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
There is one point which must always be brought out. It is not so much
what the patient does with his working hours, as what he does with his
leisure hours, which determines his ability to hold his own. An arrested
case may work eight or ten hours a day, in office, factory, or shop, and
still remain well, provided he spends the remaining hours of the
twenty-four in a proper manner. The ex-sanatorium case, rejoicing in his
apparently restored health and in his regained liberty, feels that he
can resume life on exactly the same terms as before. This he can never
do. He has tuberculosis, and he always will have tuberculosis, although
it may be latent at the moment. The fact that it is quiescent does not
mean that it will not light up again at the slightest indiscretion. He
must bear this fact constantly in mind and order his life accordingly.
If he expects to work and remain well, he cannot burn the candle at both
ends, even in the mildest manner. He must forego late hours, moving
picture shows, poolrooms, saloons, dance halls—everything, no matter how
harmless in itself, which places an extra strain upon his vitality. At
the end of the day’s work he should rest quietly, preferably in the
open-air. Eight or ten hours’ sleep at night is a necessity. The most
critical time in a patient’s career is that which follows his return
from a sanatorium, and it is at this particular moment that the nurse’s
supervision and encouragement are so greatly needed.
=Light Work.= Many patients return from the sanatorium, unable to work
at their former occupation, yet sufficiently strong to do “light work,”
if such a thing can be found. In my experience, suitable “light work”
for these cases has yet to be discovered. We all know of patients who
have been given easy positions as night watchmen, elevator-men,
corridor-men, office work, gardening, and so forth, and who have done
well at such employment. The number of such positions, however, is so
small and so out of proportion to the number of those who seek such
occupation that it forms no adequate answer to the question; what light
work can we find for the arrested case? Our present industrial system,
which produces the class of people from which the consumptive is so
largely recruited, also fails to provide proper employment for him after
his so-called recovery. The pressure of this system makes it
sufficiently difficult for an able-bodied man or woman to find work that
pays, or even any work at all, but to find such work for the handicapped
is almost impossible. Light work means light pay, and light pay means an
insufficiency of food, clothing, and shelter, all three of which are
needed for the maintenance of health. In these days when the physically
fit cannot always earn a living wage, what chance has the poor
consumptive?
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