On the Construction, Organization, and General Arrangements of Hospitals for the Insane

Lindsay & Blakiston, 1854 - 80 pages

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Page 56 - He was one of the originators of the Association of Medical Superintendents of American Institutions for the Insane and was its President from 1855 to 1859.
Page 79 - Physician, he should possess the mental, physical and social qualities, to fit him for the post. He should serve during good behavior, reside on, or very near the premises, and his compensation should be so liberal, as to enable him to devote his whole time and energies to the welfare of the Hospital. He should nominate to the Board suitable persons to act as Assistant Physician, Steward and Matron ; he should have...
Page 24 - A complete system of forced ventilation in connection with the heating, is indispensable to give purity to the air of a Hospital for the Insane ; and no expense that is required to effect this object thoroughly, can be deemed either misplaced or injudicious.
Page 76 - No hospital for the insane, however limited its capacity, should have less than fifty acres of land, devoted to gardens and pleasuregrounds for its patients. At least one hundred acres should be possessed by every State hospital, or other institution for two hundred patients, to which number these propositions apply, unless otherwise mentioned.
Page 77 - All Hospitals should be warmed by passing an abundance of pure, fresh air from the external atmosphere over pipes or plates containing steam under low pressure, or hot water, the temperature of which, at the boiler, does not exceed 212° F., and placed in the basement or cellar of the building to be heated.
Page 78 - The board of trustees should not exceed twelve in number, and be composed of individuals possessing the public confidence, distinguished for liberality, intelligence and active benevolence; above all political influence, and able and willing faithfully to attend to the duties of their station.
Page 80 - The situation and circumstances of different institutions may require a considerable number of persons to be employed in various other positions, but in every Hospital, at least all those that have been referred to are deemed not only desirable, but absolutely necessary, to give all the advantages that may be hoped for from a liberal and enlightened treatment of the Insane.
Page 77 - Every hospital, having provision for two hundred or more patients, should have in it at least eight distinct wards for each sex, making sixteen classes in the entire establishment.
Page 78 - State institution, selected in such manner as will be likely most effectually to protect it from all influences connected with political measures or political changes ; if of a private corporation, by those properly authorized to vote.
Page 79 - In no Institution should the number of persons in immediate attendance on the patients be in a lower ratio than one attendant for every ten patients ; and a much larger proportion of attendants will commonly be desirable.

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