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
=Care of the Family.= We have already said that the first consideration
is the patient’s family, or those individuals who come in contact with
him. Therefore, as soon as he himself is under satisfactory supervision,
the nurse must turn her attention to the other members of the household
who need her even more. A majority of the nurse’s patients are either
advanced or last-stage cases, many of them having a history extending
over months or perhaps even years of illness. If during this time the
nature of the disease has been unknown; or known, and no precautions
have been taken, there is great likelihood that other members of the
family have also become infected. To discover these suspicious cases and
get them examined and under treatment as soon as possible, is one of the
nurse’s first responsibilities. Next, she must give careful attention to
those other members of the family who so far have apparently escaped.
She must not over-alarm or frighten them, but she must keep before them
the fact that they are in close contact with a highly infectious
disease, and that whatever lowers their resistance, increases in like
manner their chances of contracting it. They must employ every means in
their power to raise their vitality to a point where they cannot be
reached. An infectious disease does not, as a rule, gain entrance into a
constitution strong enough to resist it.
To this end, the nurse should pay particular attention to the personal
hygiene of the exposed family. Their bedrooms and sleeping quarters
should receive as careful consideration as do those of the patient.
Every one in the house should be taught the value of fresh air, and the
necessity of sleeping with wide-open windows; the measures needed to get
people well are equally necessary to keep them well.
The family also needs careful instruction as to food and rest: food,
nourishing and well cooked; rest, which should at least mean that at the
end of a day’s work they do not exhaust their vitality in crowded
poolrooms, dance halls, and saloons. The need of recreation is one of
the fundamental needs of mankind, but there is a difference between that
which refreshes and that which undermines the constitution. Whether this
fatigue comes from work, play, or excesses of any kind, it is usually
the worn-out individual who first succumbs to exposure. In all
households there is great need for instruction along these lines. There
are weary, indifferent parents, and heedless boys and girls whose
ignorance of personal hygiene is profound. The fact that much of this
teaching falls on apparently stony ground shows the need for redoubled
effort—which will in time bear fruit. Those in contact with tuberculosis
must be continually on their guard against it—disease does not, as a
rule, attack those who are in sound health.
Public-domain text, read in full here on John Shaqi.
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