Notes on Nursing: What It Is, and What It Is Not

Florence Nightingale · 1859 · 158 pages

Notes on Nursing: What It Is, and What It Is Not

Florence Nightingale4

[Sidenote: Nursing ought to assist the reparative process.] To recur to the first objection. If we are asked, Is such or such a disease a reparative process? Can such an illness be unaccompanied with suffering? Will any care prevent such a patient from suffering this or that?--I humbly say, I do not know. But when you have done away with all that pain and suffering, which in patients are the symptoms not of their disease, but of the absence of one or all of the above-mentioned essentials to the success of Nature's reparative processes, we shall then know what are the symptoms of and the sufferings inseparable from the disease. Another and the commonest exclamation which will be instantly made is-- Would you do nothing, then, in cholera, fever, &c.?--so deep-rooted and universal is the conviction that to give medicine is to be doing something, or rather everything; to give air, warmth, cleanliness, &c., is to do nothing. The reply is, that in these and many other similar diseases the exact value of particular remedies and modes of treatment is by no means ascertained, while there is universal experience as to the extreme importance of careful nursing in determining the issue of the disease. [Sidenote: Nursing the well.] II. The very elements of what constitutes good nursing are as little understood for the well as for the sick. The same laws of health or of nursing, for they are in reality the same, obtain among the well as among the sick. The breaking of them produces only a less violent consequence among the former than among the latter,--and this sometimes, not always.

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