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
The Tuberculosis Dispensary—Equipment—Medicines—Hours—Consideration of
Patients—Function of the Dispensary—The Physician’s Service—The
Physician’s Qualifications—The Physician and the Patient—Duties of
the Nurse—Tuberculin Classes—The Nurse in Home and Dispensary—The
Nurse as an Asset to the Community.
=The Tuberculosis Dispensary.= No community can make definite progress
against tuberculosis until it establishes a place where suspicious
patients may be sent for examination and diagnosis. Unless this disease
be promptly and definitely recognized, it is impossible to give advice,
or take authoritative action concerning the treatment of the patient and
his family. If in connection with the dispensary there was also a corps
of municipal physicians, who could visit the patients in their homes,
and examine all suspects called to their attention, diagnoses could be
obtained even more promptly. As it is now, considerable interval often
elapses between the time when the patient is advised to go to a
dispensary and the time when he follows this advice. The existence of a
corps of visiting physicians would prevent such delays. The patient
would be allowed a reasonable time in which to present himself, at the
expiration of which period he would be sought out by the officer of the
municipality. This prompt recognition of tuberculosis would save the
community from an enormous amount of exposure. The time may yet come
when Departments of Health will see the wisdom of such measures.
Until that time, the special dispensary represents the only means of
obtaining a diagnosis; it is the only place where patients may freely be
sent, and where an expert and frank opinion may be had. Such a
dispensary may be established in connection with the general dispensary
of a hospital, or by the local Health Department, or it may be supported
by the same group of people or association which supports the special
nurse. In Baltimore, we have had dispensaries of all three kinds, and
the nurses have worked in connection with each one, on exactly the same
terms.
=Equipment.= The great tuberculosis dispensaries run in connection with
the large hospitals and medical schools are usually very completely and
elaborately equipped. They contain large waiting rooms, examining rooms,
special rooms for the giving of tuberculin, for X-ray examinations, for
throat examinations, for laboratory work, and so forth. All these are
needed in teaching centres, where it is necessary to collect certain
scientific data. But for the purpose of making an ordinary physical
examination a simpler equipment will do equally well.
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