* The common idea as to uninhabited rooms, is that they may Flour is both more nutritive, and less liable to ferment, and is preferable wherever it can be used. Another remark: although there is unquestionably a physiognomy of disease as well as of health; of all parts of the body, the face is perhaps the one which tells the least to the common observer or the casual visitor. Very few people know how to read to the sick; very few read aloud as pleasantly even as they speak. A celebrated medical lecturer began one day, "Fumigations, gentlemen, are of essential importance. Now all this is not fancy, but fact. In surgical wards, one duty of every nurse certainly is prevention. The extraordinary habit of reading to oneself in a sick room, and reading aloud to the patient any bits which will amuse him or more often the reader, is unaccountably thoughtless. In laying down the principle that the first object of the nurse must be to keep the air breathed by her patient as pure as the air without, it must not be forgotten that everything in the room which can give off effluvia, besides the patient, evaporates itself into his air. Nursing note samples contain pages with lines and a title that says, “Progress Notes” or “Nursing Notes.” But there is a lot more to these notes. be instantly made is–Would you do nothing, then, in what we might call the coxcombries of education–e.g., It is not, however, either death or delirium of which, in these cases, there is most danger to the patient. except the observing nurse, if there is one, who had always expected the exhaustion to come, from which there would be no rally, because she knew the patient had no capital in strength on which to draw, if he failed for a few days to make his barely daily income in sleep and nutrition. It is true she cannot give him what she has not got; but his stomach does not wait for her convenience, or even her necessity. Why? English women have great capacity of, but little practice in close observation. They would find it a very poor comfort. It is inconceivable how much the sick suffer by having anybody overhead. A patient in such a state is not going to the East Indies. In all well-regulated hospitals this ought to be be, and generally is, attended to. They think that a sewer in the street, and a pipe leading to it from the house is good drainage. *. And we will not suppose it possible that you have closed your chimney with a chimney-board. dust, it is said; and that no harm will happen if the room is but opened But a little tea or coffee restores them quite as much as a great deal, and a great deal of tea and especially of coffee impairs the little power of digestion they have. Carnevale, Franco A. The patient will often not even mention what has done him most harm. It would be curious to ascertain by inspections, how many houses in London are really well drained. But the case is exactly reversed with the sick, even should they be as many hours out of their beds as you are in yours, which probably they are not. This book introduces holistic health, home health, alternative therapies, health prevention and maintenance, the role of women in nursing and in everyday life, nursing administration, leadership, communications skills, mind/body and body/mind relationships. * A curious fact will be shown by Table A, viz., that 18,122 out of 39,139, or nearly one-half of all the nurses, in domestic service, are between 5 and 20 years of age. If a neighbour's child is seized with small-pox, the first question which occurs is Again, the question is sometimes put, Is there diarrhoea? The French or Irish woman is too quick of perception to be so sound an observer–the Teuton is too slow to be so ready an observer as the English woman might be. Then the proportion of girls in these schools, who become mothers or members among the 64,600 nurses recorded above, or schoolmistresses in their turn. Cases where this occurs should be watched In hospital wards it is of course impossible to observe all this; and in single wards, where a patient must be continuously and closely watched, it is frequently impossible to relieve the attendant, so that his or her own meals can be taken out of the ward. I have seen a careful nurse airing her patient's room through the door, near to which were two gaslights, (each of which consumes as much air as eleven men,) a kitchen, a corridor, the composition of the atmosphere in which consisted of gas, paint, foul air, never changed, full of effluvia, including a current of sewer air from an ill-placed sink, ascending in a continual stream by a well-staircase, and discharging themselves constantly into the patient's room. The art of nursing, as now practised, seems to be expressly constituted to unmake what God had made disease to be, * So true is this that I could mention two cases of women of very high position, both of whom died in the same way of the consequences of a surgical operation. I had rather have the power of carrying my patient about after the sun, according to the aspect of the rooms, if circumstances permit, than let him linger in a room when the sun is off. I am bound to say, that I think more patients are lost by want of care and ingenuity in these momentous minutiæ in private nursing than in public hospitals. At all events, one may safely say, a nurse cannot be with the patient, open the door, eat her meals, take a message, all at one and the same time. I scarcely know a greater injury that can be inflicted than the advice too often given to the first class to "vegetate"–or than the admiration too often bestowed on the latter class for "pluck.". They do not come by inspiration to the lady disappointed in love, nor to the poor workhouse drudge hard up for a livelihood. It will be found always covered, whenever the utensil is not empty, by condensed offensive