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
In these two instances, there was little danger of spreading the
infection, since neither patient was in close contact with children, or
other persons likely to contract the disease. The young boy suffered an
early death, while the coloured woman suffered personal inconvenience
and discomfort, due to lack of nursing, care, and attention. In neither
case, however, was there danger to other people. Whenever other people
are involved, it is less easy to stand by and do nothing, while waiting
for that slow change in public sentiment which shall give one the right
to interfere. Thus, a physician diagnosed a case as tuberculous, and
asked the nurse to take charge of the patient, telling her that he had
carefully examined all the other members of the family, and found them
in apparently good condition. He added, however, that he had been
dismissed as soon as he had told the family the disease from which the
patient was suffering. For this reason, he feared the nurse would find
difficulty in entering the home. His fears were only too well grounded.
The family had straightway called in another doctor, who calmed their
anxiety by denying the previous diagnosis. He also advised them to turn
away the nurse, which they did.
The patient lived some eight months after this, during which time she
was given no supplies, no instructions of any sort, and the family were
kept in ignorance of the nature of her illness. When she died, the nurse
as agent of the Health Department went to the house to arrange for the
fumigation. The front door was opened by a young girl obviously
tuberculous—the nurse was struck with her appearance; further search
revealed still another member of the household who presented suggestive
symptoms. In their distress, the family turned to the nurse and asked
for advice and assistance, and she at once referred them to the
physician who had diagnosed the original patient, eight months ago. The
family obediently presented themselves to him, and he found that three
more members had become infected. Since they were all in the early
stages, it is probable that they had become infected during the last few
months of the patient’s life—during which time not one precautionary
measure had been observed. The day will surely come when the possibility
of treating tuberculosis lightly, at the option of the attending
physician, will not be allowed. Public sentiment will finally insist
upon full municipal control, which will do away with such malpractice
and sacrifice of human life.
=A Waiting Policy.= As matters stand to-day, we can do nothing but
accept the situation as we find it, and do the best that circumstances
will permit. Which brings us to the question of the hour—What is to be
done if the physician refuses to let the nurse visit his patient? Is she
to accept his dismissal and turn away, or is she to continue her visits
in spite of his objections, on the ground that the patient is hers as
well as his?
Public-domain text, read in full here on John Shaqi.
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