xt7zs756g548 https://exploreuk.uky.edu/dips/xt7zs756g548/data/mets.xml The Frontier Nursing Service, Inc. 1998 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. 2, Fall 1998 text Frontier Nursing Service, Vol. 74, No. 2, Fall 1998 1998 2014 true xt7zs756g548 section xt7zs756g548 FRONTIER NURSING SERVICE  é 
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 US ISSN 0016-2116 A
Table of Contents
Introduction to the FNS — Deanna Severance 1 J
Mary Breckinridge - commemorated through U. S. postage
stamp — Nancy Wiser and Barb Gibson 3
Wendover News - Jeremy T Bush 7
Courier News — Karen Thomisee I2
FSMFN/CFNP News - Dr. Susan Schaffer I5
Beyond the Mountains — Deanna Severance 17
Miscellaneous Tidbits 22
In Memoriam 25 ·
Cover photo: Mary Breckinridge — Commemorated through U. S.
Postage Stamp. Q
1
* The cover photograph was not identwed in the last issue (nf the i
Quarterly Bulletin. The photograph was the Wendover CCll]fIl,_](DI'I7l€I'l_\‘ I
located next to the Big House.  
Visit the FNS web site: www.barefoot.com/fns ii
Frontier Nursing Service Quarterly Bulletin  
Published at the end of each quarter by the Frontier Nursing Service, Inc.  
Wendover, Kentucky 41775  
Subscription Price $5.00 a Year for Donors ·\
Subscription Price $15.00 a Year for Institutions
i
VOLUME 74 NUMBER 2 Fall December 1998 lj
  `1
Periodicals postage paid at Wendover, KY 41775 and at additional mailing
offices. POSTMASTER: Send address changes to FNS. 132 FNS Drive. Wen-
dover, KY 41775. Copyright FNS/Inc. 1998 All Rights Reserved

 i~ s
l
lx QUARTERLY BULLETIN l
 Y l
  The Frontier Nursing Service
  Ifyau have never been intr0duced t0 the F rontier Nursing
 i  Service we w0uld like t0 take this 0pp0rtunity t0 brief y0u 0n the
 ` histary and the 0n-g0ing w0rk 0f the Service. We encourage y0u
 ; ` t0 share this Bulletin with a friend.
 `. Born in 1881 into a prominent American family, Mary
  Breckinridge spent her early years in many parts of the world -
  Russia, France, Switzerland and the British Isles. After the death
·  of her two children, she abandoned the homebound life expected
1  of women of her class to devote herself to the service of others,
1 particularly children.
  Mrs. Breckinridge established the Frontier Nursing Ser-
i vice (FNS) in Leslie County, Kentucky in 1925, then one of the
 Y poorest and most inaccessible areas in the United States. Mrs.
  Breckinridge introduced the first nurse-midwives in this country.
Q Riding their horses up mountains and across streams in blizzard,
 I fog or flood, the FNS nurses brought modem healthcare to families
 Y throughout an area of 700 square miles.
 ._ Until her death in 1965, Mary Breckinridge was the
  driving force behind the work of the Service whose influence
 F today extends far beyond eastern Kentucky. Through the Frontier
  School of Midwifery and Family Nursing hundreds of nurses have
 Q been trained and this important concept of family healthcare has
j been carried throughout the world.
V Today the FNS is organized as a parent holding company
l for Mary Breckinridge Healthcare Inc., (home health agency, four
 A outpost clinics, one primary care clinic in the hospital, Kate
  ` Ireland Women's Healthcare Clinic) and for the Frontier School of
 T ~ Midwifery and Family Nursing - the largest midwifery program in
 4 the United States.
 ? Remarkably, the purpose and philosophy of the FNS has
 ( remained constant since 1925. -Deanna Severance, CEO

