xt77wm13pb00 https://exploreuk.uky.edu/dips/xt77wm13pb00/data/mets.xml The Frontier Nursing Service, Inc. 2010 bulletins  English The Frontier Nursing Service, Inc. Contact the Special Collections Research Center for information regarding rights and use of this collection. Frontier Nursing Service Quarterly Bulletins Frontier Nursing Service, Vol. 86, No. 1, September 2010 text Frontier Nursing Service, Vol. 86, No. 1, September 2010 2010 2014 true xt77wm13pb00 section xt77wm13pb00 . _  v u?
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` -

 FRONTIER NURSING SERVICE
US ISSN 0016-2116
TABLE OF CONTENTS
Introduction to FNS 1 _
The Journey — Nathan W Lee 2
Beyond the Mountains — Barb Gibson 4 l
Field Notes - Barb Gibson 6
Former Courier, Alumni and Staff News — Barb Gibson 12
Frontier School of Midwifery & Family Nursing Update
— Dr Susan Stone 14
Footprints - Mary Breckinridge 17
Reflections of a Courier — Amanda Strauss 22
In Memoriam 24
Urgent Needs 32
Cover Photo - Confluence Clinic - probably early fifties. Photo by
Barbara "Bobbie” Hunt Bane.
Frontier Nursing Service Quarterly Bulletin is published at the end of if
each quarter. Subscription Price $5.00 a year for Donors/$ 1 5 .00 for In-
stitutions. Periodicals postage paid at Wendover, Kentucky 41775 and _
at additional mailing offices. POSTMASTER: Send address changes
to FNS. Inc. 132 FNS Drive, Wendover, Kentucky. Copyright FNS/Inc.
All Rights Resewed. The Frontier Nursing Service does not share
its donor mailing list.
si

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  QUARTERLY BULLETIN
nl
P Introduction to Frontier Nursing Service (FNS)
*_ Mary Breckinridge spent her early years in many parts of the
l world — Russia, France, Switzerland and the British Isles. After
Q the deaths of her two children, she abandoned the hornebound life
I expected of women of her class to devote herself to the service
I of others, particularly mothers and children.
After graduating from St. Luke’s Hospital Training School for
Nurses in 1910, Mrs. Breckinridge established the FNS in Leslie
~ County, Kentucky, in 1925, as a private charitable organization
_ serving an area of 700 square miles. It was the first organization in
1 America to use nurses trained as midwives under the direction of
I a single medical doctor/obstetrician, based at their small hospital
  in Hyden. Originally the staff was composed of nurse—midwives
] trained in England. They traveled on horseback and on foot to
% provide quality prenatal and childbirth care in the client’s own
r home.
Today, Mrs. Breckinridge’s legacy extends far beyond Eastern
j Kentucky. FNS, Inc. is the parent holding company for Mary
  Breckinridge Healthcare, Inc., Frontier Nursing Healthcare, Inc.,
  which includes five rural healthcare clinics; Mary Breckinridge
  Home Health Agency and the Frontier School of Midwifery and
I Family Nursing which offers a Master of Science in Nursing de-
i gree with tracks as a Nurse—Midwife, Family Nurse Practitioner,
l Women`s Healthcare Nurse Practitioner and a Doctor Ol`NIl1'SllIg
l Practice (DNP) degree.
7* Mary Breckinridge’s home, The Big House, located at Wendo-
r ver, is a licensed Bed & Breakfast Inn. For more information or
» _ reservations, call 606-672-23 l 7 or e—rnail: infonnation@h·ontier-
li; nursing.org. You can also access our website:
I
l Frontier Nursing Service — www.frontiernursing.org
1
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FRONTIER NURSING SERVICE  
The Journey
by Nathan Lee, President & CEO ¥
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Nathan Lee, President & CEO  
I had occasion recently to spend a contemplative drive from Mary I
Breckinridge Hospital to Wendover. It’s a drive I make regularly, [
but this time was different. Earlier in the day, I had been forced l
to tell some of our nurses . . . caring, compassionate, talented I
nurses . . . that theirjobs were being eliminated as a result ofthe  
challenging financial times in which the FNS has found itself
recently. They heard the news with more grace and decorum than  
that with which I was able to deliver it, and even in the midst I
of what was an acute sadness, I felt honored to work with such ,
phenomenal people.   `
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I
Getting back to my drive, though . . . this one was different. I   _
found my mind wandering to Mrs. Breckinridge, and how she J
must have felt through the years as districts were opened, then  
later closed, nurses came and went, and the coffers shifted from
marginally funded, to nearly empty, and back again. l thought of
  V

