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
=Nurse’s Cases.= A large proportion of her cases will be unearthed by
the nurse herself. In Baltimore, the nurses themselves discover nearly
thirty-three per cent. of the cases under supervision. Thus, on being
sent to see a certain patient, before her visit is over the nurse may
discover one or two others of the family whose condition is such as to
call for immediate examination. The nurse should look with suspicion
upon every member of a household which has been exposed to tuberculosis.
The prolonged and intimate contact which is necessary for the
transmission of this disease has unfortunately, in most families,
existed for months before her arrival. The nurse should be particularly
keen in questioning the parents of tuberculous children since it is from
the parents that most children contract this disease.
=Physicians.= In considering the various sources from which patients are
recruited, we have purposely left until the last that which most people
would have deemed the first and most important source of all, namely,
the physicians of a community. While the medical profession has blazed
the way, and has indicated the paths along which the work must be
carried on, it is unfortunately only the greater men in the profession
who have done this. The others, through ignorance, through indifference,
or through that spirit which according to Dr. Cabot makes medicine “the
greatest profession, the meanest of trades,” have succeeded in placing
effective if temporary barriers in the path of the anti-tuberculosis
worker. The rigid adherence to the old Hippocratic oath, by which the
physician was sworn to keep inviolate the confidence of his patient, and
to place foremost the welfare of the individual, has for the most part
been very nobly lived up to. This oath, however, antedates our knowledge
concerning infectious and communicable disease. With the knowledge as to
the nature of transmissible diseases, there has come a change in medical
ethics, a change manifested by laws in which the welfare of the
community is placed above that of the individual. We see this reflected
in the regulations governing diphtheria, smallpox, scarlet fever, and so
forth—diseases which are distinctly the concern of the community, as
well as of the patient himself. But with tuberculosis, which has but
recently become recognized as a communicable disease, we find a halting
reluctance to consider anything but the rights of the individual. This
feeling is particularly strong among physicians of an older generation,
hold-overs from a passing régime. To such as these the nurse is nothing
less than an impertinence. Even if physicians of this sort are unable to
see their patients oftener than once or twice a year, or know them to be
in need of supplies which the nurse will gladly furnish, they refuse to
call upon her, and consider her advent as intolerable.
Public-domain text, read in full here on John Shaqi.
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