 2 FRONTIER NURSING SERVICE }
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Big House - H0me 0f Mary Breckinridge

 I
l
E QUARTERLY BULLETIN Q
i
  Mary Breckinridge
§ Commemorated through U. S. Postage Stamp
Q by Nancy Wiser and Barb Gibson
I
; Seventy-three years after she started the Frontier Nursing
i Service (FNS) in Leslie County, Kentucky, Mary Breckinridge's
{ monumental contributions to the country's healthcare was recog-
i nized through a postage stamp that bears her image.
i The Citizen's Stamp Advisory Committee selected Mary
j Breckinridge from thousands of possible subjects. The United
  States Postal Service receives an estimated 40,000 letters of
j recommendations, but issues only 40 to 50 stamps a year.
  On Friday, November 13, approximately 200 people
{ gathered at the Wendover Post Office for a ceremony honoring
i Mrs. Breckinridge's recognition. Included in the group were local
  citizens, CNEP midwifery students from across the United States,
j FNS employees and friends of FNS who drove from out of state to
attend the event. Speakers included: Deanna Severance, CEO of
  the Frontier Nursing Service; Senator Robert Stivers; and Carrie
  Morgan Whitcomb who spent several years working on the stamp
Q project. Eliza Wooton Rogers, accompanied by her brother George
l Wooton, sang a song that she had written in Mrs. Breckinridge's
  memory.
i "As Iconsider this tremendous tribute to Mrs. Breckinridge.
j we at the Frontier Nursing Service are at once humbled and
l proud," said Deanna Severance. "I am humbled by how the efforts
’ of one woman have made such a lasting difference in the health of
this country's women and children. I am proud that all of us who
are part of FNS today are, in ways big and small, able to help `
p continue the work Mrs. Breckinridge began."
i See next page for photographs ofceremony

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Wendover Post Omce - Mary Breckinridge Stamp Ceremony

 { QUARTERLY BULLETIN 5
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L DeannaSeverance SenatorRobertStivers Eliza Wooton Ro ers
) I J
Carrie Mor an Whitcomb Geor e Wooton
)

 1 T _
E I
§ Y
  6 FRONTIER NURSING SERVICE I
I .
  Song in memory of Mrs. Breckinridge _
i — Eliza Wooton Rogers
  Come and gather round ye good and kindly people and listen I
  while I tell a tale t0 thee.  
  How the Frontier Nursing Service of the mountains settled in  
i the hills ofLeslie County. k
  Now a ladyfrom the city came a calling, l
Q from a rich aristocratic family known as Marv Breckinridge of  
  fame and fortune,
i she saw a need to service a people proud and free.  
»
. For when Mary came looking for some new land to build a .
j clinic for the moms and babes, V
l for miles she rode through rough untraveled woodlands. Y
S This must be God 's own country, so she said.
Soon, she found a place and men to build her cabin, built it .
I strong and sturdy for to stay. {
And here it stands today a thing of beauty, and proud we are  
' that she chose to come our way. l
So here she spent her We as did her nurses. I
. God bless this house and bless them one and all,  
and bless each nurse and courier who came after l
I Mrs. Breckinridge's call.
T I
I
I

 { QUARTERLY BULLETIN 7
A Wendover News
, by Jeremy T. Bush
L "In one wide waft, and o'er the hapless ]7oc/cs,
i Hid in the hollow oftwo neighbouring hills,
The billowy tempest whelms; till, upward urg 'd,
The valley to a shining mountain swells,
Tipt with a wreath, high-curling in the sky.
As thus the snows arise; and foul, and jierce,
All winter drives along the darken 'd air, "
—James Thomson, "The Seasons: Winter" I746
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Good Ol ’ Winter
{ As the selection above suggests, winter is getting ready to
strike here in the Kentucky mountains. I apologize ifl don't seem
, sad or remorseful at the comin tem est. In fact, I look forward to
8 P
Y the wonderful blizzards that begin to howl deep within the hollows
of my beloved mountains. Not only that, but this autumn has been
less than delightful with its various epidemic outbreaks of influ-
enza. The frost, which is a fearsome cousin to the blizzard, came

