoms; hours the most valuable to the child's
well-doing are thus lost, and the chances of saving its life worse than
problematical.
The temperature of the room should be kept rather cool than warm, and
the bed-clothes only sufficient to preserve the natural heat of the
body. Strong light must be excluded. Great quiet should be observed.
Freedom from all excitement of the senses, and irritation of the
temper, should be carefully avoided: this is particularly necessary
where the child is naturally of a quick and sensitive disposition.
All the excretions must be put aside for the inspection of the
physician, but not kept in the sick chamber, which must be well aired,
and perfectly free from closeness. The regimen must be only such as is
ordered, and any departure therefrom will be attended with mischievous
consequences. During the early periods of the disease, all that is
required are cooling diluents, given frequently, and in small
quantities at a time; and upon approaching convalescence great
carefulness must be paid to the amount of nourishment allowed, lest the
disease be rekindled: strict compliance, therefore, to medical
directions must be given.
A very useful and indeed powerful remedy prescribed in this disease,
is sometimes rendered utterly useless from a want of a persevering and
also proper mode of applying it, viz. cold applications to the head.
It is to be effected either by means of cloths kept constantly wet with
cold water, or evaporating lotions; or by means of a bladder containing
pounded ice mixed with water. If the two former are employed they
require frequent renewal, or they become dry, hot, and more injurious
than useful; and whichever is used, it must be kept in constant contact
with the forehead, temples, and upper part of the head. Here is another
error; they are seldom used large enough, and only partially cover
these parts. With the further view of keeping the head cool, and
preventing the accumulation of heat, a flat horse-hair pillow should be
employed, and the head and shoulders somewhat raised.
Public-domain text, read in full here on John Shaqi.
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