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
=Inspection of the House.= On her first visit the nurse must inspect
every room in the patient’s home, with a view to knowing what
possibilities it affords for treatment and isolation. Some contain no
facilities whatsoever; some but meagre ones, while in others may be
found excellent opportunities which the patient must be taught to use.
Before advising any change or rearrangement, several factors must be
considered: the stage of the disease, number in family, financial
condition, home surroundings and the institutional facilities of the
community. The course to be taken depends whether or not there is a
hospital, or whether or not the patient must wait some time before
admission. The first object is the protection of the family, but all
those measures which bring this about, offer at the same time the
maximum advantage to the patient himself. To remove him to an
institution is the best way to accomplish both ends. If this cannot be
done, the nurse must endeavour to secure conditions in the home which as
nearly as possible approach those of an institution. The closer this
approximation, the greater the gain to both patient and those who
surround him.
=The Patient’s Bedroom.= The first thing to be considered is the
patient’s bedroom, or sleeping quarters. He should have this room to
himself, sharing it with no one. If this cannot be arranged, he should
at least have a bed to himself. This bed, and that of the other person,
or persons, should be placed at opposite ends of the room, and as far
apart as possible.
The more windows in the room the better; these should be kept open to
their fullest extent. In some houses, where the windows are small, it is
often possible to lift out the entire sash, thereby admitting more air.
The bed should be placed directly at the window, so that the patient may
lay his pillow on the window sill if he chooses. He should be instructed
to sleep facing the opening, in order to get all the air he can. The
nurse should rearrange the furniture as she wishes it, otherwise
misunderstandings may occur. If the family object to her moving it but
promise to do this themselves, she must be careful to inspect the room
again on her next visit, to see that this has been properly done. Even
with families that have been under supervision a long time, it is well
to inspect the bedrooms occasionally, for the patient’s bed always has a
tendency to retreat into a remote corner of the room, especially in
winter.
Public-domain text, read in full here on John Shaqi.
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