To accomplish this, is as difficult as it is important. A patient does not willingly give up his home, however poor and humble it may be, while his family often cling to him with an obstinacy open to no argument. As a rule, the difficulty of removing him is in inverse ratio to his intelligence, and to the danger to those surrounding him. =Responsibility of the Institution.= In overcoming this prejudice, a great deal depends upon the character of the institution itself. It is not enough to establish hospitals:—they must be attractive and comfortable to such a degree that they become highly desirable to prospective patients. They must be well run, well managed, the food must be good, and the patients well treated. To obtain segregation, we must have hospitals which offer great advantages over the home. =Home Care of the Advanced Case.= If there are no hospital facilities, it then becomes the nurse’s duty to give nursing care to the bed-ridden patient. This is also done when the hospital accommodations are limited, and the patient must wait to be admitted. During this waiting period, which may extend over weeks, he should be visited every day (or at least as often as the work will permit), and given such care as he requires, including bed-baths, care of the back, and so forth. The nurse must also teach some older, responsible member of the family how to care for him in the intervals between her visits. Sometimes, when a vacancy finally occurs, the patient may be contented with home treatment and refuse to enter the institution, or his family may refuse to let him go. The nurse must do her utmost to persuade them. She must explain that in the hospital he will receive constant, not intermittent care, and that her work will only permit her to render nursing service to those who cannot otherwise be provided for. Should he still refuse, she must continue her visits of supervision, but must stop all nursing care. No premium whatever should be placed on his remaining at home. This may seem like a harsh and unfeeling policy, but it is the only course to pursue when we take into consideration the fact that the institution is the proper place for an infectious disease. If a patient has become accustomed to a daily bath and other attentions, he will miss them; when he misses them badly enough, he will consent to go where they may be had. This plan does not mean that the nurse neglects the patient,—if he suffers, it is through choice. An excellent alternative has been offered, and his refusal to accept it should not entitle him to continue infecting his family, assisted by the nurse to do it in comfort.