moisture. If you knew how unreasonably sick people suffer from reasonable causes of distress, you would take more pains about all these things. Osika, Walter The housemaid then flaps everything, or some things, not out of her reach, with a thing called a duster–the dust flies up, then re-settles more equally than it lay before the operation. If And you can really keep yourself cleaner with a tumbler of hot water and a rough towel and rubbing, than with a whole apparatus of bath and soap and sponge, without rubbing. I am never with my patient; but quiet is of no less consequence to him at 10 than it was at 5 minutes to 10. While we are thinking, He has been teaching. One can, therefore, only press the importance, as being yet greater in the case of children, greatest in the case of sick children, of attending to these things. It combines all the basic elements of professional, clinical nursing with … will keep the door shut while she shuts the windows, and then, Nay more, the jury at the inquest actually altogether ignored the same, and apparently considered the tap "in charge," for they gave as a verdict "accidental death.". is not necessary, as often appears to be thought, to make it any class, whether they contain one, two, or twenty people, guard against the effects of the loss of vital heat by the I use the word nursing for want of a better. It requires very nice observation and care (and meets with hardly any) to determine what will not be too thick or strong for the patient to take, while giving him no more than the bulk which he is able to swallow. There are numerous other published versions of Notes on Nursing, but this one stands apart from those given its commemorative nature. It is the advice of experience to utter inexperience. There are not a few popular opinions, in regard to which it is useful at times to ask a question or two. But I do say that these women had the true nurse-calling–the good of their sick first, and second only the consideration what it was their "place" to do–and that women who wait for the housemaid to do this, or for the charwoman to do that, when their patients are suffering, have not the making of a nurse in them. All puddings made with eggs, are distasteful to them in consequence. : in petty management, or in other words, by not knowing how to manage that what you do when you are there, shall be done when you are not there. It was no longer "unaccountable." Can human perversity any farther go, in unmaking the process of restoration which God has made? On a much smaller scale, it happened, a short time ago, that an insane person burned herself slowly and intentionally to death, while in her doctor's charge and almost in her nurse's presence. Difference of excitable and accumulative temperaments. A patient's bed should always be in the lightest spot in the room; and he should be able to see out of the window. The skin absorbs the water and becomes softer and more perspirable. may be trusting to the patient's diet, or his medicine, A close carriage, with the horse-hair cushions and linings always saturated with organic matter, if to this be added the windows up, is one of the most unhealthy of human receptacles. * No one who has watched the sick can doubt the fact, that some feel stimulus from looking at scarlet flowers, exhaustion from looking at deep blue, &c. * Why, because the nurse has not got some food to-day which the patient takes, can the patient wait four hours for food to-day, who could not wait two hours yesterday? But when you have Were a trustworthy man in charge of each ward, or set of wards, not as office clerk, but as head nurse, (and head nurse the best hospital serjeant, or ward master, is not now and cannot be, from default of the proper regulations,) the thing would not, in all probability, have happened. But even if there is not, you must carry water there to I believe, on the contrary, that the very elements of nursing are all but It never occurs to her that he is quite certain to be faint, or cold, or to want something. Courts of justice seem to think that anybody can speak "the whole truth, and nothing but the truth," if he does but intend it. There can be no more false observation. * Why should you let your patient ever be surprised, except by thieves? A man received an injury to the spine, from an accident, which after a long confinement ended in death. *. probably the shutters are kept always shut; perhaps some kind of Find out more about sending to your Kindle. first and last, for its application, as far as household hygiene is An ordinary light paper will last clean much longer if there is an Arnott's ventilator in the chimney than it otherwise would. No mockery in the world is so hollow as the advice showered upon the sick. She does not know how soon she may find herself placed in such a situation; she must be no gossip, no vain talker; she should never answer questions about her sick except to those who have a right to ask them; she must, I need not say, be strictly sober and honest; but more than this, she must be a religious and devoted woman; she must have a respect for her own calling, because God's precious gift of life is often literally placed in her hands; she must be a sound, and close, and quick observer; and she must be a woman of delicate and decent feeling. Sadly large has been my experience in death-beds, and I can only say that I have seldom or never seen such. Now certainly English women are peculiarly capable of attaining to this. But it is nothing but starch and water. Shall we begin by taking it as a general principle--that all disease, at some period or other of its course, is more or less a reparative process, not necessarily accompanied with suffering: an effort of the morning, both to nurses and patients, and to the superior or his 6 oz. With a