〉 Chapter 20. Home Nursing
Chapter 20. Home Nursing
Those who minister to the sick should understand the importance of careful attention to the laws of health. Nowhere is obedience to these laws more important than in the sickroom. Nowhere does so much depend upon faith-fulness in little things on the part of the attendants. In cases of serious illness, a little neglect, a slight inattention to a patient's special needs or dangers, the manifestation of fear, excitement, or petulance, even a lack of sympathy, may turn the scale that is balancing life and death, and cause to go down to the grave a patient who otherwise might have re-covered. (YHH 194.1)
The efficiency of the nurse depends, to a great degree, upon physical vigor. The better the health the better will she be able to endure the strain of attendance upon the sick, and the more successfully can she perform her duties. Those who care for the sick should give special attention to diet, cleanliness, fresh air, and exercise. Like carefulness on the part of the family will enable them also to endure the extra burdens brought upon them, and will help to pre-vent them from contracting disease. (YHH 194.2)
Where the illness is serious, requiring the attendance of a nurse night and day, the work should be shared by at least two efficient nurses, so that each may have opportunity for rest and for exercise in the open air. This is especially important in cases where it is difficult to secure an abundance of fresh air in the sickroom. Through ignorance of the im-portance of fresh air, ventilation is sometimes restricted, and the lives of both patient and attendant are often in danger. (YHH 194.3)
If proper precaution is observed, noncontagious diseases need not be taken by others. Let the habits be correct, and by cleanliness and proper ventilation keep the sickroom free from poisonous elements. Linder such conditions the sick are much more likely to recover, and in most cases neither attend-ants nor the members of the family will contract the disease. (YHH 195.1)
To afford the patient the most favorable conditions for recovery, the room he occupies should be large, light, and cheerful, with opportunity for thorough ventilation. The room in the house that best meets these requirements should be chosen as the sickroom. Many houses have no special provision for proper ventilation, and to secure it is difficult; but every possible effort should be made to arrange the sick-room so that a current of fresh air can pass through it night and day. (YHH 195.2)
So far as possible, an even temperature should be main-tained in the sickroom. The thermometer should be con-sulted. Those who have the care of the sick, being often deprived of sleep or awakened in the night to attend to the patient, are liable to chilliness, and are not good judges of a healthful temperature. (YHH 195.3)
An important part of the nurse’s duty is the care of the patient’s diet. The patient should not be allowed to suffer or become unduly weakened through lack of nourishment, nor should the enfeebled digestive powers be overtaxed. Care should be taken so to prepare and serve the food that it will be palatable, but wise judgment should be used in adapting it to the needs of the patient, both in quantity and quality. In times of convalescence especially, when the appetite is keen, before the digestive organs have re-covered strength, there is great danger of injury from errors in diet. (YHH 195.4)
Nurses, and all who have to do with the sickroom, should be cheerful, calm, and self-possessed. All hurry, excitement, or confusion should be avoided. Doors should be opened and shut with care, and the whole household be kept quiet. In cases of fever, special care is needed when the crisis comes and the fever is passing away. Then constant watching is often necessary. Ignorance, forgetfulness, and recklessness have caused the death of many who might have lived had they received proper care from judicious, thoughtful nurses. (YHH 196.1)
It is misdirected kindness, a false idea of courtesy, that leads to much visiting of the sick. Those who are very ill should not have visitors. The excitement connected with receiving callers wearies the patient at a time when he is in the greatest need of quiet, undisturbed rest. (YHH 196.2)
To a convalescent or a patient suffering from chronic disease, it is often a pleasure and a benefit to know that he is kindly remembered; but this assurance conveyed by a message of sympathy or by some little gift will often serve a better purpose than a personal visit, and without danger of harm. (YHH 196.3)