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The Tuberculosis Nurse

INDEX

Reading edition

A

Advanced cases, 46–47, 119, 145, 223, 224–227; see Patients and Segregation

Air, fresh, 145–147

Alcohol, 151

Ambulatory cases, 33, 34, 38, 79–80; see Patients

Anti-tuberculosis campaign, 1–3; fundamental agencies in, 286

Anti-tuberculosis Society, 5–6

Arrested cases, 2; nursing as work for, 13–14; see Patients

B

Bacilli, tubercle, articles infected by, 253; distribution of, 169, 262–266; presence or absence in sputum, 107–108, 111; tenacity of, 170

Badges, 31

Bag, nurse’s, 41; supplies carried in, 42–46, 108

Baltimore, branch offices for tuberculosis nurses, 39; co-operation of nurses with institutions, 202, 204–205, 281–282; dispensaries, 92, 151, 186–187, 192, 198–199, 201–202; examination of nurses, 12; forms used for charts, etc., 50–59; Health Department, 42, 157, 170–171, 174, 176, 183–192, 204, 206, 250, 256, 267–268, 279–282; milk and eggs for patients, 250; nurse’s bag, 41; nurses’ districts, 39 note; occupations of patients, 253, 261–263; ordinance in regard to selling milk, 255–256; organization of tuberculosis work, 200–202; poverty, 231–232; registration of cases, 112; salary of tuberculosis nurse, 21; sick-leave, 28; supplies for patient, 42; Tuberculosis Division, 171, 183, 201–202, 250; uniforms, 30–31; vacations, 28; Visiting Nurse Association, 8, 39, 42, 65, 201, 202

Bed, for advanced cases, 145; placing of, 144

Bed clothing, 144

Bedding, disinfection of, 175, 176

Bedroom, patient’s, 137–140

Board of examiners for nurses, 11

Board of Health of Maryland, 42; furnishes formaldehyde, 173

Books of instruction, 44

C

Cabot, Doctor, quoted, 70

Calls, night, 16; sources from which received, 121

Calmette test, 111

Card index, 53–54

“Careful consumptive,” the, 220–223

Carpets, infected, 178–179

288Cases, tuberculosis, see Advanced, Ambulatory, Arrested, and Discharged cases; and Patients

Cases, undiagnosed, 63, 99–101

Charity Organization Society (or Federated Charities), 39, 66, 98, 108, 109, 176, 210, 236–237, 239, 241, 242, 245; rules for agents of, 237–241

Charts, patients’, 49–54, 58–60

Children, care of tuberculous, 163; diagnosing, 161–162; infection of, 95, 111, 151–152, 159–164; open-air schools for, 163–165; sending to school, 162–163; pre-tuberculous, 163

Classes, tuberculin, 196–197

Cleaning should be compulsory, 182–183; see Disinfection

Clothing for tuberculous patients, 142–143, 211–212

Cooking, supervision of, and instruction in, by nurse, 149–151

Cooks, infection from, see under Infection

Co-operation, between institutions and nurse, 203, 205–208; of newspapers in tuberculosis work, 5; of organizations for social work and nurse, 35–36, 143, 156–157, 176–177, 182, 210; wrong methods of, 33–34; see also Charity Organization Society and Social Workers

Country, the, for tuberculous patients, 165–168

Cullen, Doctor Victor F., quoted, 108

Cure of tuberculosis, 4, 125–127, 208–209

D

Daily reports, 55–57

Day sheet, 57

Death of patient, 49, 119, 120; reporting, 53, 171

Diagnoses, erroneous, 92–97, 101; lack of, 63; “lay,” 68–69, 100; necessity for formal, 115–116; obtaining, 105–107, 184–185; from sputum, 107–109; value of recording, 114–115; volunteered by physicians, 106

Diet of patients, 147–150, 249–251

Discharged cases, 204–205, 207, 209; see also Arrested cases

Disinfectants, 43–44, 133, 173 note

Disinfection, by boiling, 131–132, 177, 178; by burning, 175, 178, 179, 183; by cleaning, 138, 172; by fumigation, 170–173, 176, 179, 180, 181, 182, 183; by painting and papering, 179; by steam sterilization, 175–177; effects of, on materials, 176 note

