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
Therefore the nurse should try to induce her patients to rest as much as
possible—not to walk about, or to drag themselves to a park, and so tire
themselves out. Exertion increases fever, and this will counteract what
benefit might have been gained through the fresh air. They should be
taught to sit comfortably in their gardens, on their front sidewalks, on
their porches, at their open windows. Best of all, they should go
upstairs to their bedrooms, and lie at full length on the bed placed
next to the open window. By thus emphasizing the importance of
rest—synonymous in this case with outdoor rest—the nurse is not only
giving sound advice to her patient, but she is protecting the community
from the ambulatory consumptive.
Whenever possible, the patient should be induced to remain in bed
permanently. The sooner the weary, advanced case gives up his painful
wanderings, stops dragging himself from his own to his neighbour’s
kitchen, or to the hospitable bar, the better for him and for the
community. If he were to go to bed in a hospital, instead of at home,
greater still would be the gain. The part of the community constituted
by his family would be freed from danger, while he himself would be
adequately cared for. Again we are struck by the coincidence of what is
best for the patient being also best for those who surround him.
=Fresh Air.= Fresh air is the second great essential in the treatment of
tuberculosis, and every patient should be taught to spend as many hours
as possible out-of-doors. The nurse must explain in words of one
syllable why this is necessary—that clean, pure air contains life-giving
oxygen, and that to breathe it entails little exertion on the part of
the sick lungs. On the other hand, impure air contains no upbuilding
principle, but greatly taxes the lungs and makes breathing difficult.
Outdoors, every breath of air is clean and pure; indoors, especially in
a closed room, one is soon reduced to rebreathing expired air, with all
its impurities. Just as tainted meat or spoiled fruit or vegetables are
unwholesome, and bad for the stomach and general system, so is impure
air harmful to the lungs and general health. One organ surely deserves
as much consideration as another. And when the lungs become impaired
through disease, it is still more necessary to take care of them. They
need to be strengthened in every way, in order to defy the inroads of
tuberculosis. The nurse must make her points clear and emphatic; if the
patient takes an intelligent interest in his treatment, it will become
less irksome.
Public-domain text, read in full here on John Shaqi.
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