4 Food
Notes on Nursing — Florence Nightingale
Taking food.
What of attention to hours of taking food.
For instance, to the large majority of very weak patients it is quite impossible to take any solid food before 11 A.M., nor then, if their strength is still further exhausted by fasting till that hour. For weak patients have generally feverish nights and, in the morning, dry mouths; and, if they could eat with those dry mouths, it would be the worse for them. A spoonful of beef-tea, of arrowroot and wine, of egg flip, every hour, will give them the requisite nourishment, and prevent them from being too much exhausted to take at a later hour the solid food, which is necessary for their recovery. And every patient who can swallow at all can swallow these liquid things, if he chooses. But how often do we hear a mutton-chop, an egg, a bit of bacon, ordered to a patient for breakfast, to whom (as a moment’s consideration would show us) it must be quite impossible to masticate such things at that hour.
Food never to be left by the patient’s side.
On the other hand, I have known a patient’s life saved (he was sinking for want of food) by the simple question, put to him by the physician, “But is there no hour when you feel you could eat?” “Oh, 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 out.
Nurse must have some rule of thought about her patient’s diet.
I would say to the nurse, have a rule of thought about your patient’s diet; consider, remember how much he has had, and how much he ought to have to-day. Generally, the only rule of the private patient’s diet is what the nurse has to give. It is true she cannot give him what she has not got; but his stomach does not wait for her convenience, or even her necessity. If it is used to having its stimulus at one hour to-day, and to-morrow it does not have it, because she has failed in getting it, he will suffer. She must be always exercising her ingenuity to supply defects, and to remedy accidents which will happen among the best contrivers, but from which the patient does not suffer the less, because “they cannot be helped.”
