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The Tuberculosis Nurse: Her Function and Her Qualifications / A Handbook for Practical Workers in the Tuberculosis Campaign

Chapter 23: INDEX
By Ellen N. La Motte
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Health & Medicine

About This Book

The handbook outlines duties, training, and practical methods for nurses working in tuberculosis control, combining field experience with public-health principles. It examines clinical care for advanced cases, the limitations of sanatorium treatment, and the rationale for hospital segregation and isolation. It emphasizes early detection, patient education, and organization of visiting-nurse services within municipal campaigns. It also situates nursing work within broader social measures—housing, nutrition, child welfare, labor and recreational initiatives—as means to raise resistance and reduce infection, offering concrete guidance for coordinating medical and social efforts in prevention and community care.

INDEX

  • A
  • Advanced cases, 46–47, 119, 145, 223, 224–227;
    • see Patients and Segregation
  • Air, fresh, 145–147
  • Alcohol, 151
  • Ambulatory cases, 33, 34, 38, 79–80;
    • see Patients
  • Anti-tuberculosis campaign, 1–3;
    • fundamental agencies in, 286
  • Anti-tuberculosis Society, 5–6
  • Arrested cases, 2;
    • nursing as work for, 13–14;
    • see Patients
  • B
  • Bacilli, tubercle, articles infected by, 253;
    • distribution of, 169, 262–266;
    • presence or absence in sputum, 107–108, 111;
    • tenacity of, 170
  • Badges, 31
  • Bag, nurse’s, 41;
    • supplies carried in, 42–46, 108
  • Baltimore, branch offices for tuberculosis nurses, 39;
    • co-operation of nurses with institutions, 202, 204–205, 281–282;
    • dispensaries, 92, 151, 186–187, 192, 198–199, 201–202;
    • examination of nurses, 12;
    • forms used for charts, etc., 50–59;
    • Health Department, 42, 157, 170–171, 174, 176, 183–192, 204, 206, 250, 256, 267–268, 279–282;
    • milk and eggs for patients, 250;
    • nurse’s bag, 41;
    • nurses’ districts, 39 note;
    • occupations of patients, 253, 261–263;
    • ordinance in regard to selling milk, 255–256;
    • organization of tuberculosis work, 200–202;
    • poverty, 231–232;
    • registration of cases, 112;
    • salary of tuberculosis nurse, 21;
    • sick-leave, 28;
    • supplies for patient, 42;
    • Tuberculosis Division, 171, 183, 201–202, 250;
    • uniforms, 30–31;
    • vacations, 28;
    • Visiting Nurse Association, 8, 39, 42, 65, 201, 202
  • Bed, for advanced cases, 145;
    • placing of, 144
  • Bed clothing, 144
  • Bedding, disinfection of, 175, 176
  • Bedroom, patient’s, 137–140
  • Board of examiners for nurses, 11
  • Board of Health of Maryland, 42;
    • furnishes formaldehyde, 173
  • Books of instruction, 44
  • C
  • Cabot, Doctor, quoted, 70
  • Calls, night, 16;
    • sources from which received, 121
  • Calmette test, 111
  • Card index, 53–54
  • “Careful consumptive,” the, 220–223
  • Carpets, infected, 178–179
  • Cases, tuberculosis, see Advanced, Ambulatory, Arrested, and Discharged cases; and Patients
  • Cases, undiagnosed, 63, 99–101
  • Charity Organization Society (or Federated Charities), 39, 66, 98, 108, 109, 176, 210, 236–237, 239, 241, 242, 245;
    • rules for agents of, 237–241
  • Charts, patients’, 49–54, 58–60
  • Children, care of tuberculous, 163;
    • diagnosing, 161–162;
    • infection of, 95, 111, 151–152, 159–164;
    • open-air schools for, 163–165;
    • sending to school, 162–163;
    • pre-tuberculous, 163
  • Classes, tuberculin, 196–197
  • Cleaning should be compulsory, 182–183;
    • see Disinfection
  • Clothing for tuberculous patients, 142–143, 211–212
  • Cooking, supervision of, and instruction in, by nurse, 149–151
  • Cooks, infection from, see under Infection
  • Co-operation, between institutions and nurse, 203, 205–208;
    • of newspapers in tuberculosis work, 5;
    • of organizations for social work and nurse, 35–36, 143, 156–157, 176–177, 182, 210;
    • wrong methods of, 33–34;
    • see also Charity Organization Society and Social Workers
  • Country, the, for tuberculous patients, 165–168
  • Cullen, Doctor Victor F., quoted, 108
  • Cure of tuberculosis, 4, 125–127, 208–209
  • D
  • Daily reports, 55–57
  • Day sheet, 57
  • Death of patient, 49, 119, 120;
  • Diagnoses, erroneous, 92–97, 101;
    • lack of, 63;
    • “lay,” 68–69, 100;
    • necessity for formal, 115–116;
    • obtaining, 105–107, 184–185;
    • from sputum, 107–109;
    • value of recording, 114–115;
