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67
The classification is the one generally adopted and the only
possible one where the types of cases merge so closely into one
another during a brief stay in a sanatorium. The standard "fit
for work" may be applied to those oases discharged under
"arrested" or "much improved" but only equal to the exercise
grade reached on discharge. During the short period of treatment
(approximately three months) only a small number of patients
reached the exercise grade which would justify the standard "fit
for work" without qualification.
Administratively 1921 has been a very successful year at the
sanatorium; the atmosphere of the institution has been very happy
and this in no small measure has been due to the excellent administration
of Dr. Pierce, the Resident Medical Superintendent, and
Miss Williams, the Matron.
During the year a small summer house which was useless
owing to its situation in the grounds, was removed, placed on a
concrete bed, re-lined, and provided with windows, all by the labour
of the sanatorium staff and patients. This now constitutes a very
desirable shelter for two beds. The graded exercises undertaken
by patients as treatment have been systematised and made adaptable
to the Sanatorium. Provision has also been made for work
under cover when the weather is unfavourable for outside work. A
considerable amount of garden work is done by the patients and the
immediate surroundings of the shelters have been very greatly
improved by flower beds and rockeries made in this way. The
principal point to be emphasised in regard to the work is that a
very large proportion of the cases admitted have been either true
bed cases, or have been hospital cases for a long time before they
could be transferred to the sanatorium type, and treated as sanatorium
cases. This has thrown a very severe strain upon the staff
which is kept absolutely at the numerical minimum, and the excellence
and cheerfulness with which the work has been done reflects
the greatest credit upon the whole of the nursing and domestic
staff of the Institution.