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diff --git a/old/66729-0.txt b/old/66729-0.txt deleted file mode 100644 index 81887fb..0000000 --- a/old/66729-0.txt +++ /dev/null @@ -1,661 +0,0 @@ -The Project Gutenberg eBook of Pneumonia: Its Care and Prevention, by -Anonymous - -This eBook is for the use of anyone anywhere in the United States and -most other parts of the world at no cost and with almost no restrictions -whatsoever. You may copy it, give it away or re-use it under the terms -of the Project Gutenberg License included with this eBook or online at -www.gutenberg.org. If you are not located in the United States, you -will have to check the laws of the country where you are located before -using this eBook. - -Title: Pneumonia: Its Care and Prevention - -Author: Anonymous - -Release Date: November 13, 2021 [eBook #66729] - -Language: English - -Character set encoding: UTF-8 - -Produced by: Stephen Hutcheson, Donald Cummings and the Online Distributed - Proofreading Team at https://www.pgdp.net - -*** START OF THE PROJECT GUTENBERG EBOOK PNEUMONIA: ITS CARE AND -PREVENTION *** - - - PNEUMONIA - - _Its care and - prevention_ - - - - - Copyright, 1940 - - John Hancock Mutual Life Insurance Company - of Boston, Massachusetts - -L63-9-40 - - - - - PNEUMONIA - - ITS CARE AND PREVENTION - - - Life Conservation Service - of the - JOHN HANCOCK MUTUAL LIFE - INSURANCE COMPANY - of Boston, Massachusetts - - - - -An Urgent Message: - -If you suspect that someone in your family has pneumonia, it is vital -that you call your doctor without a moment’s delay. If it is pneumonia, -hours will count. Newly introduced drugs have proved of great value in -curing pneumonia but early medical treatment and prompt nursing care -are necessary if the new treatment is to do the most good. - -That you may know something about pneumonia, the kind of medical -treatment and nursing care required, and the ways by which the disease -may be prevented, this pamphlet is sent to you. - - Life Conservation Service - of the - John Hancock Mutual Life - Insurance Company - of Boston, Massachusetts - - - - - PNEUMONIA - ITS CARE AND PREVENTION - - -Pneumonia is an inflammation of the lungs. Despite all the progress -recently made in the treatment of the disease, it remains among the -most common causes of death. Pneumonia is always a serious matter, and -should be regarded as an emergency calling for immediate medical care. - -The inflammation of the lungs may be due to one of a number of -different kinds of germ, but the bacteria known as pneumococci cause -about four cases out of every five. There are several varieties, or -types, of pneumococci and the treatment may vary with the type. Your -doctor has at his command some new drugs[A] but for some types of -pneumonia he may combine the drug with a curative serum. - -[A] The different members of this new family of drugs, sulfanilamide, -sulfapyridine, sulfathiazol, etc. are used depending upon the nature of -the pneumonia. - -If the inflammation is due to one of the various other germs that cause -the remaining fifth of the pneumonia cases, still other treatment may -be needed. It is clear, then, that your physician should be called -promptly when pneumonia is suspected so that he may have the laboratory -tests made that will tell him with what kind of germ infection he has -to deal. Then he can decide what kind of treatment to employ. - - - Pneumonia Is Contagious - -Pneumonia appears to be spread from person to person by contact, so it -is regarded as a communicable disease. As it is contagious, the spread -of infection can be stopped if precautions are taken to prevent the -transfer of the infectious material from the sick to the well. The -secretions from the nose and throat of persons sick with pneumonia, -or convalescing from the disease, usually carry the germs that cause -it. The transfer may take place through direct contact with these -secretions, or inhaling droplets of moist sputum expelled by the sick -person while coughing or sneezing. - -Pneumonia is no respecter of persons. It may attack tiny babies, adults -in the prime of life, or elderly people: so everyone must be on guard. -This is especially true in late winter and early spring when the -disease is most likely to occur. - -Pneumonia often begins during or just after an attack of the common -cold, grippe, whooping cough, or measles, and after surgical operations, -especially those upon the chest. In other conditions, such as unusual -and prolonged fatigue or exposure to bad weather resulting in a thorough -chilling, the chance of infection is increased. - - - Early Signs of Pneumonia - -In most cases of pneumonia the disease is readily recognized. There -is often a preceding cold, but the onset of the pneumonia is usually -abrupt, with sharp pain in the side, fever, a cough, a sense of -chilliness or evident chills, and the expectoration of sputum streaked, -or tinged, with blood. - -[Illustration: _Immediate medical and nursing care are vital in -pneumonia._] - -If you should ever have any of these early signs of pneumonia, get -promptly into bed and stay there. Have your doctor called without a -moment’s delay. You will improve your chance of a quick recovery if -you give him the opportunity to determine the cause of your infection -before it is many hours old. Remember: the longer the disease exists -before treatment is begun, the more difficult it may prove to cure. - - - Finding the Cause - -The exact cause of the inflammation can be determined only by a -laboratory examination of specimens of sputum or blood. Fortunately, -in most sections of the country, diagnostic services are now readily -available. - -The kind of germ is determined earliest by examining specimens of -sputum.