To my colleague, Dr. A. W. Hurd, I wish to tender my thanks for the valuable assistance he has given me in the preparation of this manual. I am greatly indebted to Dr. Andrews for his ever kind but critical advice. But for his encouragement and help neither the work of instruction nor the preparation of these pages would have been begun, nor success, if success be gained, achieved.
CONTENTS.
| PAGE | |
| Introduction | [iii] |
| [CHAPTER I.] | |
| The Nervous System and Some of its More Important Functions | [1] |
| Nerve Centres.—Brain and Spinal Cord.—The Nerves.—NerveCells and Fibres.—Motor and Sensory Nerves.—The Five Organs of Special Sense.—Nerve Impulses.—TheBrain and Nervous System Always Busy.—Need of Rest. | |
| [CHAPTER II.] | |
| The Mind and Some of its Faculties | [7] |
| Mind and Matter.—Life.—Relation of Mind and Brain.—Facultiesof the Mind.—Intellectual Faculties.—Will.—Emotions.—Instincts.—Moral Faculties. | |
| [CHAPTER III.] | |
| Insanity; or, Disease of the Mind | [13] |
| Insanity a Change.—Involves Disease of the Brain.—Delusions.—Hallucinations.—Illusions.—Incoherence.—MentalStates.—Mania.—Melancholia.—Dementia.—Monomania.—Emotional Insanity.—Dipsomania.—Moral Insanity. | |
| [CHAPTER IV.] | |
| The Duties of an Attendant | [22] |
| What an Attendant Should First Learn.—The Relation of Attendants to Patients.—The Character of an Attendant.—Relationto the Institution.—How and What to Observe.—Systematized Plan of Observation.—Control and Influenceof Attendants over Patients.—Care and Study of the Individual.—Liberty to be Allowed Patients.—Self-Control of Patients to be Encouraged. | |
| [CHAPTER V.] | |
| General Care of the Insane | [33] |
| Reception of New Patients.—Work and Employment.—Patients’Care of Themselves.—Walking.—Clothing.—Bathing.—Serving of Food.—Bed and Rising Time.—Night Care. | |
| [CHAPTER VI.] | |
| Care of the Violent Insane | [45] |
| Need of Studying Each Case.—Constant Attention and Oversight.—Value of Employment and Out-Door Exercise.—Restrictionand Idleness.—Paroxysms of Violence; How Cared For.—How to Hold or Carry a Patient.—Danger ofInjury.—Struggles to be Avoided.—Care of Destructive Patients.—Use of Restraint, Seclusion, and Covered Bed. | |
| [CHAPTER VII.] | |
| Care of the Homicidal and Suicidal Insane, and of Those Inclined to Acts of Violence | [53] |
| Delusions of Suspicion.—Homicidal Patients.—Suicidal Patients.—Self-Mutilation.—Incendiary Patients. | |
| [CHAPTER VIII.] | |
| Care of Some of the Common Mental States and the Accompanying Bodily Conditions | [60] |
| Care in the Earlier Stages.—Insanity with Exhaustion.—Symptoms of Danger.—Care of Dementia, Early Dementia,Chronic or Terminal Dementia.—Convalescence.—Relapse.—Epilepsy.—Paresis.—Careof Paralytics, the Helpless, the Bed-ridden.—Bed-Sores. | |
| [CHAPTER IX.] | |
| Some of the Common Accidents among the Insane, and the Treatment of Emergencies | [71] |
| Certain Classes of Insane Liable to Injury.—Fractures.—Wounds.—Bites.—Blows on the Head—Cut Throat.—Woundsof the Extremities with Hemorrhage.—Sprains.—Choking.—Artificial Respiration.—Burns.—Frost-bites.—Statesof Unconsciousness.—Apoplexy.—Sunstroke.—Poisoning.—Eating Glass.—Injury with Needles. | |
| [CHAPTER X.] | |
| Some Services Frequently Demanded of Attendants and How to do Them | [85] |
| Administration and Effects of Medicine.—Opium, Chloral, Hyoscine, and Hyoscyamine; Doses, Effects, Poisoning,Treatment.—Stimulants.—Applications of Heat and Cold.—Baths and Wet Packing.—Hypodermic Injections.—ForcibleFeeding with Stomach-Tube.—Nutritive Enemata. |
HOW TO CARE FOR THE
INSANE.
CHAPTER I.
THE NERVOUS SYSTEM AND SOME OF ITS MORE IMPORTANT FUNCTIONS.