 8 FRONTIER NURSING SERVICE ,
unexpectedly early this year. This bitter enemy of the mountain i_
farmer caused the leaves on the trees to change color and fall off
in a matter of weeks. ’
There is something romantic about a crisp, cold night in ·.
the mountains. The air is so thin and cold that it burns deep when p
you breathe. The moonlight casts it's reflection upon the bleached J
blanket of snow that covers the mountains. Everything is asleep i
and light squalls of snow dance about your face. The snow is like z
a new chance at life. Autumn has purged the land of the follies of  
spring and summer. The white snow will now cover all the spots  
and blemishes of the past year. The cold will sober the thoughts (
and the holiday season will renew hope in the people. Thus, in the  
wild Kentucky Winter, a renewed hope of life is found as we make  
our resolutions for a bright new year. Good Ol' Winter!  
ADS (Attention Depravation Syndrome)  
Hopefully you have been following my dear little buddy's  
adventures and exploits here at FNS. As the seasons change, so X
does Peach. He has been craving an unusual amount of attention l
lately. He has developed a wonderful habit of wallowing all over  
our most important paperwork in an animated display of Attention  
i Depravation Syndrome (ADS). I want all of you to know that we  
(especially me) have tried to be loving and supportive in Peach's  
search of etemal bliss. I have gone out of my way to satisfy his l
insatiable desire to be "loved on". We do work at FNS, though, and  
he has a hard time dealing with this. Those tedious moments  
I between feeding and sleeping must take their toll on poor little I
I Peachie. However, I conclude that this overt display of ADS is i
I merely a mid—life cat crisis. We may have to send him to pet  
  therapy and buy him a red convertible to bring him around. We'll  
do just about anything for our little buddy.  
Also, Barb's dearest little "Trishie Baby" recently had the  
experience of having her teeth cleaned along with an extraction. wi
A She recovered quite well and is now back to normal. Trish has j
finally decided, after many nights of freezing, to take up residence E
in her "chalet" after abandoning it for the summer.  
. I

 p QUARTERLY BULLETIN 9
I Tours
' I have been giving tours of the Frontier Nursing Service
g for the past few months. I have seen groups from such fine
,_ institutions as Clinch Valley College, University of Tennessee and
Northem Kentucky University. Approximately 300 people have
I toured so far this fall. The tour consists of a thirty-to forty-five
  minute lecture, a thirty-minute film entitled "The Forgotten Fron-
L tier", tours of Mary Breckinridge Healthcare and the Frontier
' School of Midwifery and Family Nursing. Students and visitors
I can see such things as St. Christopher's Chapel, which has a
i fifteenth century French stained glass window and a brick from
§ Florence Nightingale's home that was in London, England.
  FNS has had many tour guides in the past, each giving
I their own view of Mrs. Breckinridge and the work of the Frontier
l Nursing Service. I try to give accurate information with an
i extensive dialogue about the culture of the mountain people of the
l early l900's. It is my firm belief that an outside or foreign culture
  cannot judge the mountain people by outside standards. Mrs.
: Breckinridge understood the ways of these people and only tried
i to mend their wounds and be their friend. She instituted modem
  healthcare in the lives of the mountain people. She did not launch
  a social program to integrate the mountain people with the stan-
l dards of comtemporary America. Instead, she valued the unique
l traits and values of these isolated people and wove FNS into the
i fabric of Appalachian culture.
  I coordinate the scheduling of all tours at FNS. If anyone
  is interested in a tour please call me at 606-672-2317 to schedule
a suitable time. Tours work better when guests and students come
I in small groups of twenty and under. We can provide lunch for
  such groups Monday through Friday. These tours are very enter-
  taining and slightly different each time!
ii CNEP Graduation Tours
  I conducted tours of Wendover on the day of our CNEP
{ graduation in October. Over one hundred people treaded upon the
l hallowed grounds of the Frontier Nursing Service at Wendover. I
i gave at least four lectures that day about Mrs. Breckinridge, the

