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
=The Problem of Relief-Giving.= Giving financial assistance or relief to
patients on or below the poverty line is a question which sooner or
later confronts the nurse who undertakes social work. Long hours,
overwork, and low wages produce a class of people who offer little or no
resistance to disease, and when tuberculosis once gets a foothold
amongst them, it is passed on from one devitalized individual to
another. This is why it is necessary to remove a disease-distributor
from among a group of highly susceptible individuals. For example: let
us take a family consisting of father, mother, and four children. The
father contracts tuberculosis and stops work—his income also stops. Even
at best, it was a pitifully inadequate income, and in consequence the
entire family is undernourished, anæmic, and generally run down. With
the income gone, their resistance is still further lowered, and their
chances of infection are correspondingly increased. The result is a
patient surrounded by a group of people able to offer but slight
opposition to this insidious disease. The environment, bad as it was
originally, grows worse. The family moves into smaller, fewer, cheaper
rooms, and food, heat, clothing are all reduced to a minimum. This
increasing poverty means diminished vitality, and heightened
susceptibility to the threatening danger. In attempting to relieve this
situation we are dealing not with a simple, but with a twofold
problem—poverty, plus an infectious disease.
Because of its complex nature, the question of giving assistance is a
difficult and delicate matter. In our efforts to relieve distress and
want, we must be careful to do nothing which will result in spreading
tuberculosis. The paramount consideration is the prevention of
infection, and for this reason, relief should be made conditional upon
the removal or reduction of the danger. If we keep this idea firmly
before us, the problem will be much simplified.
Public-domain text, read in full here on John Shaqi.
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