When her father struggled with sleep apnea complications, Charles House founder Bettie Bradford looked for a care center that would provide assistance during the day, and at the same time, offer a socially stimulating environment. Mr. Charlie Jones, a Presbyterian minister and civil rights advocate, needed around-the-clock care. Bettie and her husband still needed to work, and Bettie’s mother could not provide 24-hour care. After trying a couple of respite day programs, Bettie and her mother decided to create Charles House.
Paula Tanabe was standing in a nondescript convention center ballroom in Texas on an otherwise unremarkable Sunday morning in late September 2019. Looking back now, she describes that moment as “the highlight of my career.” What happened in that room, at the General Assembly of the Emergency Nurses Association (ENA), will change the lives of thousands of patients with sickle cell disease for years to come.
The U.S. Housing Act passed in 1949, and in response, the Durham mayor, Dan Edwards, appointed a committee of citizens to address sub-standard housing in Durham. The committee recommended the passage of a sub-standard housing ordinance to empower the city to address poor housing and the passage of an ordinance to establish a housing authority. Shortly after, the Housing Authority of the City of Durham was established. The Housing Authority’s first properties were McDougald Terrace and Few Gardens.
An interprofessional team from the Duke Schools of Medicine and Nursing, Duke Health System and Duke Health Technology Solutions collaborated to create 30 online continuing education modules to assist health care professionals in the care of the frail elder population.
Every day interprofessional teams come together to solve complex problems and provide the best possible care for their patients. Many of these teams work with older adults who have higher rates of multiple medical conditions, limited physical and cognitive abilities, and limited resources.
In June 2015, through the efforts of the Long-Term Care Ombudsman Program and Adult Protective Services, residents of Durham came together to observe Elder Abuse Awareness Day – a day to raise awareness and hold conversations about the risk of elder abuse. The message focused on prevention and awareness for caregivers and the public—when abuse takes place and is not reported, the person(s) witnessing the event are also guilty of neglect or abuse. Group attendees were passionate and decided to continue the conversation about caring for the elderly and individuals living with dementia.
On a bright spring day, nurse practitioner Dakar Howell and physical therapist Lauren Waits met with a group of eight eager tour guides in a back room of Duke University’s Nasher Museum of Art. They weren’t preparing for just any museum tour, however. The volunteers are to be guides in the Nasher’s Art Reflections Program for people living with Alzheimer’s Disease and dementia.
Twenty years ago, when Wanda Boone, DTh, executive director of Durham Together for Resilient Youth (Durham TRY) was working for a company that conducted drug screening tests for employers, she was concerned by the number of employees who were failing their tests. Boone was—and still is—the only African American to serve as a Senior Director of Quality Assurance and Regulatory Affairs at the national level and co-created an instant drug screening test.
Latin Americans are the largest immigrant population in Durham, making up 13.4 percent of the population in 2016. According to the 2017 Durham County Community Needs Assessment, access to health care coverage and the English-Spanish language barrier were among the major health disparities faced by Latinos in our community.
Health care delivery in the United States is undergoing a paradigm shift, and Duke University School of Nursing (DUSON) and Duke University Health System (DUHS), are on the forefront of that shift. Following a trend begun over the last several years by the Centers for Medicare and Medicaid Services (CMS), private insurers are starting to move away from fee-for-service and toward value-based care. This change in payer model parallels a shift toward a population health approach to health care.
November is National Family Caregivers Month and DUSON’s Duke Elder Family/Caregiver Training (DEFT) Center is joining the celebration.