xt7xks6j2j75 https://exploreuk.uky.edu/dips/xt7xks6j2j75/data/mets.xml The Frontier Nursing Service, Inc. 1999 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. 74, No. 4, Spring June 1999 text Frontier Nursing Service, Vol. 74, No. 4, Spring June 1999 1999 2014 true xt7xks6j2j75 section xt7xks6j2j75 F
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 US ISSN 0016-2116 [
i TABLE OF CONTENTS
Introduction to FNS — Deanna Severance I  
FSMFN/CFNP News — Dr Julie Maifell 3
CNEP Tidbit — Barb Gibson 4 l
I
Wendover News - Jeremy Bush 5
Courier Program News — Jeremy Bush 8
Former Courier/CNEP Graduate - Barb Gibson 12
Beyond the Mountains - Deanna Severance I4
Mary Breckinridge Healthcare News - Barb Gibson 20
Tidbits - Barb Gibson 23
Cover photo: Old Beech Fork Clinic
WEBSITES —
(CNEP) - www.midwives.org (CFNP) - www.frontierfnp.org
Frontier Nursing Service Quarterly Bulletin 1
Published at the end ofeach quarter by the Frontier Nursing Service.
Wendover, Kentucky 41775
Subscription Price $5.00 a year for Donors
Subscription Price $15.00 a year for Institutions
VOLUME 74 NUMBER 4 SPRING/JUNE 1999  
Periodicals postage paid at Wendover, Kentucky 41775 and at additional  
mailing offices. POSTMASTER: Send address changes to FNS, Inc. ll
132 FNS Drive, Wendover, Kentucky. Copyright FNS/Inc. 1999 All ll
Rights Reserved. l

 is
gl
l  QUARTERLY BULLETIN l
  The Frontier Nursing Service
  l hfyou have never been introduced to the Frontier Nurs-
‘ ing Service we would like to take this opportunity to hriefyou on
the history and the on-going work ofthe Service. We encourage
you to share this information with a friend.
  Bom in l88l into a prominent American family, Mary
l Breckinridge spent her early years in many parts of the world —
  Russia, France, Switzerland and the British Isles. After the death
l} of her two children, she abandoned the homebound life expected
I of women of her class to devote herself to the service of others, V
l _ particularly children. 3
l _ Mrs. Breckinridge established the Frontier Nursing Ser-
_ vice (FNS) in Leslie County, Kentucky in l925, then one of the
l poorest and most inaccessible areas in the United States. Mrs.
Breckinridge introduced the first nurse—midwives in this country.
Riding their horses up mountains and across streams in blizzard,
I fog or flood, the FNS nurses brought modern healthcare to fami-
I lies throughout an area of 700 square miles.
ll Until her death in l965, Mary Breckinridge was the driv-
ing force behind the work of the Service whose influence today
extends far beyond eastern Kentucky. Through the Frontier School
  of Midwifery and Family Nursing hundreds of nurses have been
trained and this important concept of family healthcare has been
carried throughout the world.
Today, the FNS is organized as a parent holding com-
` pany for Mary Breckinridge Healthcare, Inc., (home health agency.
two out-post clinics. one primary care clinic in the hospital. Kate
 r Ireland Women’s Healthcare Clinic) and for the Frontier School
of Midwifery and Family Nursing — the largest midwifery pro-
l gram in the United States.
  Remarkably, the purpose and philosophy of the FNS has
  remained constant since 1925. -Deanna Severance, CEO
l

 2 FRONTIER NURSING SERVICE
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Big House - Home of Mary Breckinridge
I O

  
  QUARTERLY BULLETIN 3
{ FSMFN/CFNP News
i by Dr: Julie Marfell, CFNP Assistant Program Director
l,
i Program Update
. l The CFNP Program continues . _
to move forward with the first class  
l starting this fall. Dr. Susan Schaffer, A  
l CFNP Program Director, continues to , T;  i  
do an outstanding job of putting to- L  · _
gether the curriculum and moving the   I    
Program forward. The curriculum out-          
line is posted on the CFNP website at  '  i_ii   if   if    
www.frontierfnp.org. ii',   VM  
l
Recruitment
The recruitment of Regional Clinical Coordinators and
CFNP students continue to be a focus. In keeping with the aims
of FNS to "advance the cause of health, social welfare and eco-
nomic independence in rural districts", Dr. Schaffer and Sherri
Davis, Administrative Assistant for the CFNP Program, will be
attending the National Rural Health Associations 22nd Annual
i Conference. The Conference will be held May 27-29 in San Di-
ego, California. Recruiting CFNP students from rural areas will
help provide access to health care in areas where there is a need
for service.
Personal Introduction
I joined the CFNP Program this May as the Assistant Pro-
gram Director. I was born and raised in rural central Illinois and
` began my career in health care during high school, working as a
nursing assistant at the lOO—bed area hospital. My initial nursing
A education was a Registered Nurse diploma program at Bames
. Hospital in St. Louis, Missouri. Upon graduation in 1980, Ibe-
i gan a career in medical critical care.
Ai In 1982, I moved to Chicago and continued my career in
° critical care at Rush Medical Center. As I began to mature as a

