The Calumet news. [volume] (Calumet, Mich.) 1907-1938, 1910-04-05

get MN into a fpSpltdis ~ '"''f ~
Hack q Iarge enough hospital or FOL
any other reasons. cannot be accom-
plished. then the patient should be
given the room farthest away from the
living room and kitchen and II pos
! sible where there can be had plenty
OF fresh air and sunshine; and above
everything else he should be kept
clean. To accomplish this one must
give constant and careful supervision
one of the most essential things In
the care of an advanced tuberculosis
patient is the care Of the sputum and
i'm every case he should be furnished
with paper napkins and paper bags.
! by the use OF these ne can be much
less "A source of infection than he
can otherwise be by using the sputum
cup.
When he expectoratcs into the spu-
tum cup he must and generally does
wipe his mouth on his hand or bed
clothes, and i'm many instances If he
Is very in and weak he is apt to get
Il on the side OF the sputum cup where
II invariably remains until it becomes
Cry, and is then blown around the
room I'm dust. Everything should be
done 10 make the advanced tuberculo-
sis case comfortable and happy to the
end. But l dc not think a large
amount of money should be spent on
him, and especially do ! not think so,
II this should involve depriving the
rest of the family Of the necessary
food and clothing which they should
have to protect them against infection
ON the other hand I think every
hing should be done according TO
the physicians orders for the incipient
case. He should have an outdoor
sleeping place and the amount OF milk
and eggs necessary for his recovery.
If this cannot be procured for him by
the family or relations, then the coun-
ty, the Associated charities or other
private source should be asked to sup |
ply these things for their fellow-be-
ing.
The problem which now confronts |
us i'm what methoG can we employ for
the examining of whole families IN |
county?
Ist.-Cen we impose on doctors dur
ing their office hour by sending them
whole families for examination?
2nd.-Can we depend on doctors al
ways keeping their Office hour so that
patients would not have to return the
second time before being able to see
the doctor?
on the other hand would patients
not have to return two or three times
before n positive diagnosis of an in
,ipient case could be made? This
would rot be a burden on
he doctors for the first few months,
)ut tho work is bound to increase and
To arise. At present the
county Anti Tuberculosis society can
see their way clear to employing only
me nurse. In what way and with
what system can the society carry
IN this work of the county with one
,urse most adequately and with the
pest results? Perhaps the county is
Wiling to benefit by the experience or
,ther states and cities.
The system which has worked out
With the best results and unanimously
lmong the eastern cities and not a
ew of the western Is that of the dis
The objects of a tuberculo-
lis dispensary are diagnosis, advice
reatment and education, and ii Is
in the following way:
The patient supposedly tuberculosis
$ first received by supposedly COM
,etcnt nurse, who interrogates him or
Ter as to antecedants, duration OF
family history. previous
ilments, environments, homo com
orts and surroundings. if sanitary or
otherwise the earning capacity OF
'ach member Of the family. as well as
hat Of the individual present, taking
he pulse temperature, respiration,
weight etc, all Of which is most care
ully rotcd on a specially provided
hart, and after all questions have
,ecn satisfactorily answered. all an
'wers noted down, the patient is pre-
cnted to the physician for eXamlna-
ion. when all has been carefully
abulated ana the examining physician
has satisfied himself that the case is
the patient is given into
he special care Of the nurse; the doc
or first instructing the nurse as TO
he treatment he wishes carried out in
zach and every case. She in turn in
ltructs the patient before he leaves
he clinic as to the care Of the sputum.
tic, as / have stated in the beginning
IF my paper And he is furnished
With literature on the infectious, COM
preventable and durable
disease, tuberculosis. The patient is
hen allowed to go home with a prom
Sc OF a visit from the nurse i'm
'ew days. She visits each patient at
1s or her home. and usually at the
following meeting which is in three
)r four days, makes a report to the
examining physician as to the homo
what means can be fur
lshcd To the sufferer by his family or
friends. what provisions will be made
o make the sleeping apartment as
near to out-of- door living as Is pos
5ible, also what friendly aid the pa
tents family is willing to give both |
The patient and the workers in the