The President of the United States of America, authorized by Act of Congress, July 9, 1918, takes pleasure in presenting the Army Distinguished Service Medal to First Lieutenant Nena Shelton, United States Army Nurse Corps, for exceptionally meritorious and distinguished services to the Government of the United States, in a duty of great responsibility during World War I. As Assistant to the Director of Nursing Service, American Expeditionary Forces, in Paris France, during the World War, First Lieutenant Shelton contributed largely to the success of that force of over 10,000 nurses. Her zeal, good judgment, and energy added greatly to the efficiency with which the sick and wounded of the American Expeditionary Forces were cared for. Her faithfulness to detail and unfailing devotion to duty greatly facilitated the work of the Medical Department.