 4 FRONTIER NURSING SERVICE
nurse, I became acutely aware of the outcomes of poor access to li
_ health care. Many ofthe patients I saw in the critical care unit had
J conditions that could have been prevented if there had been bet- A
. ter access to health care. ,
This was a turning point for me in my nursing career. I  
I completed a BSN at Rush University and immediately began the  
nursing doctorate program (ND) at the Department of Commu-  
I nity Health Nursing, to become a Community/Family N urse—Prac-  
A titioner. Upon completion ofthe program in 1994, I was asked to i
i join the FNP faculty at Rush University. I have spent the past five i
p years improving access to health care to underserved populations ·
through FN P education and FNP faculty practice. My faculty prac-
I tice sites have been at the Chicago Department of Public Health,
1 Uptown Neighborhood Clinic in Pediatrics and at Interfaith
l House, a respite care center for homeless adults.
‘ I am thrilled to be in Lexington and to be a member of
i the Frontier School of Midwifery and Family Nursing faculty. _
~ What better way to continue to provide health care access to
underserved individuals than by educating students who will help
fulfill that mission? It is truly an honor to have the opportunity to
be a member of an innovative, visionary team which is steeped in
the rich traditions of FNS. -Dz: Ju/ie /Vlmjfé/I
CNEP Tidbit
Ms. Cyndy Perkins, Certified Nurse—Midwife and fac—
ulty at the Frontier School of Midwifery and Family Nursing.
(FSMFN) had an unusual experience recently.
Shannon Sullivan, FNP student at the University of Ken-
tucky and a patient of Cyndy’s, went into labor and came to the
Kate Ireland Women’s Center to see Cyndy. Cyndy was teaching
a Well Woman course at the FSMFN on that day. The reception-
i ist referred Ms. Sullivan to the FSMFN. When Shannon arrived M
at the class, all the CNEP students immediately began to assist  
her by performing labor massaging, etc. Later that evening,there
were nine CNEP students in attendance for the birth! >
Shannon plans to become a midwife and has enrolled in
CNEP, beginning classes in June 2000. —Bur/1 Gi/2.wn 3

 QUARTERLY BULLETIN 5
t Wendover News
p by Jeremy T Bush
{ The birds around me hopped and played,
l Their thoughts I cannot measure:
  But the least motion which they made.
l It seemed a thrill afpleasure.
l —William Wordsworth, l798
Paradise Found
We are now enjoying the glor-  
ious heat of late Spring and early Sum- I ` `
mer. The blackberry bushes are in full     p
bloom and the bees are practicing their __;       `
fine craft on the soft, white blossoms.  
Summer has its own feel in southeast- I         ii
ern Kentucky. The cool crispness of    
the morning and the incapacitating .     ....    
humidity of late aftemoon makes rising early and evening cat-
naps a pleasure. One deep breath can fill one’s soul with the scents
of a thousand Kentucky summers. The fragrant scents of bright
wildflowers, wild clover, grass, and even the Middle Fork down
below Wendover sends its inhabitants into sheer ecstasy. We are
truly blessed to serve Frontier Nursing Service and the people of
Appalachia in such a paradise.
Peach, Trish & Bandit
Peach. my sidekick and constant companion at Wendover,
has been trimming down over the past few months. He has taken
much less to "biscuits and gravy" and more to his feline defined
"wild game". He must feel that, being a cat, it is his duty and
f responsibility to attack anything that even resembles a rodent or
i' reptile. Peach and I have never discused this topic at length but he
seems quite content with his flamboyant lifestyle.
Trish is beginning to feel the summer heat and Barb is
li debating whether to have her beautiful coat sheared. Trish

