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Nightingale, Florence, 1820-1920

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

And scores
of times have I heard these unfortunate creatures assailed with, "I am
glad to see you looking so well." "I see no reason why you should not
live till ninety years of age." "Why don't you take a little more
exercise and amusement?" with all the other commonplaces with which we
are so familiar.
There is, unquestionably, a physiognomy of disease. Let the nurse learn
it.
The experienced nurse can always tell that a person has taken a narcotic
the night before by the patchiness of the colour about the face, when
the re-action of depression has set in; that very colour which the
inexperienced will point to as a proof of health.
There is, again, a faintness, which does not betray itself by the colour
at all, or in which the patient becomes brown instead of white. There is
a faintness of another kind which, it is true, can always be seen by the
paleness.
But the nurse seldom distinguishes. She will talk to the patient who is
too faint to move, without the least scruple, unless he is pale and
unless, luckily for him, the muscles of the throat are affected and he
loses his voice.


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