xt7sf7665f0m https://exploreuk.uky.edu/dipstest/xt7sf7665f0m/data/mets.xml The Frontier Nursing Service, Inc. 1972 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 Quarterly Bulletin, Vol. 48, No. 2, Autumn  1972 text Frontier Nursing Service Quarterly Bulletin, Vol. 48, No. 2, Autumn  1972 1972 1972 2014 true xt7sf7665f0m section xt7sf7665f0m JfI‘UIIfl£I‘ 3Bl1I°SlII§ $BI`hi££
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Photograph by Phyllis Long

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Laura Jane, Rachel and Charles Oliver   g
Howald join the staff of the Frontier Nurs- ,
ing Service in sending you our best wishes  
for a Merry Christmas and a Happy New
Year. 7
 
V
FRONTIER NURSING SERVICE QUARTERLY BULLETIN i
Published at the end of each Quarter by the Frontier Nursing Service. Inc.  
Lexington, Ky. {
Subscription Price $1.00 a Year
Edit0r’s Office: \Vcnd0ve1·, Kentucky 41775 4 'Q
{VOLUME 48 AUTUMN, 1972 NUMBER 2  
Second class postage paid at Lexington, Ky. 40507
Send Form 3579 to Frontier Nursing Service, Wendover, Ky. 41775
Copyright. 1972, Frontier Nursing Service, Inc.

 i 1
I
I i
tl CONTENTS
} M Amrxcrm Arrmoa PAGE
i " All This And The Congress Too Mary J 0 Brady 5
U, Beyond The Mountains 31
;   Do You Know How To Phoof ? (Illus.) Contributed 22
  { Field Notes 34
I ‘ Frontier Nursing Service Tour (Illus.) Pauline S. Elsea 11
»   "Health Fair" At Flat Creek Lesley Berger 15
  In Memoriam 29
I   International Congress of Midwives H .E.B. 3
4 (Illus.)
1 Machines, Machines P.G.E. 8
  Old Courier News 19
2 Old Staff News 25
I   The Traveller (Verse) U The Challenge, Ltd. 2
E The Wendover Pageant A Photograph _ Inside
Back Cover
` BRIEF BITS
Battering Ram The Countryman 21
Farm Notice In Munster The Countryman 16
_ * How Did You . . .? Modern Maturity 7
V I Irish Customs Oflicer . . . The Countryman 28
,   Medicine On Capitol Hill Tim Lee Carter, M .D. 17
x Schoolboy To Lawyer Father . . . Modern Maturity 10
  The Four-Year-Old . . . Modern Maturity 14
Ji The Trouble . . . Modern Maturity 18
  White Elephant 33

 2 1¤RoN*1·1ER NURSING smwxcm I
THE TRAVELLER i
"Why do you dress your hearTh so Tair.  
Wilh The red Tlowers and The whiTe?" J
This is The crown ol: all The year,  
The blessed ChrisTmas nighT.
Yi
"Why do you leave The door ajar  
When The nighT is wild wiTh rain?" T
There was once a Traveller came Trom Tar  
Who mighT reTurn again.  
All The doors were shuT in The Town  
When The lvloTher oT God came by:  
The King oT Heaven To earTh came down,  
ln manger bed To lie.  
Open The door and mal .  1   ~, '  ;,;;=·;·;s*···;.,i    ·j;_ .:2:;.     .  v ‘: A?
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  __  .   lix        “ .f·f   ,_;r;. NURSING smzvicm
MACHINES, MACHINES
Twenty years ago the administrative headquarters of the
Frontier Nursing Service at Wendover had been blessed with
electricity for less than five years, and since it was still somewhat V
of an uncertain commodity, the mechanical tools of the office ',
staff consisted of little except typewriters and multiple-key, hand- A
cranked, adding machines—all of which worked very well and ,
some of which we still have.
Last week two large, strange-looking pieces. of equipment  
which might be described as first cousins to computers were .
moved into an office in the Garden House at Wendover. As we Y
gazed upon these terrifying—to-the-uninitiated machines, it seemed  ’
an awfully long jump from oil lamps to computer equipment in .
a generation!  
The philosopher, Herbert Spencer, once wrote: "Progress ‘
therefore, is not an accident but a necessity . . . it is a part of {
nature." This is reassuring because "progress", in the form of  
modern equipment, has certainly come to FNS offices in the past T
few years, and many of these changes are apparent to our friends ‘
beyond the mountains. A
The hand-operating adding machines gradually gave way to ·.
- electric adding machines and calculators. We can remember with ’ 
what excitement we greeted the first mimeograph machine at
Wendover-—even though, it too, worked by manpower. In four- .
teen years we’ve worn out two mimeograph machines and have I
graduated to the electric type. With the addition of an electric ?
stencil cutter a year ago, we found we could duplicate, on a stencil,  I
almost anything that was written, drawn, typed or printed and I
we went into the duplicating business in a large way—preparing
and pr·inting many of the business and medical and nursing forms ,
used by the whole Service. With the advent of Medicare and  r
Medicaid came the necessity of copying reports and documents,  
and electrostatic copying machines were added to the office equip- v 
ment at Hyden Hospital and Wendover. . -
Medicare also required of the FNS a bit more sophisticated li
accounting than had been needed previously, and the greatest {
help toward meeting the accounting requirements was the instal-
 l
 I