Dispensaries, general, 107; tuberculosis, consideration for patients at, 189–190; equipment of, 186–188; establishment of, 105, 185; hours, 188–189, 196; importance of, 286; necessity for, 105, 184–185; nurses’ work in, 194–195, 197–199; obtaining patients from, 67–68; physicians’ work in, 191–194; reports made to, by nurse, 202; taking patients to, 159; see also Baltimore, Diagnosis, Nurse

Districts, 35–36, 39 note

Duplication of work, 33–34

E

Education unsuccessful as preventive measure, 2–3

Examination of patients, nurses, etc., see Diagnosis, Dispensary, Families, Health Department, Nurse, Patients, Physician, Sputum

289Expenses of nurse, 24–26

Eye test, 111

F

Factories, spreading of tuberculosis in, 266–267, 271 note; supervision of patients in, 267; see also Patients, occupations of

Families of patients, co-operation with nurse, 127, 174; examination of, 157–158; hygiene of, 155; infection of, 68–69, 97; relations with nurse, 152; recreations of, 155–156; respect for customs of, 181–182; see also under Children and Nurse

Food, importance to patient of proper, 147–150; see also under Diet, Infection, Nurse, instruction by

Formaldehyde, formula for, 173–174 note

Forms, see Charts, Records, Reports

Fumigation, see under Baltimore, Disinfection

H

Hamman, Doctor Louis, quoted, 111

Health Department, badges, 31–32; co-operation with institutions, 205–207; dispensaries, 185; examination of sputum by, 187; laws in regard to tuberculosis, 76–77, 112; notifying employers of tuberculosis patients, 269; physicians of, 89; politics in, 275–278; registration of cases with, 112, of deaths, 171; reports from institutions to, 206; supervision of discharged patients through, 207; supplies provided by, 42; visiting physicians needed by, 184–185; see also under Baltimore, Disinfection

Heat, artificial, in outdoor treatment, 143, 147

Histories, see under Patients

Home, “breaking up the,” 161; care of advanced patients at, 225–227; conditions in patients’, 139, 148, 160, 163; entering patients’, 31, 118, 122; see Infection

Hospitals, for advanced cases, 207–208, 218–219; importance of, in tuberculosis, 223, 271, 286; opposition to building of tuberculosis hospitals, 219–221; sending patients to, 207–208; special wards for tuberculosis, 218–219

Houses, inspection of, by nurse, 136–137; vacant, watched by nurse, 181

I

Infection, of children, 159–160; sources of, 140, 159–160, 165–168, 252, 255–268; see also under Advanced cases, Ambulatory cases, Bacilli, Children, Factories, Families, Patients

Institutions, see Hospitals and Sanatoria

Instruction, books of, 44; of patients and families, 127–133, 142–148; see also under Nurse

L

Landlord, irresponsibility of, 180–181

Laws, for proper disinfection, 183; for protection from infection, 264; for registration and reporting of tuberculosis cases, 7, 111–112; State, in regard to tuberculosis, 76, 77

290“Light work” for tuberculosis patients, 215–216

Lyman, Doctor David R., quoted, 213

M

Maryland, State Board of Health, quoted, 213; neglect of law for registration of tuberculosis cases, 113; Tuberculosis Association, 8 note

Milk, infection through, 255

Milk and eggs, see Diet

Minor, Doctor Charles L., quoted, 126

Municipal control of tuberculosis work, 77–86, 89–91, 274–275; see also Baltimore