 6 FRONTIER NURSING SERVICE
continues to monitor the activities at Wendover and warns us if (
.. any unwelcome guests appear.
Bandit is even more devoted to his loving master, Dr. ,
Anne. Of course, Dr. Anne feels the same about Bandit. Bandit’s
primary responsibility is to escort Dr. Anne through the perils of g
the beautiful flower gardens and back to her apartment.  
McKendree College Wsits  
From May 9 - May 14 we had the unique pleasure of
hosting a group of nursing students from McKendree College,
Lebanon, Illinois. Their group leader, Mrs. Sarah Bolten, brought
them down for a week of FNS tours and a rare opportunity to see
rural health care in action. Several of these students were privi-
p leged to go out in the field with our Home Health Agency nurses.
They received extra course credit for this unique clinical experi-
Q ence. When the students left, we found boxes of candy and cards
S thanking us for our help. Frontier Nursing Service is still touch-
j ing lives and lighting fires of determination in the spirits of young
l men and women.
` Level III Dinner
I had the pleasure of having dinner with our student mid-
wives and several visiting students from the University of Cin-
cinnati. The students from Cincinnati spent several days touring
Wendover, Frontier School of Midwifery and Family Nursing and
the Mary Breckinridge Healthcare. They were also introduced to
our contagious midwives who spread enthusiasm and excitement
of Frontier Nursing Service for everyone to see!

 QUARTERLY BULLETIN 7
( ,]eremy’s Travels
Women ’s Historic Sites Collaborative
‘ On March 4 and 5,1999, I had the opportunity to speak
L about the Frontier Nursing Service at the Women’s Historic Sites
  Collaborative held in Washington, DC. This was a preliminary
  meeting to determine the needs and interest of various women’s
] historic sites for forming a joint collaboration for preservation
1 and exposure. We plan to continue working with this group in the
interest of our historic landmark - The Big House at Wendover.
Daughters of American Revolution (DARs)
On March 28, 1999, I was invited to be the keynote
speaker at the meeting of the Daughters ofthe American Revolu-
tion (DARs) in the home of Mary Ann Mitchell (Blue Grass Com-
mittee member). I found these women to be very patriotic and
obviously proud of their heritage. It was an honor for me to meet
them.
Daughters of Colonial Wars ( DC Ws )
On April 17, 1999, I traveled to Washington, DC. to up-
date the Daughters of Colonial Wars (DCWs) on the latest hap-
penings at the Frontier Nursing Service. I attended the DCWs
annual brunch held at the beautiful Mayflower Hotel. The DCWs
have supported the Frontier Nursing Service for many. many years.
Berea College Appalachian Fund
We were honored to receive a generous gift from the Berea
College Appalachian Fund to sponsor another scholarship for a
deserving Eastern Kentucky student in our Community—based
Nurse—Midwifery Education (CNEP). I was further honored to
serve as our spokesman to the other affiliates and members of the
Fund at their affiliates conference this year.
i , The generosity of the Fund enabled us to award Mrs. Carol
F Hobbs of Williamsburg, Kentucky, a scholarship to ease the bur-
den of tuition while attending CNEP. Thank you Mrs. Stammer
K and other members of the Berea College Appalachian Fund!

 8 FRONTIER NURSING SERVICE
Courier Program News l`
_ by Jeremy T Bush
As the seasons change at Wendover, so do our Couriers. .
We have just bidden Heather Thomas, Cassie Frank and Edmund  
"Ted" Sears a fond farewell. We hope that they will carry within  
them the flame that Mrs. Breckinridge lit so many years ago.  
We are now looking forward to a new group of Couriers.
Here are a few verbal snapshots of them:
Erin Lyons is a senior at Vanderbilt University in Nash-
ville, Tennessee, majoring in Sociology. She arrived in early May
and has been shouldering many tedious Courier responsibilities
V during the transition period between Couriers. She is interested
t in working with our Social Worker, Karen Sallee, at the Mary
j Breckinridge Hospital.
, Garry Finke is a Chemistry major at the University of
l the South in Sewanee, Tennessee. Garry is interested in seeing
Frontier Nursing Service’s unique role in rural Appalachian health
I care. We are looking forward to his arrival on May 20.
I Carrie Szejk is a Journalism major at the University of
Maryland in College Park, Maryland. She has a great interest in
midwifery. Carrie will be attending graduate school at Case West— 5
em Reserve University this fall. We look forward to her arrival
on June l.
Rachel Maski is a Biochemistry major at Bard College
in Annandale, New York. She plans to enter medical school after
I graduating from Bard College. We look forward to Rachel’s ar-
y rival on June l. if