 QUARTERLY BULLETIN 9
° lation of NCR bookkeeping machines in the Hyden Hospital
ofiices.
The FNS Quarterly Bulletins have been printed since the iirst
year of the Service, and, in the beginning, these Bulletins were
_· addressed by hand by the Corresponding Secretary of the Execu-
Q tive Committee of the FNS Board of Trustees. As the subscrip-
' tion list grew this chore was taken over by Wendover office per-
l` sonnel with typewriters who continued to type the addresses
 ’ individually four times a year until a few years ago when we were
 — given mechanical equipment which does the job in a tenth of the
. time it previously took. Now, we are obtaining somewhat similar
; equipment to prepare small plastic cards for all of our patients
 _ so their medical records can be stamped quickly with all pertinent
 i information without having to write the name, date of birth and
, patient number on each individual part of the medical record.
 ` In the spring of this year our pharmacist developed a system
g for pre-coding and pre-packaging all medications used at Hyden
, Hospital and the various outpost centers and subsiduary clinics.
  This is truly a marvelous system but our pharmacist almost put
* himself in a state of shock when he contemplated typing a label
. for every individual prescription. This problem was solved by a
X "typewriter" which, after a little initial effort by a human being,
· will just sit there all day turning out labels——as many as needed.
  We are not quite sure how it works but it is great! This machine
will type anything one tells it to, so it didn’t take us long to find
j other uses for it. When we became shorthanded in the Director’s
j office at Wendover this fall, we asked the machine to type some
 · letters for us—which it did beautifully. We are sure that our kind
 . friends will understand our using this machine when we explain
that it can type about five times more letters than the fastest
typist in a given period of time.
, This spring we also received a PRIMEX grant to evaluate
i the Family Nurse in the FNS. In order to obtain the statistics
 ~ in the form required by the National Center for Health Service
V  Research and Development, certain changes had to be made in
. — the forms our nurses complete for every patient contact, and
 - some method had to be devised for accumulating the information.
i The computer was the obvious answer and arrangements were
made for the computer work to be done at the University of Ken-
 l
 l

 10 Fnonrimn Nnnsmc smnvrcm
tucky. However, we had to assemble the information before the
computer could function, hence the two alarming machines which
have just arrived. Mrs. Peter Westover of Pine Mountain, a medi-
cal care administration specialist who is helping us prepare for
PRIMEX, assures us there is nothing alarming about a key punch ·
and a card sorter and, indeed, three of the office personnel have
already learned to operate one of the machines. We are sure this i
equipment will save time and will provide us with valuable re- |
search information, and maybe in time we will even get used to it. 4
What next ? Well, we really don’t know what the next "neces-
sity" will be that will bring further "progress". But we think we
will keep manual typewriters for a while longer. After all, we
have to be able to do something when the electricity goes off!
We are all familiar with the old adage: "Necessity is the
mother of invention", and we are trying our best to see that we
do not fall into the trap of a definition we recently read: ;
"All progress is based upon a universal inate desire 1
on the part of every organism to live beyond its i
mcomw xx fi
-—P.G.E.  A
Schoolboy to his lawyer father: "Take a look at this report ·
card and see if I can sue for defamation of character!" i
-—M0dem Maturity, October-November 1972 X}
1
 l