 i QUARTERLY BULLETIN
the closure of the old Hyden hospital and the stories that are now
embedded in its walls. Then I thought ofthe joy that surrounded
the dedication of the Marry Breckinridge Hospital just down the
hill from its predecessor. I thought ofthe British nurse-rnidwives
who said goodbye to the FNS as they returned to their homes at
the start of the Second World War. Then I thought of those first
graduates from the Frontier Graduate School of Midwifery, which
. now operates as the Frontier School of Midwifery and Family
Nursing. I thought of those who have paved the way for our work
now. Then I thought of those who carry on that work today.
The more I thought, the more I realized that, though trite, it
y really is true that the only constant is change. That has certainly
been the case for the first 85 years of the FNS, and surely will be
for our next 85 years. We’ve no better role model as a change
agent than our founder. I’ve yet to come across anyone, past
or present, who better embodies the power of positive change
than Mrs. Breckinridge, who changed the tragic circumstance
of the deaths of her children into an organization that has saved
thousands of lives.
i Driving down Wendover Road, I passed an older model Pontiac
I sedan. Any other day, I likely would not have noticed the make
I of this car, but on that day it stuck with me that this car was
I manufactured by a company which was slow to change and as a
result no longer existed. I hope and pray that it will always be
that the FNS is not only an agent of change, but that it is open to
being changed itself. The journey continues . . .
` “The circumstances ofthe world are so variable that an irrevocable
I purpose or opinion is alrnost synonymous with a foolish one."
. — I/Wl/iam H. Seward
1
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{ 3

 FRONTIER NURSING SERVICE {
l
Beyond the Mountains I
1
Rochester, New York, Committee Dinner i
June 2, 2010, FNS friends in the Rochester, New York, area ·
gathered at the home of 1975 Courier Lee Fox and her husband,  _
Peter White, for a Frontier Nursing Service update and dinner.  
Besides Lee and Peter, those in attendance were Mr. & Mrs.  
Edward Lehman; Sarah Lavell, RN Student; Barbara "Bobbie" '
Hunt Bane, former FNS Social Services Secretaiy; Constance  
Kilger; Heather Barnard, Dr. Susan Stone’s daughter; Barbara (
Frelinter; Nathan Lee, FNS President & CEO; Jane Leigh Powell,  
FNS Chairman of Board of Govemors; Dr. Susan Stone, President
& Dean of Frontier School ofMidwife1y & Family Nursing; and
Barb Gibson, Assistant to CEO. i
A very special highlight of the evening was the reminiscing of l
Jane Leigh Powell and "Bobbie" Bane who worked together at
FNS in the fifties. We enjoyed listening to stories of their time
together at FNS — some of which were very amusing.
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i Special thanks to Lee Fox and Peter White for opening their home
i for this wonderful "gathering" of FNS friends. We look forward
` to future growth of this group.
l
! . . .
{ In the time we have it is surely our duty to do all the good we can
  to all the people we can in all the ways we can.
I _ —VWl/iam Barclay
  `
i , Maturity begins to grow when you can sense your concern for
others outweighing your concern for yourself
-Jo/111 MacNaug/iron
5