 QUARTERLY BULLETIN 9
y. Former Courier News
Elizabeth Nussbaum, (‘98) will graduate from St. Olaf
` College in Northfield, Minnesota, on May 23. She plans to spend
, a year in Denver, Colorado, before entering nurse-midwifery
  school at Case Westem Reserve University in Cleveland, Ohio.
l Jennifer Swisher; Mariah Mottley, Catherine "Cat"
Thompson, Karen Thomisee and Susan Mathews came to Wen-
dover for a very special Courier reunion May 27-3 l . As many of
you may remember, these Couriers, with the exception of Karen,
were all here during the Winter term of 1998. Karen was a Cou-
rier in ‘96 and later became Courier Coordinator. During mid-
May, Jennifer came to Wendover to stay while doing an intern-
ship with Dr. Anita Cornett. Mariah arrived on Wednesday
evening and Karen Thomisee and Susan arrived on Thursday in
time to go to Lexington and pick~up "Cat" from the airport. With
everyone’s hectic schedules, they were all able to spend Friday
together as a group. The following is an update on each one:
Mariah Mottley attended Smith College this past year
and will be spending the summer at her home in New York. She
will be moving to Missoula, Montana this fall to attend the Uni-
versity of Montana. Mariah is excited about the opportunity to
study "Wildlife Biology" at the University and also "Wilderness
T and Civilization". Part of Mariah’s plans for the summer include
intensive body building in preparation for a l2 day trek in the
wildemess required for the "Wilderness and Civilization" course.
Karen Thomisee moved to North Carolina and has been
assisting with the Courier Program while attending photography
school at McDowell Tech. Community College. This past year
if Karen has been working on a photo documentary of the Latino
  community in the mountains of North Carolina. Karen will be
{ attending school throughout the summer and next year. She hopes
·‘ to have success in the future with her documentary projects.

 10 FRONTIER NURSING SERVICE I
I
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I Lek to right.· Susan Mathew, Mariah Mottley, "Cat" Thomp-
I son, Jennifer Swisher and Karen Thomisee at the Courier
"breakfast place" in Hazard.
I   iw   '   "’  A I—··  ;. _
, ` ··*   *7 # ` A :  I‘i    
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Courier reunion at Wendover I I

 QUARTERLY BULLETIN l l
5 Catherine "Cat" Thompson worked on a flower farm
for three months this past year and then got ajob as a secretary at
a law office. "Cat" will be taking summer classes at the County
.' College of Morris, New Jersey and attending Seton Hall Univer-
  sity beginning May 2000. "Cat" had the opportunity recently to
i go to Peru to visit with the extended family of her friend Denis,
I whom she has known for eight months.
I Susan Mathew spent the last eight months in India and
was able to have medical exposure to such things as births and
tuberculosis. She plans to work this summer and apply to schools
of public health and medicine in the future.
_]enn#er Swisher just finished her first year of medical
school at the University of Health Sciences College of Osteo-
pathic Medicine in Kansas City, Missouri. During May this year.
Jennifer had the opportunity to shadow Dr. Anita Comett at the
Christian Healthcare Clinic for three weeks. She was able to spend
l time at Wendover and visit with friends that she had made during
her time as a Courier. Jennifer will visit her family in Florida this
summer and then back to school in the fall and is looking forward
to becoming a family practice physician in a rural area.
l
l

 12 ERONTIER NURSING SERVICE
Former Courier/CNEP Graduate l
. "Spiraling Back 0r Coming Full Circle"
Kelly McBroom came to FNS in 1989 as a Courier. She
I had no idea that she would come back to FNS nearly ten years i
later as a Nurse-Midwife.
, As a Courier, Kell s ent two da s a week at the Pine r
Y P Y _
· Mountain Clinic with Famil Nurse—Practitioner Trud Mor an. i
Y Y E
I She also had the opportunity to shadow Dr. Tim Todd on Home  
Health visits, to work at the shelter for battered women in Haz- g
. . . l
ard, and or course to stud rustic woodworkin with Sherman E
Y 3
5 Wooton. l
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Kelly McBr00m - Courier, Wendover Garden Hause  
1
t  

