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
=Wrong Conditions of Relief-Giving.= Relief is sometimes given in a way
that makes it defeat preventive work, and tends to create new sources of
infection. For example: we recall a case in which the father of a family
was in the last stages of consumption. His wife took in washing, and was
general drudge for the patient and five small children. This man refused
to go to a hospital, and also refused to use his sputum cup, or take any
other precautions. Most of his time was spent in bed, and beside him in
the bed were his two small children, whose presence gave him pleasure.
Neither doctor, nurse, nor agent could bring about a better state of
things, yet the family was desperately poor and in great need of help.
In consequence, assistance was given upon the patient’s own terms of
being allowed to carry out his right to infect his family. Groceries
were given in large amounts, and the patient himself was supplied with
abundant milk and eggs, which kept him alive for weeks beyond the point
where his own manner of living would have ended the matter. Soon after
his death, one of the children died of tubercular meningitis, while his
wife developed a pulmonary lesion. All the family are now public
charges.
We recall another case: The family consisted of the patient, his wife,
and eight children. The patient was grossly careless, declining to
observe the slightest precautions, and flatly refused to enter a
hospital. After his death, his wife and five of the eight children were
found to have tuberculosis. During the last six months of his life, a
certain agency had poured in unceasing relief, thereby subsidizing a
centre of infection.
Still a third case is that of a widow, with two small children. She
would not part from these children, and refused to go to a hospital, or
to let them go to the country. A separate bed was provided, so that for
part of the time at least the children might be away from her, but she
declined to let them occupy it. She kept them in bed with her. Neither
would she use a sputum cup nor follow advice in any way. All this time,
some benevolent old ladies kept her well supplied with groceries, milk,
eggs, coal, rent, and so forth, by means of which assistance she was
able to drag out a moribund existence for eight or ten months. Pitiful
as this case was, the utter selfishness and immorality of this sort of
“mother love” is something which should repel rather than attract the
sympathies of thinking people.
These are perhaps extreme instances, yet in a lesser degree this is what
usually happens unless relief is made conditional upon removal of the
danger. Charitable associations should be careful not to act as
accessories in the spread of tuberculosis, and should not prolong
conditions under which this is practically inevitable. If centres of
infection are thus perpetuated, through sources over which the
associations in question have no control, nurse and agent, at least,
should not countenance such “benevolence.”
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