y much less objectionable than private ones.
[Sidenote: Scrofula often a result of disposition of bed clothes.]
There is reason to believe that not a few of the apparently
unaccountable cases of scrofula among children proceed from the habit of
sleeping with the head under the bed clothes, and so inhaling air
already breathed, which is farther contaminated by exhalations from the
skin. Patients are sometimes given to a similar habit, and it often
happens that the bed clothes are so disposed that the patient must
necessarily breathe air more or less contaminated by exhalations from
his skin. A good nurse will be careful to attend to this. It is an
important part, so to speak, of ventilation.
[Sidenote: Bed sores.]
It may be worth while to remark, that where there is any danger of
bed-sores a blanket should never be placed _under_ the patient. It
retains damp and acts like a poultice.
[Sidenote: Heavy and impervious bed clothes.]
Never use anything but light Whitney blankets as bed covering for the
sick. The heavy cotton impervious counterpane is bad, for the very
reason that it keeps in the emanations from the sick person, while the
blanket allows them to pass through. Weak patients are invariably
distressed by a great weight of bed clothes, which often prevents their
getting any sound sleep whatever.
NOTE.--One word about pillows. Every weak patient, be his illness what
it may, suffers more or less from difficulty in breathing. To take the
weight of the body off the poor chest, which is hardly up to its work as
it is, ought therefore to be the object of the nurse in arranging his
pillows. Now what does she do and what are the consequences? She piles
the pillows one a-top of the other like a wall of bricks. The head is
thrown upon the chest. And the shoulders are pushed forward, so as not
to allow the lungs room to expand. The pillows, in fact, lean upon the
patient, not the patient upon the pillows. It is impossible to give a
rule for this, because it must vary with the figure of the patient. And
tall patients suffer much more than short ones, because of the _drag_ of
the long limbs upon the waist. But the object is to support, with the
pillows, the back _below_ the breathing apparatus, to allow the
shoulders room to fall back, and to support the head, without throwing
it forward. The suffering of dying patients is immensely increased by
neglect of these points. And many an invalid, too weak to dra
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