As soon as a diagnosis of typhoid fever is made, or even in a suspicious case, it is better to place the patient in a recumbent posture, and to keep him in that position throughout the whole course of the disease.
Positive orders must be given to the nurse to change the position of the patient from side to side, or from the back to the side, every two or three hours. One should examine the heart and lungs, as well as the abdomen, from day to day, as long as the patient is under observation, and he should not assume the erect position at any time during the continuation of the fever, either for the purpose of taking nourishment or drink; and, however obstinate the patient may be, one should insist on his using the bed-pan on all occasions when it is necessary.
It is a well-known fact that
JENKINS JF. THE MANAGEMENT OF TYPHOID FEVER. JAMA. 1905;XLV(26):1949–1950. doi:10.1001/jama.1905.52510260035001k
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