 QUARTERLY BULLETIN 11
FRONTIER NURSING SERVICE TOUR
of the National Society,
Daughters of Colonial Wars
PAULINE S. ELSEA, Tour Chairman
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I On October 5, 1972, the National Society, Daughters of Colo-
1 nial Wars, saw a long-cherished dream become a reality. At 1:00
_ p.m., twenty-three members of the National Society boarded a
 I Greyhound bus at the Phoenix Hotel in Lexington, Kentucky, for
» the beautiful drive to the Appalachia Motel at Hyden, Kentucky,
for a tour of the Frontier Nursing Service at Hyden and Wen-
{ dover, national project of the National Society DCW .
  Upon their arrival they were joined by others who had driven
p  directly to Hyden, making a total of forty members, and two
F guests, Mrs. Bess Mays of Lexington, a guest of Mrs. French
l Maggard, State President of Kentucky, and Dr. Kenneth S. Flem-
a ing, husband of the National Chaplain.
 , For the first time in the history of the organization the Semi-
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 12 FRONTIER NURSING snnvion =
Annual Council Meeting—the 68th——was held outside of Wash-
ington, D. C., the meeting being held in the dining room of the
Appalachia, Motel, a picturesque motor inn nestled in the foothills
of the Kentucky mountains.
The Council meeting was attended by one Honorary National "
President, Mrs. John J. Wilson, ten National Oiiicers, seven State
Presidents, six National Chairmen, and members from several {
states. Mrs. H. David Hickey, National President, presided at the i
Council meeting. .
On Thursday evening, October 5, the Kentucky State Society
were hostesses at a beautiful and delicious dinner in the motel
dining room, with Mrs. Dewey Daniel of Hazard, Kentucky, serv-
ing as chairman of the hostess committee, the artistic table
decorations having been provided by her. Mrs. French Maggard,
the State President, presided at the dinner. 2
The National Society was privileged to have as special guests -
Miss Helen Browne, Director of FNS; Miss Anne Cundle, Co-  
ordinator of Nursing; Miss Kate Ireland, Vice Chairman of the i
Board of Governors of FNS and Director of Courier Service, and  A
Miss Leigh Powell, a member of the Board of Governors, and y
Development Director. l 
After dinner was shown the movie The Road, which tells I
A the story of the work being carried on by the Frontier Nursing _
Service. a
At the close of the dinner meeting, the National Society, l
Daughters of Colonial Wars, held their board meeting. _
On Friday morning the Tour members were guests of the
People’s Bank of Hazard at a delicious breakfast served in the
Appalachia Motel dining room, with Mrs. Dewey Daniel as
hostess.
After breakfast the DCW members were divided into two p
groups, one group visiting the Hospital in Hyden and the other
a mountain outpost of FNS.  ` 
At the Hospital, patients were visited and we saw newborn ‘ 
babies and their mothers. We were taken on an interesting tour —
of the Hospital and were impressed by the attitude of dedication
of the personnel, who are carrying on their work in overcrowded  i
conditions. It is a joy and a satisfaction to know that the new i
I

 . QUARTERLY BULLETIN 13
hospital now under construction will be adequate to take care of
the ever-increasing needs of the patients of the area.
From the hospital we were taken to the lovely little St. Chris-
topher’s Chapel and all were impressed by its atmosphere of
-r solemnity and dignity. The architecture and furnishings make a
perfect setting for the beautiful 15th century French stained
{ glass window depicting St. Christopher carrying the Christ Child.
· At the chapel Miss Anna May January, Nursing Adviser, and
couriers spoke, telling of the training and work of the FNS nurses
A and couriers and their devoted ministrations to the people in the
Appalachia Country.
We next visited the construction site of the new Mary Breck-
inridge Hospital. What a thrill to see our hopes and dreams be-
coming a reality, and to know that we have had some part, at
, least, in making it come true! The completion date has been set
i for Christmas, 1973.
; The two outposts visited were Brutus and Flat Creek. Two
E nurses live at each outpost, and operate the clinic and visitation
_ program. Everyone making the tour felt the depth of their sin-
  cerity and dedication to their work and the warmth of their feel-
2 ings for the people in their area. They were most gracious host-
  esses as they served us tea cakes and coffee from a tea table in
‘ their dining room.
3 Friday evening the Tennessee State Society were hostesses
Y at a beautiful appointed and excellent dinner, with Mrs. Donelson
L. Bridges, State President of Tennessee, presiding. Following
 _ the dinner, the Semi—Annual Council meeting was held in the
dining room.
On Saturday morning the DCW Tour group were privileged
to be entertained at a coffee given by Miss Helen Browne and her
staff at the Big House, the home of Mrs. Mary Breckinridge. Miss
, Browne, in her sincere and gracious manner, spoke of the life of
Mrs. Breckinridge and how she was led to start her wonderful
 A  work, motivated by her love for and dedication to the people of
· the Kentucky mountains.
.‘ The Frontier Nursing Service is today being carried on by a
staff of efficient and well-trained nurses and other workers who
 ‘ are imbued with the same love and devotion, and the same com-
 i passion for the needs of others which guided the life and work of
I