N

Napkins, paper, use of, 130–131

Newspapers as agents in tuberculosis work, 5

Nurse, the tuberculosis, “asset to community,” 199; access to cases, 121–122; calls, 121–122; character, 16–19; co-operation with physician, 88, 103, 109; discovering cases, 67; dispensary work, 194–199; district, 35–36; duties of, 46, 48–49, 52, 53–56, 58–59, 62–70, 100–101, 105, 106, 108–109, 122, 128–137, 149–153, 154–157, 169–170, 181–183, 204–205, 207–208, 211–212, 213, 216–217, 224, 258–259; establishment of, 7–10, 89; expenses, 24–26; function, 117–118, 224, 247–248; giving relief, 232–233, 237, 241–242, 245–248; health, 12–15; hours on duty, 14, 36; instruction of patients and families, 127–131, 133–148, 155–156, 172, 174, 178, 183; lunches, 40–41; noon hour, 40–41; office, 38–40; physical examinations, 12–13; relations with patients and families, 18, 123, 133, 152–153, 181–182; relations with physicians, 71–73, 87–89, 92–94, 99–104, 123; responsibility to community, to patient and family, 118; to organization, 89; salary, 20–23; sick-leave, 27–28; social worker as nurse, 233–234; time off, 14–16; training of, 10–12, 62; uniforms, 28–31; vacation, 26–27; visits, 36–38; visiting list, 63–70; see also under Baltimore, Charts, Children, Co-operation, Diagnosis, Diet, Disinfection, Dispensaries, Families, Health Department, Home, Registration, Reports, Visiting Nurse Association

O

Occupations of patients, see under Infection

Office of tuberculosis nurse, 38–40

Open-air, schools, 163; treatment, 140–143

Organizations, see under Charity Organization Society, and Co-operation

Outdoor work for tuberculosis patients, 216

P

Patients, bed-ridden, 151–152; carelessness of, 97, 214–222, 266–268; changing physicians, 80–81, 92–96, 98–100; charts, 48–53; co-operation with nurse, 248–249; discharged, 204–207, 212–215; employment of, 262; 291examination of, 158, 190; histories, 123–124; home occupations, 261–262; isolation of, in homes, 151–152; limitation of, 33, 200; objection of, to institutions, 210–211; outdoor treatment, 144; rest for, 143–144; sending to country, 165–168; supervision outside the home, 267–272; supplies for, 42–43, 45; telling the truth to, 124–127; see also Advanced, Ambulatory, and Arrested cases, Baltimore, Children, Diet, Dispensaries, Families, Health Department, Home, Injection, Instruction, Nurse, Segregation, Relief

Phipps Dispensary, see Dispensaries under Baltimore

Phthisiphobia, 14, 134–135, 270–272

Physicians, incompetent, 93–97, 101–104; municipal, 90; standards of, 83; reporting tuberculosis cases, 113; State requirements of, 75–76; “unethical practitioner,” the, 72, 84, 85; see also under Diagnosis, Dispensaries, Nurse, Patients

Pockets, waterproof, 44

Poverty, relation to tuberculosis, 3–4, 61, 80–81, 230–232, 265, 283–285

Prevention of tuberculosis, 4, 120, 155–156, 159–161, 247–248; see also under Disinfection, Nurse, etc.

R

Records and reports, 48–58

Registration of cases, cards for, 116; laws for, 76, 111–113; value of, 114–115

Relief, conditional, 231; not to be given by nurse, 234; obtained by nurse, 143, 210, 245–246, 257; proper use of, 248–249; rules for agents and nurses, 237–241; withdrawal of, 248; see also Nurse, Co-operation, Patient

Reporting cases to the Health Department, 7, 56–59, 171, 205–207

S

Salary of tuberculosis nurse, 20–22, 24

Sanatorium, outfit for, 211–212; value of, 208–209, 213

Segregation, 4–5, 218–220, 223–229

Sick leave, 26–28

Skin test, 110

Social agents and workers, 35–36, 62, 66–67, 165, 234–239

Sputum, cups, 42–43; disposal of, 128–130; examination of, 9, 40, 107–108; see also under Infection and Instruction

Sterilization, see under Disinfection

Superintendent of nurses, 13, 15, 24, 59–60, 116

Supplies, nursing, 46; prophylactic, 42–45, 76–77, 133

T

Tests, tuberculin, 110–111

Tuberculin classes, 196–197

Tuberculosis, abolition of, 223, 283–284; arrest of, 125–126; campaign against, 1–6, 285–286; character of, 79; cure, 2–4, 125, 208–209; deaths from, 283; difficulties in dealing with, 79–82, 85–86; municipal control of, 85–86; number of cases in given community, estimate of, 63; see also Bacilli, Infection, Prevention, Poverty