 10 FRONTIER NURSING SERVICE
biographical history and her reasons for creating the Service. This
was a great proving ground for the development of my storytelling °
techniques. All the students seemed so honored to be following in
the steps of Mrs. Breckinridge. We are very proud of all of our _
graduates and offer our best wishes for their future success.
Nature Conservancy Field Trip i
On November 7, I was privileged to participate in the ;
A Nature Conservancy's hike on the Mary Breckinridge Memorial  
Preserve here at Wendover. Julian Campbell, TNC Botanist, led  
the hike into the thickly forested hills that surround Wendover. Dr.  
Ted Olson, a dear friend and professor at Union College, and his  
friend Monica Luke from the Thompson Foundation also dug in  
i their heels as we climbed the mountains.  
  The advertisement for the hike stated that the terrain was  
, "strenuous — no trail". They were not kidding. I pride myself in  
, being able to navigate through the mountains at a fairly stable and }
  steady pace. This hike, however, let me know what a desk job can
  do to your lower legs! We hiked about 1.5 miles in all. We climbed t
  the steep slope just above the Upper Shelf to a high point where
f several ridges converged. The air was crisp and clear and we E
i warmed up very quickly while scrambling through the dense l
g thicket of trees after Mr. Campbell. Mr. Campbell gave wonderful E
  information about many species of indigenous plants that call
  Wendover their home. We even found some "Mountain Tea"
l growing in runners along a dry ridge. "Mountain Tea" is a
i mountain name for Teaberry that grows naturally in Appalachia.
  The leaves of this small evergreen plant can be chewed for a V
  refreshing bittersweet wintergreen explosion of flavor.  
1 2
  "Booksigning "  °
l On October 23, Dr. Susan Schaffer, FNP Program Direc- Q
  tor, and I were honored to attend a booksigning of Rosemary  
Wells' new book, Nurses on Horseback (published by Dial Books), {
at Joseph Beth Booksellers in Lexington. This book is a wonderful  
tale of the "Nurses" adventures as seen through the eyes of the
mountain people. This is a beautifully written book that carries a L

 QUARTERLY BULLETIN I I
bit of mountain flavor. Ms. Wells is an author of children's books
` and Nurses on Horseback is a wonderful book for younger readers.
I can only hope that children will learn of Mrs. Breckinridge's
_ impact on healthcare in remote rural areas through the efforts of
writers like Ms. Wells.
i National Philanthropy Day
, Being a member of the National Society of Fundraising
i Executive (NSFRE), I attended the National Philanthropy Day
j celebration on November 18 at Marriott's Griffen Gate Resort in
  Lexington, Kentucky. This is a special day set aside to remember
  the contributions that many Americans have made in making this
  world a better place through service and financial support. Among
  the prestigious organizations attending were (of course) Frontier
l Nursing Service, University of Kentucky Children's Hospital,
l McDowell Cancer Foundation, The Nature Conservancy (see
i earlier section about TNC), Christian Appalachian Project, and
I many others.
I Many individuals and organizations were recognized for
i their accomplishments and dedication at the ceremony. However,
l the star of the celebration was none other than Dr. Thomas D.
i Clark. Dr. Clark is a great historian of Kentucky. He was influen-
E tial in the creation of the University of Kentucky Archives where
many of our precious artifacts now safely reside. He was also very
l influential in increasing awareness about the importance of old
[ state records. Dr. Thomas was the key note speaker at the event.
i Dr. Thomas spoke very gallantly even though he is in his mid 90's.
s He spoke with such eloquence and passion about the dying
knowledge of Kentucky's past that I was nearly moved with tears
  at the end of his speech. Through the efforts of Dr. Thomas and
  other dedicated individuals we will hopefully never forget our
  roots here in the wild Kentucky mountains.
51
E