[B] Though the patient may have some difficulty in raising -sputum, enough for laboratory needs can almost always be obtained if -its importance is explained to him. The expectorated material should -come from the lungs, and should be as free as possible from mixture -with saliva and nasal secretions. The sputum can be collected in -any clean, wide-mouthed bottle, or a cardboard sputum box, and sent -without delay to the nearest laboratory. Within a short time a report -is returned to your doctor advising him of the findings of the -examination. If pneumococci have been found, the special type will be -named. - -[B] Blood specimens are also of importance in diagnosis of the disease -and determining the course of treatment. - -[Illustration: _Laboratories are now equipped to make prompt and -reliable examinations of sputum specimens._] - - - Hospital and Nursing Care - -The new drugs which have been found so successful in curing pneumonia -occasionally make the patient nauseated and uncomfortable for a time. -The curative serums which are used for certain types of pneumonia, -also may sometimes produce unpleasant reactions temporarily. With both -treatments it is essential that the patient be watched over by alert -attendants at all times. Hence many doctors prefer that the pneumonia -patient be taken to the hospital as soon as he becomes sick so that he -can have the benefit of constant nursing care and so that everything -possible may be done to avoid unpleasant reactions or allay the -symptoms if they should occur. - -If the patient must remain at home it is evident that he should have -the best possible nursing care. When a full-time nurse is not to be -in attendance, then the visiting nurse should be called in promptly. -She not only will give the care to the patient that the doctor orders -but will instruct the members of the family who must attend to the -patient’s needs during her absence. - -In addition to receiving the treatment already discussed, it is -essential that the patient’s position in bed be changed at intervals to -relieve congestion and increase comfort. From lying on his back he may -be moved to one side or the other, but this, too, must be done for him. -So, it is evident that constant care is vitally needed. - -The doctor’s orders must be followed to the last detail. Nothing -is unimportant. The nurse will assist the attendants in following -instructions. She will teach them what to observe in the patient’s -condition, how to report the progress of the disease to the physician,[C] -and will advise the members of the family how to prevent the spread of -the patient’s infection to others in the household. - -[C] The two booklets, “Home Care of Communicable Diseases” and “Caring -for the Sick in the Home,” will prove useful as supplements to the -nurse’s instruction. They are free for the asking. - - - Preventing Pneumonia - -In general, it may be said that a good physical condition of the body -lessens the chance of an attack of pneumonia. A sensible balance of -rest and exercise to prevent undue fatigue, eating nutritious meals, -and avoiding over-exposure and chilling, all may help. It is the part -of wisdom to stay indoors with a cold, and in bed while there is fever, -for your own benefit as well as to prevent giving your infection to -others.[D] While suffering from colds, grippe, tonsillitis, and the -like, care should be taken to avoid exposure to draughts and rapid -chilling of the body when overheated. - -[D] “Living the Healthy Life” tells how to keep fit. “What to Eat and -Why” discusses the question of diet. “That Mean Cold” tells more in -detail about the care of colds. Copies of all these booklets will be -sent to anyone on request. - -Overcrowding greatly increases the chance of spreading pneumonia -from person to person. When colds and other respiratory diseases are -prevalent, public gatherings should be avoided as much as possible. -Rules of health departments forbidding spitting should be strictly -obeyed by all. Special precautions should be taken against unnecessary -contact with pneumonia patients and those recently recovered from -the disease, who still may be carriers of the germ. This precaution -is especially important for persons who are run down, or have some -existing respiratory disease. - -In the care of patients with pneumonia, the following precautions for -the protection of others must be observed: - -If the patient is treated at home, only those responsible for his care -should be permitted in the sick-room. - -The patient’s nasal discharges and sputum should be collected in pieces -of cloth or soft paper and burned promptly. Droplet infection may be -avoided by placing a piece of cloth or soft paper over the patient’s -mouth when he coughs or sneezes, and this cloth or paper should be -burned. Unnecessary contamination of bedding or clothing should be -prevented. - -The patient’s eating utensils, bedding, and linen should be scalded and -washed in soap and hot water. - -Dry sweeping or dusting of the sick-room should not be permitted; -cleaning can be done safely only with a damp cloth. - -After each time that care is given to the patient, the attendant should -scrub her hands thoroughly. - -Articles which cannot be washed should be thoroughly aired and exposed -to sunlight out-of-doors for a day. - -[Illustration: _Dressed for the weather, outdoor exercise keeps the -body fit._] - - - Points to Remember about Pneumonia - -Pneumonia may attack without warning, but often is preceded by a cold. - -If chills, fever, pain in the chest, and sputum tinged with blood -occur, it is a signal to get to bed promptly and have the doctor called -immediately. - -New drugs have proved to be of great benefit in treatment, but for -certain types of pneumonia both drugs and serum may be needed. - -Good nursing care is vital. If the patient is not to be treated in -a hospital, provision should be made for a full-time nurse, or for -regular care by the visiting nurse. - - - - - Life Conservation Service - of the - - [Illustration: - - _John Hancock_ - MUTUAL - LIFE INSURANCE COMPANY - OF BOSTON, MASSACHUSETTS] - - -L63-9-40 Printed in U. S. A. - - - * * * * * - - -Transcriber’s Notes: - - ――Text in italics is enclosed by underscores (_italics_). - - ――Retained publication information from the printed edition: this eBook - is public-domain in the country of publication. - -*** END OF THE PROJECT GUTENBERG EBOOK PNEUMONIA: ITS CARE AND -PREVENTION *** - -Updated editions will replace the previous one--the old editions will -be renamed. - -Creating the works from print editions not protected by U.S. copyright -law means that no one owns a United States copyright in these works, -so the Foundation (and you!) can copy and distribute it in the -United States without permission and without paying copyright -royalties. Special rules, set forth in the General Terms of Use part -of this license, apply to copying and distributing Project -Gutenberg-tm electronic works to protect the PROJECT GUTENBERG-tm -concept and trademark. 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