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
=Sources through Which Calls are Received.= The nurse goes to the
patient’s home, in the first instance, at the request of some one who
has sent her. This may be a physician, a dispensary, a neighbour, or she
may even go on her own shrewd suspicion that some one is ill. When the
door is opened to her knock, she must be careful how she explains her
coming. If a municipal nurse, she should never say that she has come
from the Health Department, for this conveys a suggestion of authority
which is often most alarming. Since the patient has been referred to the
Health Department from one of the sources just mentioned, it would be
more tactful to name the agency through which the call was received.
When calls are anonymous, such as by letter or telephone message, or
when the sender gives his name but asks that it be withheld from the
patient, the task of gaining an entrance is often one of considerable
difficulty, and requires much strategy. Calls of this sort should never
be refused, since in this way many advanced cases are brought to light.
It is also a wholesome indication that the community is learning to take
an intelligent interest in an infectious disease, whose presence is
recognized as a menace. These cases can best be managed if the nurse
assumes the responsibility herself, saying that in a roundabout way she
has heard that there is illness in the house, and so has called to offer
her services. As a rule, her offer will be readily accepted, for a case
reported in this manner is usually advanced, and, as we have said
before, when the neighbours diagnose tuberculosis, they are frequently
right.
=Entering the Home.= As a rule, when a nurse presents herself at a house
and explains her errand, the door is opened wide and she is cordially
asked in. In some instances, it is held half-shut, in a dubious manner,
and she is admitted with reluctance. Sometimes it is banged in her face.
It is a great satisfaction to gain an entrance into homes of the latter
class; to win the confidence of such patients is a victory worth having.
The surest formula for entering all homes is a broad smile; to stand on
the doorsteps and grin like a Cheshire cat disarms suspicion, and once
across the threshold, the victory is won.
Public-domain text, read in full here on John Shaqi.
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