 {U I `rfirvv r7r)i7w_-rm In I WW _N7W 7777* r` F7r"n7rr .7.-7-` r `I
12 FRONTIER NURSING SERVICE
Courier News _
by Karen Tlzomisee
Once again we will soon say good-bye to another group of  
Couiiers. It is never easy to see them go, but we delight in knowing
I that each Courier who comes our way carries a part of the Frontier '
I Nursing Service with them to different parts of the country. x
p Gairon, Elisabeth, Megan and Elizabeth have been such a 1
' wonderful help, not only to the community but also the FNS staff.  
They have shared their time together meeting people in the  
l community, quilting, experiencing both a traditional mountain J
I square dance and a rock concert in Louisville, and picking a new J
3 recipe to try every Saturday evening. I only wish Icould have had  
  the experience of quilting, sharing meals and having invigorating i
{ talks with them more. But even here in Marion, North Carolina,  
  this group has touched my life. Keep reading to learn more of what  
l these women have been up to:  
1 3
  Elizabeth Kaplan comes to l
  us from Mercer Island, Washington.  I  j `  
‘ She is a recent graduate of Stanford    °  
M University, is interested in attending Y" ,-    
f medical school and is exploring a F} AL “‘“"*    
I variety of aspects of the FNS com- Tf I ?
  munity. Elizabeth enjoys observing     aI I l
Q prenatal visits with Debbie Hacker, j _V    
j FNP, at the health department; sha- ` ” I  
j dowing Dr. Jean Sullivan, Family I
l Practice physiciamassisting attheStinnettElementary School and ,
  tutoring Huda in English. l,.
  Megan McCarville from Evanston, Illinois, continues to l
C; learn about pediatrics and surgery. Since the last update she has l
  begun shadowing Dr. Sullivan and has observed radiology and the  
  emergency room. Megan enjoys tutoring and spending time visit-  
  ing with Cindy Morgan. She will be missed when she returns to  
i Northwestem University this fall. l
I I

 I QUARTERLY BULLETIN ng
y      ,'    ii     T  “     ** *   Q
  Megan McCarville Garron Segal
  Garron Segal is from Chicago, Illinois. She has discov-
' ered a love for teaching through her experience in Leslie County
I tutoring at Stinnett Elementary School and teaching adult literacy.
j Not confined to education though, she has enjoyed learning about
l women's healthcare through the Kate Ireland Women's Center and
the Frontier School of Midwifery and Family Nursing while also
familiarizing herself with the variety of other healthcare services
_ offered by the FNS. We wish Garron the best of luck as she
l prepares to enter college next fall.
l
Q Elisabeth Nussbaum is
S from Colorado Springs, Colorado.  
I She continues to develop her in- _:,< I
~ terest in midwifery with Cyndy  
I Perkins, CNM. Elisabeth had the   I  
opportunity to interview Kitty        I ; I -
g Ernst (one of the founders of the il  I     F
.·’ CNEP), and even met a group of l .    '. .  I
  Russian Midwives! When she is __,    A ~ I
LI not leaming about women's care __.._    
j and quilting Elisabeth enjoys the    
E study of Appalachian history.
l

 gl4 FRONTIER NURSING SE}§ylQ;gg___ gg
Former Courier News
Nancy Reinhart ('98) wrote to us from Virginia that the “’
Blue Ridge Mountains are beautiful with the fall colors, but that
she can't describe how much she misses everyone in Leslie 2;
County. Nancy is continuing to explore her interest in public
health policy at Washington & Lee University.
Beth Gr0ff(’93) wrote from Asheville, North Carolina,
_ where she is doing a three year residency in family practice
A medicine. Along with completing medical school, she has also
managed to travel and do international health work. Beth enjoys
i being back in the mountains and said that the mountains and
Appalachian culture in Asheville reminds her a lot of Leslie
A County.
  Year 2000 Celebration
  Mark your calendars now! FNS will celebrate
, it's 75 years of service during May. 2000. The
celebration will be held in Lexington, Kentucky.
t Watch the Quarterly Bu//etiiis. More details i
E will follow . ..
; }
l

