CONTENTS

Preface v

Introduction xi

CHAPTER I

Page

Causes and Prevention of Sickness Communicable diseases, 1. Micro-organisms and bacteria, 1. Parasites, 3. Structure and development of parasites, 4. Bacteria, 4. Shape, 4. Size, 5. Motion, 5. Multiplication, 5. Spores, 7. Distribution, 8. Protozoa, 8. Visible parasites, 8. Transmission of pathogenic organisms, 9. Defenses of the body, 12. Immunity, 13. Vaccination and inoculation, 15. Carriers, 17. Non-communicable diseases, 20. Physical examinations, 22. 1

CHAPTER II

Health and the Home Heredity, 27. Hygiene of environment and person, 28. Ventilation, 29. Lighting, 32. Cleanliness of houses, 33. Garbage, 37. Insects, 38. Sewage, 39. Personal cleanliness, 41. Oral hygiene, 44. Treatment of teeth, 46. Clothing, 47. Food, 48. Elimination, 52. Rest and fatigue, 53. Sleep, 55. Recreation, 55. 27

CHAPTER III

Babies and Their Care Growth and development, 64. Average size, 64. Muscular development, 65. Development of special senses, of speech, of teeth, 66. Normal excretions, 67. Clothing, 68. Sleep, 70. Fresh air, 72. Diet, 72. Intervals of feeding, 73. Water, 75. Weaning, 75. Nursing bottles and nipples, 75. Tables of diet, 78. Bathing, 78. Eyes, 80. Mouth, 81. Nostrils, 81. Genital organs, 81. Development of habits, 82. Exercise, 83. Play and toys, 85. 60

CHAPTER IV

Indications of Sickness Objective symptoms, 92. Temperature, 92. Pulse, 96. Respiration, 99. General appearance, 100. Special senses, 101. Voice, tongue, throat, gums, 102. Cough, 103. Appetite, 103. Excretions, 103. Loss of weight, 104. Sleep, 104. Mental conditions, 104. Subjective symptoms, 105. Pain, 105. Records, 107. Tuberculosis, cancer and mental illness, 107. Tuberculosis, 109. Cancer, 111. Mental illness, 112. 88

CHAPTER V

Equipment and Care of the Sick Room Choice of a sick room, 118. Furnishing, 120. Ventilation, 123. Heating, 124. Lighting, 124. Cleaning, 126. The attendant, 127. 117

CHAPTER VI

Beds and Bedmaking Bedsteads, 133. Mattresses, 135. Care of the mattress, 136. Pillows, 136. Protection of the mattress and pillows, 137. Rubber sheets and pillow-cases, 138. Sheets, 139. Draw sheets, 139. Pillow covers, 140. Blankets, 140. Comforters and quilts, 141. Counterpanes, 141. Bedmaking, 141. To make an unoccupied bed, 143. To change a patient's pillows, 146. Lifting a patient in bed, 146. To turn a patient in bed, 147. To change sheets while patient is in bed, 147. To move patient from one bed to another, 150. 132

CHAPTER VII

Baths and Bathing Cleansing baths, 154. Bed bath, 156. Care of the mouth and teeth, 160. Care of the hair, 163. To wash the hair of a bed patient, 164. Hot foot-baths, 165. Cool sponge bath, 166. 154

CHAPTER VIII

Appliances and Methods for the Sick-Room Devices to give support, 172. Bedpans, 176. Daily routine in the sick-room, 179. Time for visitors, 182. 169

CHAPTER IX

Feeding the Sick The digestive process, 188. Feeding the sick, 191. Liquid diet, 192. Semi-solid diet, 192. Light or convalescent diet, 193. Full diet, 193. Serving food for the sick, 195. To feed a helpless patient, 197. 187

CHAPTER X

Medicines and Other Remedies Action of drugs, 200. Amateur dosing, 202. Patent remedies, 205. Administration of medicine, 206. Suppositories, 209. Enemata, 210. Sprays and gargles, 213. Inhalation, 213. Inunction, 214. Household medicine cupboard, 215. 200

CHAPTER XI

Application of Heat, Cold and Counter-Irritants Inflammation, 220. Hot applications, 225. Dry heat, 225. Moist heat, 227. Stupes or hot fomentations, 229. Cold applications, 231. Dry cold, 231. Moist cold, 232. Cold compresses for the eyes, 232. Counter-irritants, 233. Mustard paste, 233. Mustard leaves, 234. 220

CHAPTER XII

Care of Patients with Communicable Diseases Incubation period, 238. Care of patients with colds or other slight infections, 238. Care during more serious infections, 242. Children's diseases, 246. Rules for isolation and exclusion from school, 247. Disinfection, 248. Care of nose and throat discharges, 249. Care of discharges from the bowels and bladder, 249. Bath water, 250. Care of the hands, 250. Care of utensils, 251. Care of linen, 251. Disinfection of the person, 252. Termination of quarantine, 252. Terminal disinfection, 253. Fumigation, 254. 236

CHAPTER XIII

Common Ailments and Emergencies Conditions in which the nervous system is involved, 257. Headache, 257. Sleeplessness, 258. Fainting, 259. Convulsions, 260. Shock, 261. Stimulants, 263. Sunstroke and heat exhaustion, 264. Conditions in which the digestive tract is affected, 265. Nausea and vomiting, 265. Hiccough, 265. Diarrhœa, 266. Constipation, 266. Colic, 266. Conditions in which the eyes or ears are affected, 267. Styes, 267. Foreign bodies in the eye, 267. Disorders affecting the ears, 268. Conditions in which the skin is affected, 269. Prickly heat, 269. Insect bites and stings, 270. Ivy poisoning, 270. Other emergencies, 270. Chills, 270. Croup, 271. Bleeding, 272. Treatment of slight wounds, 272. Nose bleed, 274. Profuse menstruation, 275. Other injuries, 275. Sprains, 275. Bruises, 276. Burns and scalds, 277. Brush burn, 278. 257

CHAPTER XIV

Special Points in the Care of Children, Convalescents, Chronics, and the Aged Children, 281. Physical defects, 283. Eye-strain, 284. Enlarged tonsils and adenoids, 284. Defective hearing, 285. Defective teeth, 286. Posture, 286. Predisposition to nervousness, 292. Convalescent patients, 294. Chronic patients, 299. Care of the aged, 303. 280

CHAPTER XV

Questions for Review 312

Appendix Circulars of information issued by Division of Child Hygiene, New York Department of Health. 319

Glossary 326

Index 331