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
But it is not enough to tell the patient why he needs fresh air—the
nurse must show him how to get it. He is singularly helpless and unable
to recognize such ways for himself. Also she must overcome his
objections and bring him to her way of thinking. Thus, he objects to his
porch because it is shaky, or because it may only be reached by passing
through another person’s room. Investigation may prove the shakiness
imaginary, or at least not dangerous, while the other person may be only
too willing to let his room be used as passageway to this desirable
goal. Again, he objects to sitting in the yard, or on the sidewalk, or
even at his window, for fear of what the neighbours may say. It should
be pointed out that his health is more important than their
comments—whatever they may or may not be—and that his interest, not
theirs, should come first. The nurse must plan every little detail; she
must select his chair or sofa; must show how he can be warmly tucked up,
and sit out of the wind or sun, as the case may be. She must teach the
family about the hot brick and how to place it at the patient’s feet—or
two hot bricks, if need be. It is not enough to say: Do thus and so—she
must herself demonstrate how the thing is done. The consumptive is sick
and helpless and needs constant reassuring. If he belongs to the very
poor, he has little to do with, and is so ignorant that he cannot make
the most of what he has. This teaching is one of the chief duties of the
nurse.
=Food.= The third great essential in the trilogy is food. The patient’s
diet is of the utmost importance, since his ability to take and
assimilate nourishing food determines his ability to build up enough
resistance to cope with tuberculosis. Generally speaking, he should be
encouraged to eat every kind of nourishing food that he can digest—for
tuberculosis does not call for a special diet as does typhoid or
diabetes. Anything which specifically disagrees with him should, of
course, be excluded. The question of food values must be considered;
with the poor, this requires careful teaching and explanation. The nurse
should point out the difference between food which merely fills the
stomach, and food which nourishes and upbuilds. In the first class may
be instanced cabbage, turnips, doughnuts, pies—all highly esteemed by
the poor, and cheap and indigestible. In the second class are meat,
eggs, milk, fish, rice, beans, hominy, oatmeal, and so forth. Some of
these nourishing foods—rice, beans, hominy, oatmeal—are no more
expensive than cabbage and pie. The family should be taught the
difference. Very harmful and indigestible are the products of the corner
bakery, the penny candies, the enormous pickles, and the copious strong
brews of tea and coffee which form so large a part of the dietary of
those near the poverty line. Considerable money is spent on these
things—often money enough to provide a wholesome meal, if the family but
knew how to discriminate.
Public-domain text, read in full here on John Shaqi.
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