The Tuberculosis Nurse: Her Function and Her Qualifications: A Handbook for Practical Workers in the Tuberculosis Campaign — John Shaqi
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
Nothing should diminish the enthusiasm for gaining new patients. The
mere fact that a nurse has more than she can manage should never deter
her from continually trying to find more. More patients, more patients,
and even then, more patients, should be her constant aim—and then the
chances are that she has not found all that exist. In Baltimore, when
pioneer work was begun under the Visiting Nurse Association, that
organization had a visiting list of some 1700 consumptive patients,
divided among five nurses. As five nurses represented the largest number
the Association could support, and as 1700 patients was only about
one-fourth of those who needed care and attention, some other method of
caring for the latter had to be devised. It was at this critical moment
that the Health Department was persuaded to assume the tuberculosis work
of the private association, and to incorporate it as part of the city
machinery. If the need for this transfer had never been proved, it is
hardly possible that the change would have been made. If the first
nurses had confined their visits to the patients they could reasonably
manage, and had refused to accept others, it would have been impossible
to prove how great the number of infectious patients was, and how
inadequate the care given them by the five struggling nurses of the
private association. Therefore, each community which undertakes
tuberculosis work should endeavour to unearth all the cases that exist,
if for no other reason than to show the size of the problem, and the
necessity of adequate measures for handling it. New patients, positive
and suspicious, should be sought for from every possible source. This is
better policy than to confine the work to the conscientious care of a
handful of manageable cases.
=Social Workers.= The agents of the Charity Organization Society, or
similar associations, continually come across cases of tuberculosis. The
new nurse should canvass all these agencies, and ask that all cases of
this kind be referred to her. If a case is not positively diagnosed,
that should be no drawback to reporting it; while the agents of these
associations are laymen and therefore not able to make diagnoses,
laymen, nevertheless, are able to make very shrewd guesses. It is the
nurse’s duty to take charge of these doubtful cases, and get them
examined and diagnosed by the proper agencies. The mere fact that a
patient presents suggestive symptoms makes it all the more urgent that
he be examined as soon as possible, and lack of positive diagnosis
should be no reason for the agent to withhold, or for the nurse to
refuse to take charge of, such a case. To visit a suspect does not
necessarily classify him as a consumptive, while not to visit him might
be to deprive him of assistance at a most critical time.
Public-domain text, read in full here on John Shaqi.
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