View report page

65
In recommending sanatorium treatment due consideration
has to be given to the age, type of disease and
mentality of the patient and also whether such treatment
away can afford a reasonable prospect of benefit—as in
the early and "recoverable" type especially.
The problem of dealing satisfactorily with advanced
consumption still remains one of great difficulty. Such
cases are unsuitable for treatment in sanatoria as the
prospects of return to working life are usually remote
and in the great majority it is found that anything more
than even a temporary degree of recovery is doubtful.
London County Council Hospitals and Homes for
Advanced cases deal with a certain number of such
patients but as nearly all of them wish to return home
sooner or later, periods in such institutions are usually
only of short duration.
When the advanced consumptive returns home the
difficulty in obtaining proper segregation and hygiene
and adequate nursing attention are disadvantages which
have to be faced.
Dental Scheme.
In 1932 ten persons were recommended for dental
treatment under the Borough scheme, eight of whom
were to have partial or full dentures. The other two
cases were one of repairs to dentures and one of extractions
and scaling.
Contributions were only asked for in four cases and
of these one patient disappeared from the Borough before
she received treatment.
The Tuberculosis Care Committee.
The meetlings of this Committee are held every
fourteen days at the Dispensary. Their activities cover
a very wide field and are generally speaking concerned
with the social welfare of patients and their dependents
as well as duties regarding assessments of contributions
for treatment.