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
All these doubts and difficulties in connection with the diagnosis of
tuberculosis in children serve to show that in a way this question may
be called a negligible one, negligible, that is to say, as a menace to
public health. It is important for the individual that a diagnosis be
made, in order to do intensive work in upbuilding his resistance, but he
is negligible as a distributor of infection. About ten per cent. of the
visiting list is made up of children. On entering a home where there are
two children, one tuberculous and one not, the nurse’s efforts should be
concentrated on separating the two—the emphasis being placed on the care
of the one as yet uninfected.
The question frequently arises, Should these tuberculous children be
sent to school? Is it well for them as individuals, from the standpoint
of their own health, and is it well for those who are thrown in contact
with them? This decision rests solely with the physician, and can be
made by him alone. As far as danger to others is concerned, it must be
remembered that while a person may be tuberculous, he is not necessarily
infectious, and it is upon the infectiousness of a case that the danger
depends.
It is difficult to care for these tuberculous children. Most nurses
become deeply distressed because of this. The children are frequently
undisciplined, and their parents often weak and lacking in self-control.
The nurse becomes discouraged and annoyed when she sees her directions
unheeded or disobeyed. But, after all, these cases constitute but a
minor part of the problem, and they are not patients who do much harm.
It is sad to stand by and see the individual throw away his chances, or
to see them thrown away for him—but this standing by is part of the
work.
=Open-Air Schools.= During the past five or six years, open-air schools
or classrooms have been established in several of our large cities. This
is an excellent affirmative answer as to whether a tuberculous child
should attend school. At these places, careful, systematic attention is
given the child for several hours a day. Non-tuberculous children are
also admitted—they may be called pre-tuberculous, since they are anæmic,
run-down, undernourished children, who come from homes where
tuberculosis exists in active form. For such cases, the open-air school
does excellent preventive work, in raising the child’s resistance to a
point where it can cope with the exposure at home. These open-air
classes are always in charge of a physician and a nurse; their
management does not come within the range of this discussion, any more
than does that of the hospital or the sanatorium.
The public health nurse must always take advantage of these schools, if
they exist, and must see that her children are sent there. She must
avail herself of every agency and of every opportunity which will
improve or secure the welfare of those under her charge.
Public-domain text, read in full here on John Shaqi.
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