292Tuberculosis Division, see under Baltimore, Health Department of

U

Uniforms, 28–29

V

Vacations for tuberculosis nurses, 26

Visiting list, 63–66

Visiting Nurse Association, 8, 9; see also under Baltimore and Co-operation

Visits by tuberculosis nurse, 36–38

W

Wards, special, for tuberculosis patients, 218–220

Windows in patient’s room, 137, 144

Work done by tuberculous patients: “light work,” 215; outdoor, 216, see also under Infection and Patients

A

Medical Dictionary

for Nurses

Giving the Definition, Pronunciation, and Derivation of the principal terms used in medicine, together with supplementary tables of weights, measures, chemical symbols, etc. arranged with special reference to use by the nursing profession

By Amy E. Pope

Formerly Instructor in the Presbyterian Hospital School of Nursing

Author of “Anatomy and Physiology for Nurses,” etc.

12o. Illustrated. 288 pages. $1.00

In full flexible Morocco, Thumb Index. $1.60

No one could be better fitted to produce this book, filling a long-felt want, than Miss Pope, because of her large practical experience as a nurse, instructor, and author. Without question this volume must quickly be recognized as indispensable to the students of her great profession.

All Booksellers

NEW YORK LONDON

2–4–6 G. P. Putnam’s Sons 24 Bedford St.

W. 45th St. Strand

Text-Book

of

Anatomy and Physiology

For Nurses

by

Amy E. Pope

Author, with Anna Caroline Maxwell, of “Practical Nursing,” and Former Instructor in Practical Nursing and Dietetics in the Presbyterian Hospital School of Nursing.

Crown 8o. With 135 Illustrations, many in color

$1.75 net. Postage extra

The object of this work is to provide a text-book containing more physiology than the books on anatomy and physiology hitherto provided for nurses. The book is very fully illustrated and contains a number of questions for each chapter; also an extensive glossary, which includes a detailed explanation of all the chemical and physical terms used.

Practical Nursing

A Text-Book for Nurses

By Anna Caroline Maxwell

Superintendent of the Presbyterian Hospital School of Nursing

and

Amy Elizabeth Pope

Formerly Instructor in the Presbyterian Hospital School of Nursing; Instructor in School of Nursing, St. Luke’s Hospital, San Francisco, Cal.

Third Edition, Revised. Crown 8o. About 900 pages. With 91 Illustrations. $2.00.

Postage extra

Over 50,000 copies of Practical Nursing had been sold up to January 1st, 1914. This new edition has been entirely reset, revised, and enlarged, and contains over 50 per cent. more material than the previous editions. An important feature of the new edition is, that the authors have not confined themselves to one method of treatment where experience has shown that other methods may be more effective in certain cases. Detailed instructions have been given, thus bringing the book in line with the latest developments in practical nursing.

A Text-Book of Materia Medica for Nurses

Compiled by

Lavinia L. Dock

Graduate of Bellevue Training School for Nurses, Secretary of the American Federation of Nurses and of the International Council of Nurses, etc.

Fourth edition, revised and enlarged. 12o. net, $1.50

“The work is interesting, valuable, and worthy of a position in any library.”—N. Y. Medical Record.

“It is written very concisely, and little can be found in it to criticize unfavorably, except the inevitable danger that the student will imagine after reading it that the whole subject has been mastered. The subject of therapeutics has been omitted as not a part of a nurse’s study, and this omission is highly to be commended. It will prove a valuable book for the purpose for which it is intended.”—N. Y. Medical Journal.

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New York London

TRANSCRIBER’S NOTES

P. 173, the portions listed in “Potassium permanganate, oz. 111.; liquid formaldehyde, pint 1.” are unlikely to be correct. Did not alter the passage.

Silently corrected obvious typographical errors and variations in spelling.

Retained archaic, non-standard, and uncertain spellings as printed.

Re-indexed footnotes using numbers.

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