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
In planning a patient’s diet, the nurse will
have to do as much exclusive as inclusive propaganda.
It is not necessary to insist on milk and eggs, certainly not in the
abnormal quantities which a few years ago were considered indispensable
in the treatment of tuberculosis. If a patient likes these and can
afford them, well and good, but they need by no means be made the staple
article of diet. This rich and highly concentrated food has a tendency
to cause indigestion, and since this is one of the gravest and most
distressing complications of tuberculosis, it must be prevented at all
costs. A patient unable to digest his food has but slim chance of
increasing his vitality, and little hope of improvement. Therefore, in
advising raw eggs, the nurse must be very careful; one or two a day will
be sufficient, over and above the regular meals.
Milk should be substituted for tea and coffee. Three or four glasses a
day will be enough, and even that may be too much if the patient eats
well of other things. In place of raw milk, it may be peptonized,
malted, given hot, made into junket, taken in cocoa, or as one of the
flavoured milkshakes, or turned into clabber or buttermilk. These
varieties of milk are good for advanced patients, who may also be given
egg albumen, flavoured with lemon, orange, ginger ale, grape juice, and
so forth. The family must be taught to make these little innovations, in
the ordinary diet, and instruction in these is part of the nurse’s work.
By careful supervision and attention, the nurse can procure a very
satisfactory dietary, one both nourishing and digestible. Three good
meals a day, with a little nourishment between meals and at bedtime (a
glass of milk or its equivalent), will be found quite satisfactory. If a
doctor is in attendance, he will of course arrange such diet as he
thinks best, but if the nurse is left to herself, she will not overstep
the boundaries if she advises some such plan as we have outlined.
As we have said, indigestion is one of the most frequent complications
of tuberculosis. In some cases this can be overcome or relieved by
advising rest in the reclining position for an hour before, and
immediately following meals. If the patient lies flat on the bed or
lounge, this will be more effective that if he sits in a rocking-chair.
Public-domain text, read in full here on John Shaqi.
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