=Clothing and Bedclothing.= In her effort to teach her patient to sleep out-of-doors, and to spend most of his waking time there, the nurse must remember that in winter this is impossible, if he is insufficiently clad. The vitality of the consumptive is always below par, consequently he needs much more clothing than would a healthy person under the same conditions. It is impossible to expect patients to remain out-of-doors if they are cold and uncomfortable, and before insisting upon open-air treatment the nurse must see that it is possible for them to take it. If they lack the necessary clothing—underwear, blankets, sweaters, overcoats—these may be procured through some charitable association. It is a part of the nurse’s duties to arrange for this assistance, the question of which will be dealt with in a later chapter. =Artificial Heat.= In addition to extra clothing, artificial heat is nearly always necessary, and this may be procured by means of hot-water bottles, hot bricks, stove lids, and so forth. The clothing itself may be sufficiently warm, and a hot brick may be all that is necessary to keep the patient in the yard, rather than in the kitchen. The patient must learn to live in the open-air—and the family must also learn that their safety lies in keeping him there, and is well worth the trouble of filling a hot-water bottle now and then. A hot kitchen is the worst place in the world for a coughing consumptive—and a coughing consumptive is the worst thing in the world for a hot kitchen—and the inhabitants thereof. It is fortunate that the rule works both ways, so that both sides may be appealed to. =Rest.= The three things necessary to improvement are rest, fresh air, and food. Not one alone, nor two alone, but all three together, if results are to be obtained. It is very difficult to impress upon the patient that rest is not exercise, and that nothing is as bad for him as exertion. He instinctively associates fresh air with exercise, and does not realize that fresh air and rest is the combination required. If a physician is in charge of the case, he of course would direct the amount of exercise to be taken, but if, as often happens, there is no doctor in attendance, the nurse must use her own knowledge of what is best. In a sanatorium the usual rule is that all patients with more than 99 degrees of fever shall stay in bed. After a hemorrhage, absolute rest is of course indicated.