 FRONTIER NURSING SERVICE  
I
Field Notes  
Berea College Appalachian Tour Luncheon  
Friday, August 6, Dr. Chad Berry, Director of Appalachian Studies  
at Berea College, brought 26 new College Faculty and Staff to 9
Wendover as part of Berea College’s Annual Appalachian Tour. I
After a hearty ho1ne—cooked lunch Dr. Julie Marfell, Associate *
Dean of Family Nursing for the Frontier School of Midwifery & M
Family Nursing (FSMFN), addressed the group about healthcare  
issues in Appalachia and how the FNS and FSMFN are managing i
these concerns. Michael Claussen, Guest Services Coordinator, r
spoke about the history of the Frontier Nursing Service. Berea I
College has a long-standing partnership with the FNS and the
Berea College Appalachian Fund grants money to the FSMFN p
for scholarships.  
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QUARTERLY BULLETIN
Breckinridge Family Reunion
On June 24th, Wendover hosted 18 members ofthe Breckinridge
Family from across the country as part ofthe Breckinridge Family
Reunion. Over the past 200 years, the Breckinridge Family
` has been very iniiuential across the country. There was a great
sense of admiration displayed during their visit to the historical
headquarters as the family saw photographs and artifacts of
i Mary Breckinridge, one of their own. Many family members
have strong ties to the Frontier Nursing Seryice. Visiting family
members included:
John Hodge, distant cousin of Mrs. Breckinridge, and his wife,
Mary, former member of the FNS Board of Governors.
Lees Breckinridge Yunits and her husband, Jack. Lees is an
FNS Boston Committee Member and granddaughter of Mrs.
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{ International Wsitors to Wendover
9

 FRONTIER NURSING SERVICE
Kentucky State Fair I
During the week of August l9th, several staff members p
participated in the Leslie County Booth at the Pride ofthe Counties I
section of the Kentucky State Fair which was held in Louisville,
Kentucky.
This special area gives counties from around the Commonwealth
an opportunity to spotlight the treasures and unique attractions `
that it has to offer. Fairgoers can tour around Kentucky without
the need to leave the grounds. The Leslie County Booth offered I
a glimpse of country living in the mountains with a front porch
display surrounded by FNS pictures and images that celebrate the
County theme of Babies, Blooms and Bluegrass. For the second I
year in a row, the Leslie County Booth received 2nd place in the I
Best Booth Award Contest. Each year the first place booth receives  
free booth space for the next year’s Kentucky State Fair. Maybe  
201 l will be the year that Leslie County takes top honors. A special I
thanks goes to FNS Controller, Kevin Couch, for his leadership I
in organizing this year’s booth. I
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 QUARTERLY BULLETIN
Plea for Knitted Lap Quilts, Baby Caps and Scarves
The Frontier School of Midwifery & Family Nursing midwifery
students present lap quilts or baby caps to the first baby they
deliver. The Family Nurse Practitioner students present lap quilts
or scarves to their elderly patients.
· FNS receives these items from our “knitting" friends. As the
School continues to grow by leaps and bounds, we need more and
more of these items. The size needed for lap quilts is approximately
4()" by 42". Yarn should be worsted weight.
Plea for FNS Artifacts
Wendover has a shortage of FNS nursing uniforms, saddlebags,
nursing bags and other FNS—related items. lf any FNS—connected
folks have items that they would like to donate, they will be greatly
appreciated. lterns will be put on display in different areas of the
Service. Please send lap quilts, baby caps, scarves or FNS artifacts
V to FNS, Inc., 132 FNS Drive, Wendover, Kentucky 41775.
:%:*:%*9:9:9:*%***********9::*:*%************9:**
Special thanks to the following for responding to our plea:
Nancy Newcomb Porter and the Protestant Womens Guild at Henry
A Ford Village Retirement Community, Dearborn, Michigan, sent
knitted baby caps and lapquilts.
Betsy Barr, Summerville, MA — sent vintage stethoscopes.
{ Allene Gallagher, Ridley Park, PA - sent newborn caps, blankets
and scarves.
Elina Comer and the St. Vincent dePaul School, San Diego, CA.
— sent baby caps and a scarf.
  ll
1

