hould lay this down as a
positive rule to herself, never to speak to any patient who is standing
or moving, as long as she exercises so little observation as not to know
when a patient cannot bear it. I am satisfied that many of the accidents
which happen from feeble patients tumbling down stairs, fainting after
getting up, &c., happen solely from the nurse popping out of a door to
speak to the patient just at that moment; or from his fearing that she
will do so. And that if the patient were even left to himself, till he
can sit down, such accidents would much seldomer occur. If the nurse
accompanies the patient let her not call upon him to speak. It is
incredible that nurses cannot picture to themselves the strain upon the
heart, the lungs, and the brain, which the act of moving is to any
feeble patient.

[17]

[Sidenote: Careless observation of the results of careless visits.]

As an old experienced nurse, I do most earnestly deprecate all such
careless words. I have known patients delirious all night, after seeing
a visitor who called them "better," thought they "only wanted a little
amusement," and who came again, saying, "I hope you were not the worse
for my visit," neither waiting for an answer, nor even looking at the
case. No real patient will ever say, "Yes, but I was a great deal the
worse."

It is not, however, either death or delirium of which, in these cases,
there is most danger to the patient. Unperceived consequences are far
more likely to ensue. _You_ will have impunity--the poor patient will
_not_. That is, the patient will suffer, although neither he nor the
inflictor of the injury will attribute it to its real cause. It will not
be directly traceable, except by a very careful observant nurse. The
patient will often not even mention what has done him most harm.

[18]

[Sidenote: The sick would rather be told a thing than have it read to
them.]

Sick children, if not too shy to speak, will always express this wish.
They invariably prefer a story to be _told_ to them, rather than read to
them.

[19]

[Sidenote: Sick suffer to excess from mental as well as bodily pain.]

It is a matter of painful wonder to the sick themselves how much painful
ideas predominate over pleasurable ones in their impressions; they
reason with themselves; they think themselves ungrateful; it is all of
no use. The fact is, that these painful impressions are far better
dismissed by a real laugh, if you can excite on