    • volunteered by physicians, 106
  • Diet of patients, 147–150, 249–251
  • Discharged cases, 204–205, 207, 209;
    • see also Arrested cases
  • Disinfectants, 43–44, 133, 173 note
  • Disinfection, by boiling, 131–132, 177, 178;
  • Dispensaries, general, 107;
    • tuberculosis, consideration for patients at, 189–190;
    • equipment of, 186–188;
    • establishment of, 105, 185;
    • hours, 188–189, 196;
    • importance of, 286;
    • necessity for, 105, 184–185;
    • nurses’ work in, 194–195, 197–199;
    • obtaining patients from, 67–68;
    • physicians’ work in, 191–194;
    • reports made to, by nurse, 202;
    • taking patients to, 159;
    • see also Baltimore, Diagnosis, Nurse
  • Districts, 35–36, 39 note
  • Duplication of work, 33–34
  • E
  • Education unsuccessful as preventive measure, 2–3
  • Examination of patients, nurses, etc., see Diagnosis, Dispensary, Families, Health Department, Nurse, Patients, Physician, Sputum
  • Expenses of nurse, 24–26
  • Eye test, 111
  • F
  • Factories, spreading of tuberculosis in, 266–267, 271 note;
    • supervision of patients in, 267;
    • see also Patients, occupations of
  • Families of patients, co-operation with nurse, 127, 174;
    • examination of, 157–158;
    • hygiene of, 155;
    • infection of, 68–69, 97;
    • relations with nurse, 152;
    • recreations of, 155–156;
    • respect for customs of, 181–182;
    • see also under Children and Nurse
  • Food, importance to patient of proper, 147–150;
    • see also under Diet, Infection, Nurse, instruction by
  • Formaldehyde, formula for, 173–174 note
  • Forms, see Charts, Records, Reports
  • Fumigation, see under Baltimore, Disinfection
  • H
  • Hamman, Doctor Louis, quoted, 111
  • Health Department, badges, 31–32;
    • co-operation with institutions, 205–207;
    • dispensaries, 185;
    • examination of sputum by, 187;
    • laws in regard to tuberculosis, 76–77, 112;
    • notifying employers of tuberculosis patients, 269;
    • physicians of, 89;
    • politics in, 275–278;
    • registration of cases with, 112, of deaths, 171;
    • reports from institutions to, 206;
    • supervision of discharged patients through, 207;
    • supplies provided by, 42;
    • visiting physicians needed by, 184–185;
    • see also under Baltimore, Disinfection
  • Heat, artificial, in outdoor treatment, 143, 147
  • Histories, see under Patients
  • Home, “breaking up the,” 161;
    • care of advanced patients at, 225–227;
    • conditions in patients’, 139, 148, 160, 163;
    • entering patients’, 31, 118, 122;
    • see Infection
  • Hospitals, for advanced cases, 207–208, 218–219;
    • importance of, in tuberculosis, 223, 271, 286;
    • opposition to building of tuberculosis hospitals, 219–221;
    • sending patients to, 207–208;
    • special wards for tuberculosis, 218–219
  • Houses, inspection of, by nurse, 136–137;
    • vacant, watched by nurse, 181
  • I
  • Infection, of children, 159–160;
    • sources of, 140, 159–160, 165–168, 252, 255–268;
    • see also under Advanced cases, Ambulatory cases, Bacilli, Children, Factories, Families, Patients
  • Institutions, see Hospitals and Sanatoria
  • Instruction, books of, 44;
    • of patients and families, 127–133, 142–148;
    • see also under Nurse
  • L
  • Landlord, irresponsibility of, 180–181
  • Laws, for proper disinfection, 183;
    • for protection from infection, 264;
    • for registration and reporting of tuberculosis cases, 7, 111–112;
    • State, in regard to tuberculosis, 76, 77
  • “Light work” for tuberculosis patients, 215–216
  • Lyman, Doctor David R., quoted, 213
  • M
  • Maryland, State Board of Health, quoted, 213;
    • neglect of law for registration of tuberculosis cases, 113;
    • Tuberculosis Association, 8 note
  • Milk, infection through, 255
  • Milk and eggs, see Diet
  • Minor, Doctor Charles L., quoted, 126
  • Municipal control of tuberculosis work, 77–86, 89–91, 274–275;
    • see also Baltimore
  • N
  • Napkins, paper, use of, 130–131
  • Newspapers as agents in tuberculosis work, 5
  • Nurse, the tuberculosis, “asset to community,” 199;
    • access to cases, 121–122;
    • calls, 121–122;
    • character, 16–19;
    • co-operation with physician, 88, 103, 109;
    • discovering cases, 67;
    • dispensary work, 194–199;
    • district, 35–36;
    • duties of, 46, 48–49, 52, 53–56, 58–59, 62–70, 100–101, 105, 106, 108–109, 122, 128–137, 149–153, 154–157, 169–170, 181–183, 204–205, 207–208, 211–212, 213, 216–217, 224, 258–259;
    • establishment of, 7–10, 89;
    • expenses, 24–26;
    • function, 117–118, 224, 247–248;