 FRONTIER NURSING SERVICE  
I I I
Former Courier, Alumm and Staff News I
I
Visit from 1947 Graduate  
Mrs. Virginia "Ginny" Fredrickson—Bowling, a 1947 graduate of  
the Frontier School of Midwifery & Family Nursing (FSMFN), I
retumed to Hyden for a visit June 3rd. I
After graduating from the FSMF N in 1947, Mrs. Bowling worked I
at FNS for two years and then married local resident Willard I
Bowling. Mr. and Mrs. Bowling then moved to Michigan where  
they raised two sons. Mrs. Bowling has cherished her FNS  
memories and experiences and a final trip to FNS was on her  
"bucket list"I  
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Left t0 right: Michael Claussen, Denise Barrett, Debra I
Turner, 2 Friends af Virginia Bowling. F r0nt: I
Virginia Bawling I
l2

 QUARTERLY BULLETIN
During her visit to Hyden, Mrs. Bowling was able to visit with old
friends as well as some of the babies (now adults) she delivered
while working at FNS as a nurse—1nidwife. FNS Tour Guide
Michael Claussen and FSMFN Director of Alumni Relations
Denise Barrett gave Mrs. Bowling a tour of FNS facilities.
While touring The Big House, Mrs. Bowling recalled staying
, in the Staff Room next door to Mrs. Breckinridge and four
o’clock Tea Time that was a tradition among the staff and Mrs.
Breckinridge.
F ormer Couriers Warking in Lexington, Kentucky
Over the last seven years, live Couriers have moved to Kentucky
to begin or to further their careers in helping professions. They are
Anna Carey (‘O3) who works as the Director of COLLY (County
of Leslie Lifting Youth), a program that collaborates with FNS
to operate school—located clinics; Celeste Lindall Halcoinb (‘O4)
who works as a provider in FNS clinics and at a school—located
clinic; Emily Hop, (‘O9), Roseann Be1“tone(‘O9) and Katie Caddle
(‘()9) paiticipated in the Courier Program as part of their Capstone
Project with Case Western Reserve Frances Payne Bolton School
of Nursing. As a result of working with the Leslie County school-
located clinics, all three decided they wanted to work with children
and are now working at the Kentucky Children`s Hospital in
Lexington, Kentucky.
News_)9·0m Danielle Stanko Gmlinez
Danielle Stanko Godinez (‘95), Tarentum, Pennsylvania, wrote that
after six years at her hrstjob as a Family Practice Physician, she
* found a new job at the Saxonburg Medical Center in Saxonburg,
Pennsylvania.
° Danielle is married to Lucas. They have three children: Joseph,
Isabel, and Alexander.
I3

 FRONTIER NURSING SERVICE
Frontier School of Midwifery & Family Nursing News
by D14 Susan Stone, President & Dean
FSMFN New Facility Plans on Hold
During the January 2008 meeting ofthe Frontier School of Mid-
wifery and Family Nursing’s Board of Directors, plans for the
construction of a new multi-use facility on the campus in Hyden,
Kentucky, were approved. Since that time, FSMFN has worked
to spread the word about the need for expansion and generate sup-
port for the project amongst our alumni and donors. We want to
thank all of the alumni, friends and foundations who have given
in support of this project.
A combination of factors has led the Board of Directors to delay
plans for this expansion. The economic downturn in the United
States, combined with significant private and federal reimburse-
ment issues, have caused the sister entities ofthe Frontier Nursing
Service to suffer financially. Because FSMFN is part ofthe larger
Frontier Nursing Service family, fundraising efforts cannot be
justly applied towards the building during this time of hardship
experienced by the Mary Breckinridge Hospital and the rural
health clinics. Furthermore, private financing of the project is
not an option at this time.
Fortunately, the existing campus facilities allow FSMFN to admit
600 new students each year. Renovations to the campus, including
the addition of more restrooms and showers in the dormitory and
structural upgrades to bring all space to code will provide more
comfortable accommodations and allow FSMFN to continue at
its current capacity. Just over $22,000 was raised and will be
applied towards the renovation projects.
Current enrollment and projected admissions make FSMFN one
of the largest graduate schools of nursing in the country. We are
proud to report that over 60% of FSMFN students live in rural
I4

