The nursing and care of the nervous and the insane . arn by practice the neatest and least awkwardmethod of opposing the patients movements or causingthe patient to resist the force applied. As in massage,observation of two manipulators will reveal the greatestdifference in this respect: one will be quick, easy,graceful, and encouraging; the other will be slow, stiff,awkward, and disheartening. The force which is usedshould be carefully graduated to the strength and par-ticular conditions of the patient. The movement whichit is desired to bring out and improve should not be tooforcibly resiste


The nursing and care of the nervous and the insane . arn by practice the neatest and least awkwardmethod of opposing the patients movements or causingthe patient to resist the force applied. As in massage,observation of two manipulators will reveal the greatestdifference in this respect: one will be quick, easy,graceful, and encouraging; the other will be slow, stiff,awkward, and disheartening. The force which is usedshould be carefully graduated to the strength and par-ticular conditions of the patient. The movement whichit is desired to bring out and improve should not be tooforcibly resisted. Patients can be helped on to a cure 56 THE NURSING AND CARE OF much more rapidly by carefully coaxing out their latentenergies. The muscle-beaters of Ruebsam may sometimes bedirected to be used by the physician. They are appli-ances for beating any portion of the body. In usingthem particular attention should be paid to the explicitdirections of the physician as to the amount of force tobe used, and the portion of the body to be treated. Fig. MUSCLE-BEATERS OF RUEBSAM. The muscle-beaters are shown in the above cut,— with four, and No. 2 with three fingers, and a and b asattachments. The tubing may be removed from or 2, and the sticks with the balls fixed in their place,single or double, as shown in figures A and B, and AAand BB, to answer for different parts of the body. The bones in Nos. 1 and 2 are made of rattan, whichfit loosely in the sockets so as to move forward andbackward, to make the stroke flexible. The turningcould easily be prevented by running the screws intothe sticks, but that would not only keep the sticks from THE NERVOUS AND THE INSANE. 57 moving, but they would also break or bend very easily,which the turning prevents. The rubber tubing, and also the balls, in place ofthe flesh or muscle, make a good cushion or beaterto overcome any bruise, even from a heavy straps hold the entire hand together and allowthe fingers to bend and


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