    • giving relief, 232–233, 237, 241–242, 245–248;
    • health, 12–15;
    • hours on duty, 14, 36;
    • instruction of patients and families, 127–131, 133–148, 155–156, 172, 174, 178, 183;
    • lunches, 40–41;
    • noon hour, 40–41;
    • office, 38–40;
    • physical examinations, 12–13;
    • relations with patients and families, 18, 123, 133, 152–153, 181–182;
    • relations with physicians, 71–73, 87–89, 92–94, 99–104, 123;
    • responsibility to community, to patient and family, 118;
      • to organization, 89;
    • salary, 20–23;
    • sick-leave, 27–28;
    • social worker as nurse, 233–234;
    • time off, 14–16;
    • training of, 10–12, 62;
    • uniforms, 28–31;
    • vacation, 26–27;
    • visits, 36–38;
    • visiting list, 63–70;
    • see also under Baltimore, Charts, Children, Co-operation, Diagnosis, Diet, Disinfection, Dispensaries, Families, Health Department, Home, Registration, Reports, Visiting Nurse Association
  • O
  • Occupations of patients, see under Infection
  • Office of tuberculosis nurse, 38–40
  • Open-air, schools, 163;
    • treatment, 140–143
  • Organizations, see under Charity Organization Society, and Co-operation
  • Outdoor work for tuberculosis patients, 216
  • P
  • Patients, bed-ridden, 151–152;
    • carelessness of, 97, 214–222, 266–268;
    • changing physicians, 80–81, 92–96, 98–100;
    • charts, 48–53;
    • co-operation with nurse, 248–249;
    • discharged, 204–207, 212–215;
    • employment of, 262;
    • examination of, 158, 190;
    • histories, 123–124;
    • home occupations, 261–262;
    • isolation of, in homes, 151–152;
    • limitation of, 33, 200;
    • objection of, to institutions, 210–211;
    • outdoor treatment, 144;
    • rest for, 143–144;
    • sending to country, 165–168;
    • supervision outside the home, 267–272;
    • supplies for, 42–43, 45;
    • telling the truth to, 124–127;
    • see also Advanced, Ambulatory, and Arrested cases, Baltimore, Children, Diet, Dispensaries, Families, Health Department, Home, Injection, Instruction, Nurse, Segregation, Relief
  • Phipps Dispensary, see Dispensaries under Baltimore
  • Phthisiphobia, 14, 134–135, 270–272
  • Physicians, incompetent, 93–97, 101–104;
    • municipal, 90;
    • standards of, 83;
    • reporting tuberculosis cases, 113;
    • State requirements of, 75–76;
    • “unethical practitioner,” the, 72, 84, 85;
    • see also under Diagnosis, Dispensaries, Nurse, Patients
  • Pockets, waterproof, 44
  • Poverty, relation to tuberculosis, 3–4, 61, 80–81, 230–232, 265, 283–285
  • Prevention of tuberculosis, 4, 120, 155–156, 159–161, 247–248;
    • see also under Disinfection, Nurse, etc.
  • R
  • Records and reports, 48–58
  • Registration of cases, cards for, 116;
    • laws for, 76, 111–113;
    • value of, 114–115
  • Relief, conditional, 231;
    • not to be given by nurse, 234;
    • obtained by nurse, 143, 210, 245–246, 257;
    • proper use of, 248–249;
    • rules for agents and nurses, 237–241;
    • withdrawal of, 248;
    • see also Nurse, Co-operation, Patient
  • Reporting cases to the Health Department, 7, 56–59, 171, 205–207
  • S
  • Salary of tuberculosis nurse, 20–22, 24
  • Sanatorium, outfit for, 211–212;
  • Segregation, 4–5, 218–220, 223–229
  • Sick leave, 26–28
  • Skin test, 110
  • Social agents and workers, 35–36, 62, 66–67, 165, 234–239
  • Sputum, cups, 42–43;
    • disposal of, 128–130;
    • examination of, 9, 40, 107–108;
    • see also under Infection and Instruction
  • Sterilization, see under Disinfection
  • Superintendent of nurses, 13, 15, 24, 59–60, 116
  • Supplies, nursing, 46;
    • prophylactic, 42–45, 76–77, 133
  • T
  • Tests, tuberculin, 110–111
  • Tuberculin classes, 196–197
  • Tuberculosis, abolition of, 223, 283–284;
    • arrest of, 125–126;
    • campaign against, 1–6, 285–286;
    • character of, 79;
    • cure, 2–4, 125, 208–209;
    • deaths from, 283;
    • difficulties in dealing with, 79–82, 85–86;
    • municipal control of, 85–86;
    • number of cases in given community, estimate of, 63;
    • see also Bacilli, Infection, Prevention, Poverty
  • Tuberculosis Division, see under Baltimore, Health Department of
  • U
  • Uniforms, 28–29
  • V
  • Vacations for tuberculosis nurses, 26
  • Visiting list, 63–66
  • Visiting Nurse Association, 8, 9;
    • see also under Baltimore and Co-operation
  • Visits by tuberculosis nurse, 36–38
  • W
  • Wards, special, for tuberculosis patients, 218–220
  • Windows in patient’s room, 137, 144
  • Work done by tuberculous patients: “light work,” 215;
    • outdoor, 216,
    • see also under Infection and Patients