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VOLUME 21, NUMBER 19
MAY 10, 1974
DURHAM, NORTH CAROLINA
Changing Roles To Meet Health Care Demands
^Nursing Students Train in the Community
t
—Katherine Shelden and Mary Ann
dayman are senior nursing students
working with pre-school children at the
First Presbyterian Day Care Center in
Durham. As nurses oriented to the
importance of health maintenance and
disease prevention, they are involved in
the assessment and education of health
care needs of their pupils.
—Deborah Webb and Chris Larnola are
senior nursing students having clinical
experience at the YWCA in downtown
Durham. They are teaching a course on
the preparation for parenthood to a
group of expectant families.
—Linda Dilgren is a senior nursing
student involved with the active aged at
the Northgate Presbyterian Church, a
nutrition center in Durham. She performs
health care counseling and instruction in
assessing the needs of her clients.
These three examples illustrate the
changing roles of nurses in our society
today.
The traditional role of the nurse as
exemplified in such TV series as "Marcus
Welby,'' "Medical Center,"
"Temperatures Rising" and "The
Rookies" is an incomplete one.
Influenced by the media, most people
today see nurses as members of the
medical team whose only role is to treat
acutely ill patients in a hospital or other
in-patient setting.
Students at Duke's School of Nursing
are a new breed of nurses.
They are being taught how to adapt
health care for a society whose structure
and direction is both enigmatic and
variable.
Former Educator
Ray Brown Dies
Ray E. Brown, who was director of
the Graduate Program in Hospital
Administration here from 1964-67, died
of a heart attack last Saturday evening at
his home in Chicago. He was 61.
He had been at Harvard University for
three years after leaving Duke, and since
1970 had been executive vice president of
the McGaw Medical Center of
Northwestern University.
Brown, recognized nationally for his
knowledge of and service to hospital and
health administration, was scheduled to
be at Duke next week to address the 10th
National Forum on Hospital and Health
Affairs.
His body was cremated and private
family services were conducted early this
week in Selby, N.C. A memorial service
was conducted Wednesday on the
Northwestern University campus. He is
survived by his wife, Mary, and three
daughters.
Memorial gifts are being received by
the Ray Brown Management Collection,
American Hospital Assn. Library, 840 N.
Lake Shore Drive, Chicago, III., 60611,
and by the Ray E. Brown Scholarship
Fund at the University of Chicago, 5720
Woodlawn Drive, Chicago 60637.
(f
il*
THE AGING PROCESS—Senior nursing student Linda Dilgren is becoming acquainted with the aging process as it relates to nursing
intervention. She is gaining this experience through her work at the Northgate Presbyterian Church, a nutrition center in Durham.
Here she performs routine blood pressure tests and discusses with the elderly their health care needs. (See layout of pictures on page
2.) (Photo by Dale Moses)
Today, nursing students are being
educated in community settings to
provide health maintenance and disease
prevention, for it is within this area of
nursing practice that the greatest health
care needs exist.
According to findings by the National
Commission for the Study of Nursing and
Nursing Education, it has been estimated
that "perhaps fewer than 15 per cent of
actual health care problems are related to
cure, while more than 85 per cent of the
problems people encounter are really
ones of care—education for health,,
periodic examination, dietary advice,^
long-term, non-acute regimens. Yet,
paradoxically, the greatest resources and
institutional bulk of our health care
system are directed at cure rather than
care.
In responding to the health care needs
of our society, the academic year
1971-72 at the School of Nursing saw the
implementation of a new integrated
curriculum. The impetus behind inclusion
of nursing courses on curative as well as
health maintenance care was the
recognition and acceptance by faculty
members of the two career patterns for
nurses as developed by the Commission.
(Continued on page 2)
RAY E. BROWN
Commencement Days 1974
(The following is not the complete commencement program for the university,
but relates only to events involving students from the medical center.)
Saturday, May 11
11 a.m. Hippiocratic Oath Ceremony, Graduates in Medicine. University Chapel.
1 p.m. Recognition Service for Graduates in Nursing. University Chapel.
Presiding; Dr. Ruby L. Wilson, Dean. Speaker: Dr. Katherine Schenk,
Associate Professor, School of Nursing. A reception will follow the
Service. Union Ballroom.
3:30 p.m. Baccalaureate Service for the Graduating Classes Receiving Advanced
Degrees. University Chapel. Sermon delivered by The Reverend Dr.
Albert C. Outler, Professor of Theology, Perkins School of Theology,
Southern Methodist University.
6 p.m. Outdoor Reception in Honor of All Graduating Classes. East Duke
Lawn. East Campus. (In case of rain, the location will be the East
Campus Union.)
Sunday, May 12
10 a.m. Baccalaureate Service for the Graduating Classes Receiving Bachelor's
Degrees. University Chapel. Sermon delivered by The Reverend Dr.
Albert C. Outler, Professor of Theology, Perkins School of Theology,
Southern Methodist University.
3 p.m. Graduation Exercises-. Wallace Wade Football Stadium. (In case of rain,
the location will be Cameron Indoor Stadium.) Presiding: President
Terry Sanford. Address by The Right Honorable Pierre Elliot Trudeau,
P.C., M.P., Prime Minister of Canada.
5:30 p.m. Presentation of the Graduate School doctoral diplomas. Paul M. Gross
Chemical Laboratory Building. Presiding: Dr. John C. McKinney, Dean.
Remarks by President Terry Sanford.