proper supply of windows, and a proper supply Very few people, be they of what class they may, have any idea of the exquisite cleanliness required in the sick-room. * More important to spare the patient thought than physical exertion. can manage the windows myself." Have as few ledges in your room or ward as possible. There is nothing more to be said. De koers van het lectoraat 17 2.1 Ontstaan en missie 17 2.2 Onderzoekslijnen in samenhang 18 3. At present how few there are, either professional or unprofessional, who really know at all whether any sick person they may be with is better or worse. A want of the habit of observation. Nurses often do not think the sick room any business of theirs, but only the sick. Is such or such a disease a reparative process? But with the great majority of cases, there is nothing of the kind; and the power of forming any correct opinion as to the result must entirely depend upon an enquiry into all the conditions in which the patient lives. * I am sure that a person who has accustomed her senses to compare atmospheres proper and improper, for the sick and for children, could tell, blindfold, the difference of the air in old painted and in old papered rooms, coeteris paribus. I would call attention to something else, in which nurses frequently fail in observation. Those who make health an excuse for doing nothing, and at the same time allege that the being able to do nothing is their only grief. Most people To patients enduring every day for years from every friend or acquaintance, either by letter or viva voce, some torment of this kind, I would suggest the same answer. the conviction that to give medicine is to be doing something,or rather everything; to give air, warmth, cleanliness, &c., is to do nothing. Now this is actual experiment. I would say to the nurse, have a rule of thought about your patient's diet; consider, remember how much he has had, and how much he ought to have to-day. Chemistry has as yet afforded little insight into the dieting of the sick. It is true we make "no vows." How well a patient will generally bear, e.g., the putting up of a scaffolding close to the house, when he cannot bear the talking, still less the whispering, especially if it be of a familiar voice, outside his door. Three out of many "negligences and ignorances" in managing the health of houses generally, I will here mention as specimens–1. If people would but cover the outside walls of their houses with plain or encaustic tiles, what an incalculable improvement would there be in light, cleanliness, dryness, warmth, and consequently economy. The whole of the bedding to be hung up to air for each intermediate twelve hours. sleeping-room. Many such I have had as patients who scarcely ate anything at their regular meals; but if you concealed food for them in a drawer, they would take it at night or in secret. vital powers by the call made upon them to sustain the Not but that these laws–the laws of life–are in a certain measure understood, That, in accompanied with suffering: an effort of nature to remedy These cases I have seen not by ones, nor by tens, but by hundreds. the nurse will be terrified, if a window is opened. We have it, indeed, upon very high authority that there is ward must sometimes stand open to allow of persons passing in and by a careless nurse, who lets the fire get low and then overwhelms it with coal; not, as we verily believe, in order to spare herself trouble, (for very rare is unkindness to the sick), but from not thinking what she is about. *. : that the nurse, depending on meat alone, had allowed the patient to be without vegetables for a considerable time, these latter being so badly cooked that he always left them untouched. They went on thinking–thinking that the sufferer had scratched his thumb, or that it was singular that "all the servants" had "whitlows," or that something was "much about this year; there is always sickness in our house." it be so? And yet people are surprised that their children, brought up in large "well-aired" nurseries and bed-rooms suffer from children's epidemics. Notes on Nursing would be an excellent choice. But which is most likely to be wrong? And the carbonic acid they give off at nights would not poison a fly. But then you must be able to give them real interests, not gossip. I am far from wishing nurses to scour. strung. You can easily convince yourself of the necessity of this absolute rule, by taking one with a lid, and examining the under side of that lid. Careless observation of the results of careless visits. All that chemistry can tell us is the amount of "carboniferous" or "nitrogenous" elements discoverable in different dietetic articles. Now this sort of thing pursues every one through life. I had rather not say how many instances I have known, where, owing to this system of leading questions, the patient has died, and the attendants have been actually unaware of the principal feature of the case. Every day sanitary knowledge, or the knowledge of nursing, or in other words, of how to put the constitution in such a state as that it will have no disease, or that it can recover from disease, takes a higher place. But no particle of dust is ever or can ever be removed or really got rid of by the present system of dusting. Still hailed today as important introductory reading for aspiring nurses, the text explains the centrality of ventilation, observation, hygiene, and diet during sickness, as well as care during convalescence. If there is some matter which must be read to a sick person, do it slowly. the termination of the disease being then, while the antecedent process was going on, determined? school-mistresses of any class, nor nurses of children, nor No other word will express it but "desperation." 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