To this one can answer with more certainty than to the as invariably opens them whenever the doctors have And under no pretence have any ledge whatever out of sight. I wish all the disinfecting fluids invented made such an "abominable smell" that they forced you to admit fresh air. I must direct the nurse's attention to the extreme variation there is not unfrequently in the pulse of such patients during the day. I will mention one or two of the most common errors among women in charge of sick respecting sick diet. can do for him is as nothing, with which I had almost said Neither can do anything but remove obstructions; neither can cure; nature alone cures. 138 The first of its kind, Nightingale’s book ‘Notes on Nursing: What it Is and What it is Not’, was translated into numerous languages and became an international best-seller. is far more injured by the influence of foul air than when of solid food is, how much an oz. But in a small way, the same manner of acting falls under the cognizance of us all. Now a nurse means any person in charge of the personal health of another. school-girl, neither mothers of families of any class, nor Now, you can have no idea of the relief which manual labour is to you–of the degree to which the deprivation of manual employment increases the peculiar irritability from which many sick suffer. at all times, even during the height of summer. this sometimes, not always. I have often thought how wise a piece of education this would be for much higher objects; and in our calling of nurses the thing itself is essential. To increase the efficiency of this class, and to make as many of them as possible the disciples of the true doctrines of health, would be a great national work. the question for uninhabited rooms.–But when ought the windows It is often said that, in regimental hospitals, patients ought to "nurse each other," because the number of sick altogether being, say, but thirty, and out of these one only perhaps being seriously ill, and the other twenty-nine having little the matter with them, and nothing to do, they should be set to nurse the one; also, that soldiers are so trained to obey, that they will be the most obedient, and therefore the best of nurses, add to which they are always kind to their comrades. Nobody learnt anything at all from it. Florence Nightingale's methods were revolutionary in her time, and they form the basis for the techniques of patient management that have been taught ever since. It is neither to do everything yourself nor to appoint a number of people to each duty, but to ensure that each does that duty to which he is appointed. If we did but know the consequences which may ensue, in very weak patients, from tem minutes' fasting or repletion (I call it repletion when they are obliged to let too small an interval elapse between taking food and some other exertion, owing to the nurse's unpunctuality), we should be more careful never to let this occur. But even if there is not, you must carry water there to Want of attention to hours of taking food. The cheerfulness of a room, the usefulness of light in treating disease is all-important. But this is from quite a different motive. I would it were so in the private house. Without sunlight, we degenerate body and mind. Patients are completely taken aback by these kinds of leading questions, and give only the exact amount of information asked for, even when they know it to be completely misleading. any class, whether they contain one, two, or twenty people, There are certain patients, no doubt, especially where there is slight concussion or other disturbance of the brain, who are affected by mere noise. Always air your room, then, from the outside air, if possible. * Unconsciously he is aware that this will regulate the plunging, the reading with unequal paces, slurring over one part, instead of leaving it out altogether, if it is unimportant, and mumbling another. An almost universal error among women is the supposition that everybody must have the bowels opened once in every twenty-four hours, or must fly immediately to aperients. "Notes on Nursing" is a classic by Florence Nightingale (the first "Modern Nurse). heat is produced than in health; and there is a constant Suppose you have been up all night, and instead of being allowed to have your cup of tea, you were to be told that you ought to "exercise self-control," what should you say? A patient may be left to bleed to death in a sanitary palace. If you believed in and observed the laws for preserving the health of houses which inculcate cleanliness, ventilation, white-washing, and other means, and which, by the way, are laws, as implicitly as you believe in the popular opinion, for it is nothing more than an opinion, that your child must have children's epidemics, don't you think that upon the whole your child would be more likely to escape altogether? All physiology goes to confirm this. Without cleanliness, you cannot have all the effect of ventilation; without ventilation, you can have no thorough cleanliness. This document includes the following: The time and date; The name of the patient If, on the other hand, and which is much more frequently the case, the patient says nothing, but the Shakespearian "Oh!" If he can feed and clean the animal himself, he ought always to be encouraged to do so. Here is an observation within everybody's experience. unknown. Of course you must manage this so that neither shall suffer from it, which is perfectly possible. How can a medical officer mount guard all day and all night over a patient (say) in delirium tremens? I can record but a very few specimens of the answers * which I have heard Yet the consequence in none of their minds, so far as I know, was the conviction that the craving for variety in the starving eye, is just as desperate as that of food in the starving stomach, and tempts the famishing creature in either case to steal for its satisfaction. But what you "think" or what I "think" matters little. And remember every nurse should be one who is to be depended upon, in other words, capable of being a "confidential" nurse. He ought never to be in it excepting when asleep, and at night. Sound and ready observation essential in a nurse. But again, to look to all these things yourself does not mean to do them yourself. Food never to be left by the patient's side. Don't make your sick-room into a ventilating shaft for the whole house. "Oh, yes," he said, "I could always take something at — o'clock and — o'clock." Sanitary nursing as essential in surgical as in medical cases, but not to supercede surgical nursing. *. There is often a marked difference between men and women in this matter of sick feeding. where so many children's night. Now, have those who say this, considered that, in order to obey, you must know how to obey, and that these soldiers certainly do not know how to obey in nursing. 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