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
=Incidental Assistance.= There are many occasions when the nurse should
ask for relief, and when this should be freely and generously given.
When a patient enters an institution, it may be necessary to pension his
family during his absence; assurance of their welfare will enable him to
leave with an easy mind. Unless such provision is made, we are
threatened with the alternative of seeing him sit at home, unable to
work, but engaged in the minor though highly dangerous occupation of
caring for the children while his wife goes out to service.
Relief may also be of a temporary nature. While a patient waits for
admission to a hospital he may be too sick to remain alone at home. This
may mean that his wife, the breadwinner, is forced to give up work in
order to care for him. Assistance should be given during this waiting
period, after which time the wife will return to her employment and the
family affairs readjust themselves.
Again, we may have a family in which the patient himself is the only one
who needs help, the income sufficing for all ordinary demands, but not
for the extraordinary demands of illness. While awaiting admission to an
institution, it may be necessary to give him extra food, extra clothing
or bed clothing, an overcoat, railway fare, or something of like nature,
either to make him comfortable, or to facilitate his removal when the
time comes. The patient must not be allowed to suffer during this
enforced wait, but this assistance must not be interpreted as
encouragement to remain at home.
In the foregoing instances, relief has been conditional upon removal. We
must sometimes give assistance under other circumstances. If there are
no hospital facilities, or if he will not avail himself of them, we are
doing good preventive work if we give the patient an extra bed, since
this may result in his partial separation from the children or other
members of the household. Extra clothing may also be given under like
conditions. On the other hand, if we gave milk and eggs to the patient,
we should be supplying food which would maintain indefinitely a centre
of infection. (Good preventive work may be accomplished by ample feeding
of the other members of the household, thus increasing their resistance.
In this case we should be sure that this food is taken by the children,
or by those for whom it was intended, since otherwise it would be
wasted.) Let us put the matter very frankly: it is wrong to prolong a
patient’s life, unless at the same time we can make him harmless to
those about him. If the two are coincident, well and good. If not, then
the shorter the exposure, the better for all those who must submit to
it. We repeat what was said at the beginning of the chapter: the patient
on the poverty line is surrounded by a group of individuals whose
vitality is at a very low ebb. Our first duty is to protect these
individuals.
Public-domain text, read in full here on John Shaqi.
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