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
=Object of Work.= The object of tuberculosis nursing is the home
supervision of all persons suffering from pulmonary tuberculosis. This
supervision should include patients in all stages of the disease, and
not be limited to those who are in some particular stage, such as early,
in contradistinction to advanced, cases. No organization which expects
to do effective work should deal with one class of patients alone, since
the boundary lines between the different stages are constantly shifting;
the ambulatory case of to-day may be the bed-ridden case of to-morrow,
and _vice versa_, and any attempt to limit the nurse to one class or the
other would mean neglect of both. Unless the work is planned on such
inclusive lines, it will be necessary to place a second organization in
the field, to care for those cases which have been thrown out by the
first. Policy of this sort would mean a number of similar organizations,
duplicating and overlapping each other’s work at every turn. Thus, in
the same household, we should see the early, ambulatory patient
“advised” by the nurse of one organization, while the advanced,
bed-ridden, more infectious case is being bathed and cared for by the
nurse from another. Invidious comparisons would doubtless be made by the
family, with the decision in favour of “deeds, not words.” True, there
would be co-operation between these two societies,—which would mean, as
a rule, double work, duplication of visits, endless transferring of
cases backwards and forwards, and opening and closing of records. From
whatever point of view we consider it, this is a very poor plan of work,
and a wasteful method. The nurse should be in a position to follow the
fortunes of her patients for months and years. Any scheme which involves
transferring him to a stranger, from an old friend to a new, at the
moment when he slips from an early into a most infectious stage, is to
lose sight of him and of his family at a most critical time.
Adequate supervision means that the nurse must teach, nurse, and ferret
out patients, and her patients must include advanced, early, and
suspicious cases. The care should be of two kinds—instruction as to the
nature of tuberculosis, with general teaching along the lines of
prevention and prophylaxis; as well as actual nursing service, rendered
to advanced and bed-ridden cases. The Baltimore nurses take charge of
all tuberculous patients, in whatever stage, and we feel that this is
the most effective way to carry on the work.
Public-domain text, read in full here on John Shaqi.
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