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
If the case is a positive one, diagnosed on unquestionable authority,
and if the nurse has been sent by a dispensary, the Federated Charities,
or through some other disinterested source, she should be readily able
to gain admission. Having gained this, she should be able to hold her
own against all comers. As a rule, it is the opposition she encounters
before, rather than after her first visit, which determines her ability
to do her work in the home. Once in the home, however, it should make
little difference whether or not the patient changes doctors. If he
does, she should continue her visits as usual—her knowledge of his
condition makes it advisable to hang on to the family at all costs. If
this change brings a friendly doctor, he will not object to the nurse.
If it brings a prejudiced one, she should do nothing to excite his
hostility. Thus, if the new doctor denies the presence of tuberculosis,
it may become necessary for her to seem to assent to this opinion—for a
time she may have to visit merely in the capacity of a friend, offering
no advice, and distributing no supplies. She must be careful not to
antagonize the family, for after all, it is the family, at the doctor’s
instigation, which is able to turn her out. Thus, when they triumphantly
tell her that the patient no longer has consumption, she should not
contradict them. Time will do it for her. She may express pleasure at
the happy change, and ask for permission to stop in now and then, in
passing, in the capacity of an old acquaintance. This request will
seldom be denied, and at all costs she must keep in touch with the
family which now, more than ever, needs her supervision and aid. She
must stand by, ready to give this as soon as it is wanted. During this
time it will be very hard to wait, to see the patient relax all
vigilance, and to see the family recklessly exposed. But this waiting
policy will pay in the end. As we have said elsewhere, the consumptive
changes doctors more often than any other class of patients, and the
nurse must realize this, and be ready to follow him through the
vicissitudes which these changes involve. She must avoid all criticism
when the family is fallen upon evil times, and be ready to uphold and
encourage them when they are fallen upon good times.
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