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A Hand-Book of Nursing for Hospital and General Use


A Hand-Book of Nursing for Hospital and General Use

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    Available in PDF Format | A Hand-Book of Nursing for Hospital and General Use.pdf | Unknown
    Connecticut Training School for Nurses
Excerpt from book: CHAPTER III. OBSERVATION OF SYMPTOMS. A Patient should be under the constant but unostentatious observation of the nurse, and she should be able to detect variations from a normal condition which may occur in the intervals of the physician's visits and to report them : as— The color of the skin. Unusual pallor, a flush. The flush of hectic fever is circumscribed on the cheeks. Other fevers give a diffused redness. In pneumonia the flush is sometimes confined to one cheek. Jaundice gives a yellow tint, which extends to the white of the eyes. All imperfect oxidation of the blood affects the color of the skin. Expression of the face. Is there a pinched or anxious or apathetic look, a drawing of the mouth to one side, a swelling or an extreme thinness of the lips, a distinct movement of the nostrils? Report any of these symptoms. Pain is a symptom, not a disease. Do not suggest the character of the pain by asking whether it is sharp or dull, or here or there: let the patient describe it in his own way and repeat his exact words to the doctor. Position in bed. Is the patient more comfortable in one position than another,—with the knees drawn up? Is he restless, and at any special hour or after any special meal? Restlessness may mean mental or physical disturbance. Absolute quietness may mean too great weakness to move. Sleep. How much does the patient get in twenty-four hours ? Know, do not guess. Is it disturbed by dreams or muttering, or convulsive twitchings? Is it in broken naps ? light or heavy ? Is it difficult to rouse the patient, should it be necessary to do so ? A patient is not always sleeping when his eyes are shut. Mind. Is the mind clear? If not, at what time of the day is there confusion or wandering? Is there irritability not usual with th...  
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