yes," he said, "I
could always take something at ---- o'clock and ---- o'clock." The
thing was tried and succeeded. Patients very seldom, however, can tell
this; it is for you to watch and find it out.
[Sidenote: Patient had better not see more food than his own.]
A patient should, if possible, not see or smell either the food of
others, or a greater amount of food than he himself can consume at one
time, or even hear food talked about or see it in the raw state. I know
of no exception to the above rule. The breaking of it always induces a
greater or less incapacity of taking food.
In hospital wards it is of course impossible to observe all this; and in
single wards, where a patient must be continuously and closely watched,
it is frequently impossible to relieve the attendant, so that his or her
own meals can be taken out of the ward. But it is not the less true
that, in such cases, even where the patient is not himself aware of it,
his possibility of taking food is limited by seeing the attendant eating
meals under his observation. In some cases the sick are aware of it, and
complain. A case where the patient was supposed to be insensible, but
complained as soon as able to speak, is now present to my recollection.
Remember, however, that the extreme punctuality in well-ordered
hospitals, the rule that nothing shall be done in the ward while the
patients are having their meals, go far to counterbalance what
unavoidable evil there is in having patients together. I have often seen
the private nurse go on dusting or fidgeting about in a sick room all
the while the patient is eating, or trying to eat.
That the more alone an invalid can be when taking food, the better, is
unquestionable; and, even if he must be fed, the nurse should not allow
him to talk, or talk to him, especially about food, while eating.
When a person is compelled, by the pressure of occupation, to continue
his business while sick, it ought to be a rule WITHOUT ANY EXCEPTION
WHATEVER, that no one shall bring business to him or talk to him while
he is taking food, nor go on talking to him on interesting subjects up
to the last moment before his meals, nor make an engagement with him
immediately after, so that there be any hurry of mind while taking them.
Upon the observance of these rules, especially the first, often depends
the patient's capability of taking food at all, or, if he is amiable and
forces himself to take food, of deriving any
|