 QUARTERLY BULLETIN
and underserved areas. FSMFN is preparing high quality nurse
practitioners and nurse-midwives t0 help meet the healthcare needs
of our country’s most vulnerable citizens. We look forward to
expanding enrollment in the future but feel comfortable maintain-
ing steady enrollment during this period of time.
FSMFN will continue to thrive at this capacity while the sister
entities work to restructure services and regain sound financial
ground. We will continue to explore options for expansion and
keep all alumni and friends apprised of our findings.
Thanks to all of our friends and supporters for your continued sup-
port of F SMFN and the Frontier Nursing Service. We appreciate
your understanding of these circumstances.
Barbara Anderson appointed as
Doctor of Nursing Practice (DNP) Program Director
The Frontier School of Midwifery and Family Nursing is very
proud to announce the appointment of Dr. Barbara Anderson to
the position of` DNP Program Director.
Barbara Anderson, DrPH, RN, CNM, FACNM, FAAN, received
her BSN from Indiana University, MS in community health nurs-
ing from the University of North Carolina, MPH and DrPH from
Loma Linda University, and post-inaster’s certificate in nurse-
midwifery from Stony Brook University.
Mrs. Anderson began her career as a Peace Corps Volunteer in
Ethiopia, writing a textbook on inatemal health for Ethiopian
nursing schools. She previously served as chair of the Global
I Health Department at Loma Linda University, establishing the
graduate public health program in maternal-child health. She
formerly served as associate dean at Seattle University College of`
Nursing. As a visiting professor and program consultant in Ahica,
15

 FRONTIER NURSING SERVICE
Asia and Latin America, she has prepared nurses, midwives and
physicians in public health and the midwifery model of care. In
the United States, she led an urban initiative that won a White
Ribbon Alliance award: The Safe Motherhood Initiative-USA
Model Program. .
ln 2005, she received the ACNM Book ofthe Year Award for her
text Reproducti ve Health : Women and Men is Shared Responsibi/— *
{rv. She co—edited the 2nd edition of Caringjbr the Mrlnerables
Perspective.? in Nursing Theory, Practice and Research, with Dr.
Mary deChesnay and is currently co—editing the 3rd edition. Dr.
Anderson has served on the Goveming Board ofthe Global Health
Council, the American Midwifery Certification Board, the writing
team forACNM Life Saving Skills 4th, and on the editorial board
of the Journal of Midwifery & Wo1nen’s Health. She currently
chairs the Population, Reproductive and Sexual Health section
of the American Public Health Association. Her current research
focuses on vulnerability as it relates to the nursing workforce
shortage in both the U.S. and in developing nations.
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Barham A mlersvn
16

 QUARTERLY BULLETIN
Footprints
Excerpts from Quarterly Bulletin, September 1929
. "Rounds"
‘ I/Witten by Mary Breckinriclge during August, 1929
* " . . , The next morning, early, we all met with a leading citizen
ofthe section, a fine, intelligent type of man, whose wife has just
had a new baby named Caroline, out of the compliment to the
new center. We went to the house of one Shelby Bowling, who
is giving us the site on which the new center will stand - a gift
worth at least $100,000, and his contribution toward the $500.00
we asked ofthe region.
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The Caroline Butler Atwood Memorial Nursing Center
5 (Flatereek) - 1929
. . . The new site is lovely, has a good building site for the house
and another for the barn — something which has to be considered
carefully in a country so steep that there is hardly Hat space
17