 QUARTERLY BULLETIN 13
I Kelly left FNS and went t0 Nicaragua t0 w0rl< with a
human rights gr0up. While there, she had the chance t0 live and
w0rk with a traditi0nal midwife, and "caught" her first baby. She
realized then that she was "h00ked" 0n midwifery. When Kelly
retumed t0 the States she finished c0llege and w0rked in Seattle,
p Washingt0n with migrant w0men. There, she met Leah Lambert,
CNEP Class 6, wh0 enc0uraged her t0 enr0ll in CNEP. F0ll0wing
her nursing educati0n at Case Western Reserve University in
; Cleveland, Ohi0, Kelly was accepted int0 CNEP, and returned
  again t0 Wend0ver. F0r Kelly, this "circling back" was a tremen-
  d0usly m0ving experience. In N0vember 0f 1998, Kelly travelled
§ t0 Nicaragua, this time with her CNEP Regi0nal C00rdinat0r,
, Marcia Hanks, where they c0mpleted a medical missi0n after
Hurricane Mitch. -Barl2 Gibsvn
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l
 

 14 FRONTIER NURSING SERVICE
Beyond the Mountains if
. by Deanna Severance, CEO
"Gratirnde is something of which none ofus can give too
much. " A. J. Cronin  
The time between the be- __;  
ginning ofthe new year and the ‘     I I
last days of spring, are a glorious ,5.,:,* g   ii  
. time at Wendover. The redbuds      s‘»  j i I
were spectacular this year. Driv-   ..  _ I
ing from Hyden to London, Ken- I   liz i v A .  
I tucky was a drive through a can- ·   g   .,.V    
opy of lavender blooms, a trip of     I  ~  I
Q "oohs" and "ahhs", of nature at a   ‘   
I peak of glory. lii is  
  Computer Conversions  
The winter and spring have been spent with computer  
. conversions and plans for continuing conversions. The primary  
  accounting systems are now on the Great Plains software and are  
_ Year 2000 compliant. The Hospital system should be converted  
to EXT, “The EXTra Advantage Health care Information Sys-  
I tem", software by July l. Tony Barretta, President of EXT, has  
given expert assistance as we move toward conversion to EXT. I
Sean Massey isjoning the Mary Breckinridge staffJune l as Net- l
work Administrator. EXT is served by the Windows NT system I
which is PC based. Sean and his wife Christi, will be living in the  
. lower pasture at Wendover. Welcome!
April Board of Governors meeting I
The Board of Govemors met in Lexington January 29
and 30 and again at Wendover April 16 and l7. The FNS fiscal Ii
year is May l through April 30 and the winter and spring meet-  
ings turn to discussion of financially maintaining a rural hospital I.
during these difficult reimbursement times. Chairman of the Board,  

 QUARTERLY BULLETIN I5
F; Jane Leigh Powell, has kept the Board focused on the policy de-
cisions related to fiscal soundness while always keeping our mis-
V sion to serve foremost in our minds. Thanks to the long hours put
in by Controller Brian Lane, budgets were prepared and presented
g at the April meeting. The move of the accounting offices to Lex-
l ington is complete. Kevin Couch has been appointed as Assistant
I Controller for FNS, assigned to Mary Breckinridge Health care
i in Hyden. Kevin is an FNS baby, born at the old hospital on the
I hill. He graduated with a degree in Economics from San Jose
I State University in Califomia. On a trip to Hyden to research his
l family, Kevin met his wife, Karen Hunley, in the Leslie County
l Library. Welcome back to the FNS Kevin!
l
I ’ ii -  v..... r
I      .·   
  Brian Lane Kevin Couch
i
l Visit with Kate Ireland - F oshalee Plantation
My husband Carl, and I spent a most splendid Easter
weekend in Florida at Foshalee Plantation with the FNS Honor-
ary Chairman Miss Kate Ireland. The entire weekend was memo-
rable; however, a silent float to the bird rookery was an exalted
experience. In addition to the many charities supported by Miss
V Ireland, Kate has been instrumental in land preservation. Foshalee
pl is a personal example of this critical endeavor. This very private
  wildlife preserve flourishes with many species of birds (and alli-
I. _ gators!).

 16 FRONTIER NURSING SERVICE
On Friday evening Carl and I attended a small dinner J
· . pany at Foshalee with Mr. and Mrs. Jimmy Clanton. This was a
  fun treat for my Veterinarian husband to chat with Dr. Clanton, ;
i who is Kate’s Veterinarian. Saturday evening, Kate provided a
l lovely dinner at the Melrose Plantation. We were joined by Mr.
  and Mrs. M. H. Allen. Mr. Allen is Trustee of the Parker Poe
  Foundation.
  Carl and I were thrilled to have time to visit with our
l friend Miss Anne Cundle. As many of our dear readers know,
l Anne was a midwife at the FNS for many years and was instru-
  mental in the policy development and record keeping which has
l; held FNS in such good stead.
  ¤—·