 14 FRONTIER NURSING snnvrcm
Mrs. Breckinridge. Mary Breckinridge in the book "Wide Neigh-
borhoods", which is the story of her life as well as the story of
the Frontier Nursing Service, quotes from a hyrnn which shows
the Source of her loving endeavors:
The King of love my Shepherd is,  {
Whose goodness faileth never;
I nothing lack if I am His {
And He is mine forever. 3
VVhen the Greyhound bus and the cars departed at one `
o’clock Saturday afternoon, all of us had a feeling that this had ,
been much more than the usual trip: it had been an inspiring and
uplifting experience, and we had renewed resolve that we would —
do all in our power to forward this fine work.  
Our sincere thanks and appreciation go to Miss Helen  
Browne, Miss Kate Ireland, Miss Anne Cundle, Miss Leigh Powell, J
and other members of the FNS, Mrs. Dewey Daniel, Mrs. French  
Maggard, and members of their committees, for the many hours  L
of work and excellent planning which made our visit such a  
memorable occasion.
The four—year-old was asked how she liked her Thanksgiving Z
dirmer. "I didn’t much like the turkey/’ she responded, "but I  
loved the bread it ate!" Q5
—M0de1~n Maturity, October-November 1972  
¤
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 QUARTERLY BULLETIN 15
“HEALTH FAIR" AT FLAT CREEK
by
‘ LESLEY BERGER, R.N., c.N.M.
 ’ While the Vanderbilt nurse clinician students were with us
this past summer, Flat Creek was buzzing with creativity and a
x healthy interchange of ideas. With the changeover of nurses,
1 (Liz Kaiser left for further study in Mental Health and Charlotte
Wittekind, although living at the Center, was taking the Family
Nurse course in Hyden) with the Vanderbilt supervisor, Kathy
E Arganbright, the Vanderbilt student, Mary Heasty, with a new
secretary, Ethel Ann Collett, and with two new nurses, Sylvia
j Hostetler and Lesley Berger, one can imagine the usual cyclical
chaos that all who have worked with FNS experience during the
l changeover time. But, as usual, much was learned and enjoyed
  by all and the culmination of our summer was our Health Fair.
  The idea was as old as FNS, as we know much of the earlier
i health care provision was through the use of clinics held up the
; "hollow" or in someone’s house. Our hope was not only to give
 ‘ basic health care but also to try to provide a learning experience
, through the cooperation of other health providers in the com-
 1 munity.
; Holding a Health Fair just before school started was a great
2 time to offer immunizations and to do worm treatments, so that
was the main thrust of the Fair. However, we felt that a dose of
multifuge, given for purging alone, was not enough. Unless peo-
, ple knew how they got those worms, the multifuge cycle could
go on forever. So, in order to provide an educational program,
V we invited personnel from the Clay County Health Department to
, participate. We were overjoyed when they accepted. To the two-
  nurse teams that had gone out in years past, and had seen twice
  as many patients, it must have seemed like an army regiment
is descending upon the populace, but we had the resources, and the
 I team members, all there in one spot.
1 Ruby Parker, the Clay County School Nurse, along with
4 Mary Heasty, gave the immunizations and PPD’s.. (Adults were
 ; — very anxious for those, even the men.) Lawrence Bowling, our
; barn man, helped move the heavy tables and big bottles of multi-
{ fuge and weighed everyone. Ann Collett, our secretary, made out
l

 16 Fnourmn mmsmc. smzvxcu
all, yes all, those McBee cards. and Mable Turner (back at Flat
Creek for the day, but as a supervisor) did all the hemoglobins.
(Do you know that out of the sixty-odd hemoglobins she did, only »
two children cried, and they had been crying before they ever
came near the Fair!) Lesley kept the papers straight and kept ,
everyone moving. Sylvia filled the multifuge orders, gave out '
balloons, and sent the patients on to Kathy, who told a delightful
story about Willie Worm, using flannel-board figures that she had 2
painted herself. Patients with low hernoglobins saw the dietiti-
cian, Sue Cody, and her assistant, who gave out carrot rolls and
peanut butter crackers, and some good advice on iron rich foods. j
Standing close by the assistant sanitarian, John White, had all
kinds of information on the building of safe privies, and knew
all about loan programs and ways in which to get improvements
on the home.  S
The Fair took place within a two hour period at the Mudlick `
Church and then we moved on for two hours in front of Ella
Baux’s house on Little Creek. The numbers of patients may have T
seemed small compared to Hyden Clinic, but for Flat