By Russell Barton
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Extra info for Institutional Neurosis
Sample text
One gifted patient described new wardrobes as ''more like a row of coffins in an undertaker's". * Since it is only 18 in. , only requires 9 in. per bed) shortage of space cannot be used as an excuse for not making proper provision {Fig. 5). Such equipment must harmonize with the colours of the ward and its furnishings. The widespread custom of leaving the choice of such items to a matron or a supplies officer leaves the matter as a function of that individual's taste. It may be they will be discriminating and choose wisely, but it would seem better if more attention were given to such matters by specially skilled people.
They have no effect on clearing the smell from a ward. They act by suggestion and although providing an alternative smell may convince staff, who have faith in them, there is no smell, it is often all too apparent to the visitor who has not seen the deodorant or does not share their faith. Noise is a feature of ward life to which nurses and doctors tend to get used. Noises made by the staff are usefully considered separate from those made by patients. The clatter of pulling screens too energetically, moving commodes, of slamming and locking doors, of walking about the ward, banging into beds are some examples of a possible non-verbal communication to the patient that they don't matter.
A positive drive needs to be made. Who should make the drive is often disputed. One system would be for the ward sister or nurse to find out the names and addresses of relatives of patients who were not having regular visits. She would then inform the Psychiatric Social Worker who could write and possibly call on the relatives. The doctor's role would be to manifest concern. Always asking about visitors and asking the ward sister what relatives a patient had and why they did not come. T h e ward doctor could of course ask the Psychiatric Social Worker directly but this would exclude the sister, thus diminishing her responsibility and dignity.