Part 15

A nurse will find a pleasant field for the exercise of ingenuity in selecting and preparing such dishes as shall (1) be suited to the digestive powers of the patient; (2) shall be savory; (3) shall be sufficiently varied to supply all those materials which the depleted and exhausted body needs; and (4) shall be in such judicious quantity as shall increase nutrition, but never overtax the digestive powers.

The decision of No. 1 (food suited to the digestive powers) is the most difficult, and here again the doctor will advise for particular or peculiar diseases.

There are certain things which from their natural composition are more easy of digestion than others, such, for instance, as milk, eggs slightly coagulated and raw, beef tea with the juices in solution, cocoa milk, and cocoa, coffee, jellies, gruels, porridge from prepared grains (except oatmeal) when thoroughly cooked, oysters alive, rice, venison, and tripe.

No. 2, the savory quality, depends largely upon preparation, and is under the control of the nurse. A baked potato done in a hot oven, just to the point, and served immediately, is a delicious dish; overdone, or done in an oven of low temperature, and served lukewarm, it is very far from appetizing. A steak, if cut thin, salted, and broiled slowly, will be hard, dry, and lacking in flavor, but if it is cut thick, at least an inch and a half, better two inches, broiled for the first minute over very hot coals, and then slowly, that the heat may have time to penetrate to the center, and raise the whole to a temperature sufficiently high to cook it (about 160° Fahr.) without charring the outside, it will make a dish both wholesome and savory.

No. 3, the next consideration, is that of variety, and here the resources and judgment of the person in charge must come to the front. Only general hints can be given. Endeavor to supply some protein, some fat, some of the carbohydrates, and some mineral matter in each meal. Bread, grains, or potatoes will give the necessary starch. Sugar is usually supplied with drinks. Milk, eggs, meat, fish, and oysters will give protein; cream, butter, bacon, and the fat of other meats will furnish fat, and fruits and green salads give acids and mineral salts. For the latter, grapes, apples, carrots, onions, dandelions, and lettuce are very valuable. Grapes are composed of water with salts in solution, and glucose; both are absorbed with very little outlay from the system. The others are every-day foods, but science has taught that their instinctive use in the past has been a wise one.

No. 4, the quantity of food to offer to a sick person, will depend upon the individual. Give enough, but rather give to an invalid too little than too much, especially in the first days of using solid food; for after some forms of sickness there is great hunger, and one may injure himself by overeating at such a time. Furnish a little of each kind of food, but let that little be of good quality and perfectly prepared, so that every morsel is eatable. It is discouraging to any one to have set before him food such that much of it must be rejected uneaten. It is very encouraging, especially to an invalid, to be able to eat all that is brought him, and for this end cooking and serving are of great importance. It is necessary to adjust the proportions of the different kinds of foods to the needs of the consumer, otherwise all unnecessary material will be rejected from the body as waste, or will be accumulated in it to interfere with the workings of the different organs.

In general it may be said that the needs of no two individuals can be satisfied with exactly the same diet. In sickness it is the province of the physician to adjust the food to the condition of the patient. In convalescence the taste of the individual and the judgment of the nurse or attendant combined will usually not fail of good results. If an individual craves a certain dish, and there is no good reason why he should not have it, by all means procure it. Let only your judgment act. It may be something that you personally do not like. That should not influence a decision, provided, of course, that the food is not unwholesome.

We should bear in mind that a sick person is not in the same condition as ourselves, and that no matter how absurd his cravings may seem, they may be but perfectly natural longings for those substances which his depleted and exhausted system needs in order to be restored to health.

PART II

RECIPES

PART II

RECIPES

BEEF-JUICE, BEEF-TEA, AND BROTHS

=Beef-Juice.= The clear juice of beef, slightly diluted with water, is always excellent, being especially useful for its strong flavors. It is like concentrated beef-tea, and is often valuable in pleasantly exciting the action of the mouth and stomach after a long illness in which milk has been the chief article of diet.

Beef-juice is best made by broiling the beef. Prepared in this way, the flavor is superior, and it is a quick and easy method; but when a proper broiling fire cannot be had, then it may be made in a glass jar like beef-tea, except without the water.

