The Tuberculosis Nurse: Her Function and Her Qualifications: A Handbook for Practical Workers in the Tuberculosis CampaignLa Motte, Ellen N. (Ellen Newbold)
History
The Tuberculosis Nurse: Her Function and Her Qualifications: A Handbook for Practical Workers in the Tuberculosis Campaign
La Motte, Ellen N. (Ellen Newbold)
Tuberculosis -- Nursing; Tuberculosis -- Nursing -- United States -- History
=Consideration for Patients.= The first consideration of the dispensary
should be the comfort and welfare of the patients. We have known many
dispensaries where the first consideration was the experience of the
students or physicians, the patient being regarded merely as good
clinical material. In dispensaries connected with medical schools, which
are essentially used for teaching purposes, this condition is
unfortunately necessary, yet we cannot believe that it is necessary to
the extent to which it is sometimes carried. We have often known of
“interesting” cases being held up for hours, in order that they might be
examined by certain men, or groups of students; moreover, this
detention, prolonged examination, and exposure often took place when the
patient was very weak, when he lost his job through the delay, or when a
husband’s dinner, a nursing baby, or a houseful of children made such
detention intolerable. Patients often refuse to return to a large
dispensary on the ground that “they keep you all day, everyone in the
place examines you, and you get so tired and sick you have to stay in
bed for a week afterward.” This lack of consideration—failure to look
upon the patient as a human being—is what tends to make dispensaries
unpopular. We have known patients to come straight from such an
experience and deliver themselves into the hands of a quack. However
necessary it may be to use certain dispensaries as teaching centres, the
tuberculosis campaign demands clinics of another kind. If the
tuberculosis dispensary is to be a factor in the fight against this
disease, it cannot afford to be a training school as well—it should be
in charge of men already trained.
=Function of the Dispensary.= It follows, then, that the function of the
municipal dispensary is of necessity different from that established for
teaching purposes. The larger dispensary serves a double purpose, the
little dispensary serves but one; it is an examining station for making
diagnoses. Here the patient should come as informally as he would to a
doctor’s office, and here he should be able to consult experienced men.
We feel that the informality of these little clinics constitutes their
strong point. The patients are not afraid of them, and their great
advantage lies in their social rather than their scientific value. They
are merely places where a communicable disease may be discovered at the
earliest possible moment.
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