File:Tri-State medical journal (1895) (14582795579).jpg

Identifier: tristatemedicalj2189ball (find matches)
Title: Tri-State medical journal
Year: 1895 (1890s)
Authors: Ball, James Moores, 1863-1929
Subjects: Tri-State Medical Society Medicine
Publisher: St. Louis : (s.n.)
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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nd honest in conversation and in action. No attempt at de-ception for any purpose should be permitted. In the important matter ofdelusions, the nurse should ignore them if possible, but never accept themas truth, through motives of expediency. The second essential is rest in bed as nearly absolute in the beginningof the case, as possible, in a room with the largest possible amount of sun-shine, well heated and ventilated with all the comforts it is possible forthe patient to possess and appreciate. The first indication for treatment is the relief of the insomnia. In thisthe tendency is often to overdose the patient with powerful narcotics in or- 514 Original Articles. der to secure quiet, overlooking the fact that such dosing will seriously in-terfere with the restoration of the wasted nerve energy by checking thedigestion and assimilation of food. They require eight hours of sleep out of the twenty-four, but thisshould be obtained by the very mildest means that can be found to accom-
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DR. D. R. BROWER, OF CHICAGO. plish the purpose. Drugs are not always necessary; in mild cases, a hotfoot-bath at bedtime with a cold compress to the head, the administrationof hot drinks, beer or other fermented liquors, general massage, cerebralgalvanism or the wet pack are often all that is necessary. The wet pack is Early Treatment of Insanity-Brower. 515 useful not only as a means of producing sleep, but it has tonic and seda-tive properties. I think for its administration the patient should lie upona lounge easy of access on both sides. This lounge should be covered witha rubber blanket and over this a large sheet wrung out of water of a tern -perature below that of the body, should be placed. The patient should beput on this sheet, which should be quickly folded over him except hishead; he should then be wrapped in several blankets and permitted to re-main in this pack at least a half hour. Its first effect will be antipyreticbut very soon it becomes a hot vapor bath, the cutan

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