 FRONTIER NURSING SERVICE
enough even for a tennis court anywhere, and everlasting springs,
which the deed gives us privilege ofpiping down to the three acre
site which is our gift, of walling up and of protecting from surface
drainage in perpetuity.
. . . I said goodbye to Miss Peacock and Miss Willeford, our
pioneer nurses, who volunteer to open the new stations and give
them up as soon as they are comfortable and smooth running, it
and rode on about twelve miles first by Red Bird River then up g
Bowen’s Creek and over a mountain, then down Bad Creek to i
the Middle Fork again and our station there where Beech Fork p
and Middle Fork come together. This is the Jessie Preston Draper
Center and the gift of Mrs. Nathaniel Ayer of Boston, in memory
of her Kentucky mother. It is a white house with a characteristic
old barn, both set in a wonderful grove of beech. I only stopped
there for dinner and a chat with the nurse who was in from her
rounds, and then rode down the Middle Fork towards the sunset
the twelve miles to Wendover. I
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Jesse Preston Draper Memorial Nursing Center Fork
Nursing Center (Beech Fork)
18 ~
I

 QUARTERLY BULLETIN
. . . Next day I had to get up about six to ride to Hyden for a con-
sultation with an engineer from the State Highway Department at
Frankfort who had come through their courtesy to give advice as
to the terrible slides that had occurred last winter in front of the
_ hospital to within about three feet ofthe steps. He stayed about an
hour, went over the ground thoroughly and gave detailed advice
— terrible and costly work, and we have no provision for it, and
T yet it should be done before the winter! Like other similar crises
which have occurred from time to time in the four years since we
began this work, we will go about getting it attended to as though
it had been met financially, and before the work is completed it
will have been met. That is curiously always true and has hap-
p€n€d SO again and again (note — later - Mrs. Ballard has provided the
money for this work).
. . . Later in the morning I had a consultation with a representa-
tive of the Kentucky Dental Association, who had also come up
from the outside, about a project we have agreed to enter in on in
cooperation with them and the Kentucky Bureau of Dental Health
- to halve the expenses in having a dentist for several months to
work on the teeth of school children and expectant mothers only.
It is a marvelous plan and will cost us about $150.00 a month,
which will be allowed for in next year’s budget — but we have to
anticipate! If one waited to have the money in hand before one
arranged to do things, how work would creep along! It is better
to use wings. One discovers that the Source of one’s faith never
lets one down.
. . . Late that evening I came back to Wendover, and Teddy Bear
tj and I were both tired. I had him tumed into pasture - the new 49
acre pasture just given us by Mrs. William Monroe Wright, and
A called ‘The Clearing,’ because the forest is all cleared around the
4 caretaker’s little house. This place is only just fenced in and we
haven’t yet done much to put it in order, beyond drilling a well,
and Teddy Bear is not used to it. He is a horse of adventurous
temperament and lively inclinations, so the first time he was put in
19
l

 FRONTIER NURSING SERVICE
hejumped the hog wire fence, getting his feet tangled in the wire.
We stopped that by raising the fence. This Sunday he got himself
in further and more serious difficulties by climbing up some rocky
cliffs, like a mountain goat, and falling down a bad crevice, where
he landed on his back with his head wedged between two rocks. ,_
There the caretaker found him when he failed to come down at
the ‘edge of dark,’ and there we struggled for nearly an hour to
release him. I’ll tell you my heart went through many throbs, for ,,
I had ridden the dear old brute for over three years and you don’t
travel thousands ofmiles over lonely trails with a horse without
becoming much attached to him; and then Teddy Bear has such
silly gallant ways that are always getting him into difficulties,
and a dear way of coming up and begging for apples