Page:Workhouse nursing.djvu/44

From Wikisource
Jump to navigation Jump to search
This page has been validated.

34

to promote recovery and to mitigate suffering; all other considerations yield to this, and consequently the treatment must necessarily be liberal in spirit and indulgent in fact. The modes of treatment necessary for the good management of the hospital patient and of the able-bodied pauper, respectively, are distinct—almost opposite: the infirmary and the workhouse must be controlled on divergent, and even contrary principles; and by bringing the two together under one roof and one administration, they injure each other. The indulgence of the infirmary creeps into the workhouse, or the sternness of workhouse rules cripples the benevolent energy which should rule the infirmary. And the treatment of the able-bodied pauper becomes too lax, or he is tempted to scheme, and does scheme, to get himself transferred to the more comfortable quarters close at hand; a desire so prevalent as to give rise to malingering—the wilful production of disease: while, partly no doubt in order to counteract this tendency, there is in such mixed establishments an unconscious disposition to treat the hospital patient with the same stern economy that is justly made the rule in dealing with able-bodied pauperism, but which, in the infirmary, is not only cruel, but in the long run is not truly economical. Another most serious evil is entailed upon the hospital by connexion with the workhouse. The habits and traditions prevalent among the habitual paupers—able-bodied paupers—in the workhouse (at least in the workhouse of a large town), are too often deeply infected with cunning, deception, and dishonesty of all sorts, against which strict precaution and stern