 QUARTERLY BULLETIN 15
FSMFN/CFNP News
" by Dr. Susan Schajfer, CFNP Program Director
J "F NP Director on Board"
Readers of the FNS _ ·
Quarterly Bulletin will notice »- 
a slight change in the Bulletin 's * *j°·
column title. Instead of news ’*
of CNEP (Community-Based , .   5  L.  lf
Nurse-Midwifery Education   W ;. gi·;J,i,$1_>  f w  ;
Program) you are about to hear           ilri    = c  l
news from Community-Based gx. ,_ ` ‘
Family Nurse—Practitioner Pro-   _
gram (CFNP). Yes, the plan of  
the FNS Board of Governors    
to bring Family Nurse-Practi-   Zi  
tioner education back to the   _   Y  
Frontier School of Midwifery H ( A _ I      
and Family Nursing is one step
closer to implementation with Dr. Susan Schaffer in FNS
l the hiring of the Program Dir- nurse un#0rm
ector. In the coming months the Bulletin will contain news from
  both programs.
l Thank goodness for the painstaking early work of Deanna
  Severance and the FNP curriculum writers! I came on board
E October l and received a box of course drafts within one week.
l Many thanks to Sue Peeples who faithfully kept the FNP course
  writers on task while the search for Program Director was being
  conducted. Since coming on board, I have reviewed all course
{ drafts, contracted for revisions, contacted Case Western Reserve
I University nursing representatives to affirm affiliation with this
it new program, responded to the long list of FNP program
g` inquiries (some dating as far back as l992), worked with Heather
  East, Multi-media Specialist, to develop an FNP web page for the
  CNEP web site, begun negotiations with potential faculty, and
l nearly completed one FNP management course that remained
l
l
e
l

 16 FRONTIER NURSING SERVICE
unwritten. Oh, and had the opportunity to appear in an authentic
FNS uniform (complete with Deanna Severance's own riding i
boots) at a booksigning for a new chi1dren's book on Mary
Breckinridge (see Wendover News for additional comments)! The
current plan is to admit the first FNP class in the fall of 1999.
One major goal of the CFNP program is to provide an
expedient program of FNP study for midwives who also want to
be certified as family nurse-practitioners. This important program
f initiative is expected to have a strong impact on comprehensive
primary care delivered to rural and underserved areas across the
country. A key to expedient movement between roles is the
development of as many core courses (common to both CNEP and
CFNP) as possible. Susan Stone and CNEP faculty have been an
. integral part ofthe curriculum building process from the beginning
  and have been very receptive to developing courses that meet the
  need of both FNP and CNM students.
Q A bit of background information on me: I was born in
2 Pennsylvania, but lived in Virginia since 1970. I completed a
{ master's degree in nursing with certification as a family nurse-
Q2 practitioner in 1982; I completed a Ph.D in Nursing Administra-
i? tion at George Mason University in 1995; I practiced as an FNP in
i. a clinic for an urban underserved population, at a student health
_ clinic, and at an inpatient behavioral medicine unit. I taught at the
»; School of Nursing at Old Dominion University (Norfolk Virginia)
i since 1986 where I directed both the traditional and distance
  family nurse practitioner programs.
  I am delighted to be a part of an organization with such
  strong historic roots in the innovative delivery of healthcare for
  underserved persons!
tl '
rs

 QUARTERLY BULLETIN 17
Beyond the Mountains
i by Deanna Severance, CEO
"Here 's t0 y0ur g00d health, and your family's good health, and
may you all live long and prosper. " Washington Irving
As I write these words,
Christmas is only four weeks I
away. Due to the generosity of     , ‘
our supporters, the holidays are ppV_.      A I  { ,,,;
always such a special time at l_ _ i QL  ’’·.v» ’   J  p 
the FNS. I thank each of you » ‘   p   ’> l vp  
for making this season mean-    
ingful for the children in our    
clinics, the families we serve  
and our staff! The Christmas toys and children's parties at the
clinics continue in the spirit of our founder, Mary Breckinridge.
ACNM Convention
The fall and spring were particularly busy times. Dr. Anne
Wasson and I attended the American College of Nurse-Midwives
(ACNM) Convention in San Francisco in May. Our Community-
Based Nurse-Midwifery Education Program (CNEP) continues to
be the largest school of nurse—midwifery in the United States.
Therefore, the business of the ACNM is of great interest to all of
us. Dr. Joyce Roberts, the President of ACNM, serves as a member
of the Midwifery Advisory Committee to the Frontier School of
Midwifery and Family Nursing Board of Directors. Dr. Roberts
briefed the Board concerning the many important issues faced by
_ the ACNM. One issue facing the ACNM membership is whether
to change the name of the ACNM to reflect the accreditation of
non-nurse midwives. The ACNM has been granted the authority
t to provide this accreditation and has moved f