View report page

48
4. Environment.
i. At Home:
Accommodation ?
Cleanliness ?
General surroundings ?
Adequacy ?
Sleeping accommodation ?
Other details ?
ii. At Work ?
5. Visits following notification.
By whom visited, with Dates
Instructions given to Patients and Ralatives ? Card of "Instruction" left ?
Inquiries made ? Give references to inquiry, paper, &c., containing records
Does notifying Piactitioner continue to act ? Consulation with Medical Piactioner ?
Dates, details
Any other Tuberculosis cases discovered ? Reference to record. If patient in an Institution
any visits paid to usual residence ? Action taken ? Reference to records
Any other details of visits ?
6. Personal Hygiene of patient and precautionary measures
i. At House:
Disinfection of rooms and bedrooms ?
Removal of overcrowding ?
Separate Sleeping Accommodation provided for Patient ?
Cleansing of Premises ?
Disposal of infective Articles or Materials ?
Removal of any other conditions favouring infection or re-infection ?
Spit-bottles or other appliances provided ?
Any Out-Relief granted by the Poor Law Guardians ?
ii. At Work:
Occupation continued or changed ?
Any preventive measures ?
iii. Institutional:
It sent to Poor Law Institution, Sanatorium, or other Isolation treatment, where, and
whether in or out-patient ? Dates
Reference to records
iv. Any other Measures taken :
v. If Residence changed :
Disinfection of old Residence ?
Dates
Details
References to records
7. Results.
As to recovery ?
Occupation resumed ? or changed ?
Reference to later records
Date.
8, General treatment, &c.