The Health bulletin [serial] - University of North Carolina at Chapel Hill

October, 1931 The Health Bulletin 11normal growth and development of tbschild.17. Which is the authoratative thinking,the discipline of non-discipline ofthe child?18. Discussion of congenital dislocationof the hip joint and treatment.19. Discussion of osteomyelitis andtreatment.One point brought^ out very clearlyby the nurses was their feeling thatpediatric service should be a part of theorthopedic service, or vice versa, but ofcourse the planning of such would bedepartmental with the Health Officer,attending Orthopedist and Pediatritianin cooperation with the Crippled ChildrensSection of the State Board ofHealth. Another main point was theneed for post-clinic conferences withthe attending orthopedist in review ofoutstanding cases.Since the original objective was toimprove the orthopedic clinic serviceroutine we felt there were four mainobjectives to plan for. There were (1)Increased knowledge of the nursingpersonnel in the clinic service; (2)Home service; (3) Follow-up; (4) Correlationof orthopedics into all services.It would naturally follow that thenext step would be to determine howthese objectives might be reached in agiven period of time. We hoped thatwe would be able to plan ten all-dayconferences beginning in November 1950and ending in the summer of 1951, andas a starting point w-e had to examinethe resources available and arrange appointmenttimes. Specialist serviceavailable from the state level would bePediatritian, Medical Social Worker,Nutritionist, Psychiatrist, Clinical PediatricNurse, Psychologist and specialistin the teaching field from East CarolinaTeachers College, Greenville.Correspondence was begun with variouspeople and although some of thepoints could not be included in thisfirst program the following conferenceswere planned and held:Nor7nal Body Mechanics and StructuralFunctions—November 10, 1950Miss Jessie Stevenson, VanderbiltUniversity, Nashville, Tenn.Post - Orthopedic Clinic Conference —November 29, 1950Miss Ruth CouncilMiss Lillie Fentress, State Board ofHealth, Raleigh, N. C.Aspects of the Medical Social Worker—January 31, 1951Miss Virginia Elliott, State Departmentof Welfare, Raleigh, N. C.Miss Katherine Barrier, State Departmentof Health, Raleigh, N. C.Maternal and Child Health—March 13,1951Dr. Sidney Chipman, School of PublicHealth, Chapel Hill, N. C.Miss Jean Ribentisch, School of PublicHealth, Chapel Hill, N. C.Mental Health—April 23, 1951Dr. R. M. Fink, State Board ofHealth, Raleigh, N. C.Rehabilitation—May 31, 1951Miss Evelyn JohnsonMiss Lillie FentressMiss Ruth Council, State Board ofHealth, Raleigh, N. C.The nurses from the counties servedby this orthopedic clinic were invitedto attend each of these institutes andthe attendance was most gratifying.However, regular schedules in their departmentsmade this impossible in somecases, but it was vividly brought out inthe evaluation of the program that allof the nurses felt that they had profiteda great deal by this review andhoped that some of the remaining problemscould be included in a program ofstudy in the coming year. Each nursewas asked to submit a brief resume ofthe program and how it had helped herin her own services. Some of the reviewswere brief, others in detail, andsome of the nurses did not respond, butthe consensus of expression was thatthey felt much more secm'e in patientnurserelationship. It is sometimes hardto bring out specific points and tie themup with discussion points in previousgroup work, but it has been noticeableboth in clinic and field work that thesenurses have shown a more poised, professionalattitude in their work. Theirincreased confidence in themselves hasbeen noted especially in the clinic service.I would like to quote from some