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Notes on Nursing - What It Is, and What It Is Not by Florence Nightingale
page 32 of 163 (19%)
We must not forget what, in ordinary language, is called
"Infection;"[4]--a thing of which people are generally so afraid that
they frequently follow the very practice in regard to it which they
ought to avoid. Nothing used to be considered so infectious or
contagious as small-pox; and people not very long ago used to cover up
patients with heavy bed clothes, while they kept up large fires and shut
the windows. Small-pox, of course, under this _regime_, is very
"infectious." People are somewhat wiser now in their management of this
disease. They have ventured to cover the patients lightly and to keep
the windows open; and we hear much less of the "infection" of small-pox
than we used to do. But do people in our days act with more wisdom on
the subject of "infection" in fevers--scarlet fever, measles, &c.--than
their forefathers did with small-pox? Does not the popular idea of
"infection" involve that people should take greater care of themselves
than of the patient? that, for instance, it is safer not to be too much
with the patient, not to attend too much to his wants? Perhaps the best
illustration of the utter absurdity of this view of duty in attending on
"infectious" diseases is afforded by what was very recently the
practice, if it is not so even now, in some of the European lazarets--in
which the plague-patient used to be condemned to the horrors of filth,
overcrowding, and want of ventilation, while the medical attendant was
ordered to examine the patient's tongue through an opera-glass and to
toss him a lancet to open his abscesses with?

True nursing ignores infection, except to prevent it. Cleanliness and
fresh air from open windows, with unremitting attention to the patient,
are the only defence a true nurse either asks or needs.

Wise and humane management of the patient is the best safeguard against
infection.
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