=Beef-Tea= is valuable for its stimulating properties and for the warmth that it gives; it is also somewhat nutritious, containing as it does the albuminous juices of the meat, some salts, and the very important flavors. Beef-tea should be prepared in such a manner that the juices are held in solution in the water, not coagulated, to secure which the cooking temperature should never be allowed to exceed that of 160° Fahr.

=Broths.= Beef, mutton, and chicken broths are the most desirable forms of meat drinks for convalescents and those no longer dangerously ill. By slow cooking at a low temperature at first (the temperature should not exceed 150° Fahr. for the first hour), the extractives and albuminous juices are drawn out; then, by boiling, the gelatin of the bones, flesh, and tissues is dissolved. The nutritive qualities of these broths may be much increased by the addition of bread, rice, tapioca, barley, and sago, cooked during the whole time so that they may be completely dissolved in the liquid.

BEEF-JUICE

=Bottled.= Select a half pound of well-flavored beef, cut away everything except the lean fiber, divide it into small pieces, put them into a glass jar, cover, and place in a deep saucepan of cold water; heat gradually for one hour, but do not allow the temperature at any time to exceed 160° Fahr.; then strain out the juice and press the meat. The liquid should be clear red, not brown and flaky. Add a little salt, and it is ready to serve. A half pound will make three or four tablespoons of juice. If it is to be used constantly, a larger quantity may be made at once, as it will keep eighteen hours in a refrigerator. Beef-juice may be made into tea by diluting it with warm water.

=Broiled.= Prepare a fire of clear glowing coals from which all blue flames have disappeared. Cut a piece of lean beef (one half pound from the round or any good lean portion) one and one half inches thick, and remove from it all membranous tissues and fat. Put it into a wire broiler, and broil from six to eight minutes according to the intensity of the fire (see rules for broiling). The piece when done should be pink and full of juice, not dry and hard, nor, on the other hand, bluish-red in the middle. More juice will be obtained if the heat has penetrated to the center than if the meat is raw. When done, cut it into small pieces and squeeze out the juice with a meat-press or a lemon-squeezer. Add a little salt, and it is ready to serve. It should be given in spoonfuls, either warm or cold. If it is necessary to warm it, put a little into a cup and place it in a dish of warm water on the fire. Care should be taken that the water does not become hotter than 160° Fahr., for beyond that temperature the albuminous juices become coagulated and appear as brown flakes.

BEEF-TEA

=Bottled.= Select and prepare the meat in the same manner as for bottled beef-juice, except that for every half pound a cup of water should be used, poured over after it has been put into the jar. The liquid thus obtained will resemble beef-juice in every respect except in strength. Serve as a drink in a red wine-glass or a china cup.

=With Hydrochloric Acid.= Hydrochloric acid acts upon the fibers of meat in such a way that they become more easy of digestion. From a given portion of meat much more nutriment is extracted by the use of hydrochloric acid than without it; beef-tea made with it is recommended by physicians as the most easily absorbed form of beef drink, and for feeble children and patients much weakened by sickness it is especially useful.

=To Prepare.= Select a half pound of good beef; remove from it everything that is not clear meat,--that is, bone, gristle, connective tissue, and fat; chop it fine on a meat-board or in a chopping-tray. Put into a bowl one cup of water and five drops of dilute hydrochloric acid; stir into this the chopped meat, and set it in a refrigerator or any cool place for two hours to digest. Then strain, flavor with salt, and serve cold in a red wine-glass.

Should there be any objection to the taste or color, heat the tea until it steams and changes to a brownish hue; do not strain out the flakes of coagulated albumen and fibrin which appear, for they are the most nutritious portion of the tea.

Chemically pure hydrochloric acid may be obtained of a druggist (it is usually marked C. P.); from it a diluted solution may be made by mixing it in the proportion of five and one half fluid ounces to fourteen ounces of water.

BEEF BROTH

Beef broth is the juice of beef extracted by the long application of heat in connection with some solvent, usually water.