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Nightingale, Florence, 1820-1920

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


Yet these two faintnesses are perfectly distinguishable, by the mere
countenance of the patient.
[Sidenote: Peculiarities of patients.]
Again, the nurse must distinguish between the idiosyncracies of
patients. One likes to suffer out all his suffering alone, to be as
little looked after as possible. Another likes to be perpetually made
much of and pitied, and to have some one always by him. Both these
peculiarities might be observed and indulged much more than they are.
For quite as often does it happen that a busy attendance is forced upon
the first patient, who wishes for nothing but to be "let alone," as that
the second is left to think himself neglected.
[Sidenote: Nurse must observe for herself increase of patient's
weakness, patient will not tell her.]
Again, I think that few things press so heavily on one suffering from
long and incurable illness, as the necessity of recording in words from
time to time, for the information of the nurse, who will not otherwise
see, that he cannot do this or that, which he could do a month or a year
ago. What is a nurse there for if she cannot observe these things for
herself? Yet I have known--and known too among those--and _chiefly_
among those--whom money and position put in possession of everything
which money and position could give--I have known, I say, more
accidents, (fatal, slowly or rapidly,) arising from this want of
observation among nurses than from almost anything else.


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