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
If nurses and agents will follow strictly this one simple rule—the
former to give no material assistance, the latter to offer no advice
concerning the patient’s treatment—the chief cause of friction between
these two sets of workers will be eliminated.
=Conditions under which Relief is Asked.= The nurse who visits a family
every week or two is in a position to know when they have come to the
end of their resources and need relief. When this point is reached, she
should report the case to the agent of the Federated Charities. She must
always bear in mind that her chief work is the prevention of
tuberculosis; it is not necessarily the prolongation of human life,
although the two are sometimes coincident. Relief should be asked for if
it brings about the prevention of tuberculosis, but under no
circumstances if it means increased opportunities for scattering the
disease. Under the latter conditions, assistance should be withheld or
withdrawn as the case may be.
For example: we have a family consisting of father, mother, and several
children. The income ceased when the father, the wage-earner, became too
ill to work. The family is in great need of fuel, rent, and groceries.
The giving of this assistance should be made conditional upon the
removal of the danger—that is, upon the patient’s going to an
institution where he will be better cared for than in the home. By
insisting upon this removal, the Federated Charities can play an
important part in the suppression of tuberculosis.
Suppose there are no hospital facilities, and it is necessary to keep
the patient at home. In this case, the most susceptible members of the
household, namely, the children, should be removed. To place out
children is a difficult matter, since it is hard to get the parents’
consent; this can be done, however, with time.
If this turns out to be impossible, relief may be given on condition
that the strictest precautions are observed. This assistance may be
given as long as both patient and family follow rigidly all directions
given by the nurse; failure to do so should be a signal for the
withdrawal of all aid. To assist the patient who has no choice but to
remain at home, means to give relief under the least favourable
conditions, but it must answer when there are no hospital facilities.
When such facilities exist, no alternative should be permitted. When a
family reaches the point where outside interference—social
interference—is needed, we think it not unreasonable that this
assistance should be given upon terms which tend to promote, rather than
diminish the welfare of its members.
Public-domain text, read in full here on John Shaqi.
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