The People's Common Sense Medical Adviser in Plain English: or, Medicine Simplified, 54th ed., One Million, Six Hundred; and Fifty Thousand
John Stuart Mill · en
Patients sometimes wish to have their rooms darkened, because the light
is painful to their weak and sensitive eyes. It is far better to shade
the eyes and admit the sunlight into the room, since its rays cause
chemical changes to take place, which favor the return of health. Many
invalids can ascribe their recovery to the influence of a sun bath.
There are, however, conditions in which the patients should be screened
from the light. In such cases a little arrangement of the curtains or
shutters will accomplish all that is to be desired.
Patients convalescing from acute, or suffering from chronic diseases,
should receive the influence of light in the open air, and be in it
several hours every day. Light and pure air stimulate a healthful
development, induce cheerfulness, hope, and recovery, while darkness
begets gloom, sadness, despondency, disease, and ultimately death.
WARMTH is essential to the well-being of the patient, and it is
necessary that a proper temperature be maintained in the room. Except in
very warm weather, a little fire should be kept in the room, and at the
same time fresh air should be admitted from without, and a uniform
temperature thus preserved. This arrangement is especially necessary in
localities where great variations in temperature are experienced during
the day and night.
The normal temperature of the body ranges from 98° to 99° Fahr. The
minimum occurs from 2 to 6 A.M.; the maximum, from 1 to 6 P.M. The
deviation of a few degrees from this standard indicates disease, and the
greater the deviation, the greater is its severity. During the early
stages of acute diseases, the animal heat is generally increased, and
should be allayed by bathing, and cooling or acidulated drinks. In the
latter stages, the temperature becomes diminished and the condition of
the system is favorable to congestions, which are most likely to occur
between the hours of 2 and 6 A.M., when the vital powers are lowest. The
patient then becomes feeble, his extremities grow cold, and he has what
is termed a "sinking spell," and perhaps dies. It is during these hours
that additional covering, the application of hot bricks to the feet, and
bottles of hot water to the limbs and body, friction upon the surface,
stimulating drinks, and increased vigilance on the part of the nurse
will often save the patient's life. But, unfortunately, at these hours
the nurse is apt to get sleepy and inattentive, the demands of the
patient go unheeded, and a sacrifice of life is the result.
Persons suffering from chronic diseases, or those in feeble health,
should preserve their vital energies by dressing warmly, by wearing
flannels next to the skin, and by carefully protecting the feet from
cold and moisture.