xt76ww76v459 https://exploreuk.uky.edu/dips/xt76ww76v459/data/mets.xml The Frontier Nursing Service, Inc. 1933 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 The Quarterly Bulletin of The Frontier Nursing Service, Inc., Vol. IX, No. 1, Summer 1933 text The Quarterly Bulletin of The Frontier Nursing Service, Inc., Vol. IX, No. 1, Summer 1933 1933 2014 true xt76ww76v459 section xt76ww76v459 I he Quarterly Bulletin of
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V THE JESSIE PRESTON DRAPER NURSING CENTER
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TI—IE QUARTERLY BULLETIN OF {
TI—IE FRONTIER NURSING SERVICE, Inc. I
Published quarterly by the Frontier Nursing Service, Lexington, Ky.
SUBSCRIPTION PRICE $1.00 PER YEAR ‘ _
VOLUME IX SUMMER, 1933 NUMBER 1 _
 -—-M-.-h - M- ...... ----- E,
"Entered as second class matter June 80, 1926, at the Post Office at Lew- V,
ington, Ky., under the Act of March, 3, 1879.” *
Copyright 1933 Frontier Nursing Service, Inc. _
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l

 FRoN·r1E1>. NURSING smwxcm 1
ANNUAL REPORT
Last year, for the first time since our work began, we felt
‘ it necessary to condense our annual report to reduce the costs
of printing. We are impelled to do the same thing this year, but
lil if we are financially able we intend to print the three annual
  reports in parallel columns next year, not only to keep our
l ` unbroken record of publishing annually, for the benefit of our
ex] subscribers, a complete audit of our financial affairs, but also
`H as a contribution towards research in philanthropic trends
ii during a prolonged period of depression. We want all of our
subscribers to know just what we had to face and how we
_  faced it.
l For the immediate benefit of our readers we will now give
a brief summary of the fiscal year, which closed May 10, 1933,
both as to funds and as to the work.
R FISCAL REPORT
We received this year from all sources, including nursing
_ and medical fees, investment income, sales of books, revenue
{ from Wendover Post Office, refunds, etc., but exclusive of
i' $6,024.53 for the endowment fund of the Hyden Hospital, a
  total of $90,368.37. It will be recalled that the previous year
we received from all sources, exclusive of endowments, $130,-
  988.87. There was, therefore, a heavy drop in all our receipts,
j but the drop in subscriptions was over forty percent.
l We had cut our budget by nearly one-fourth to allow for l
i the inevitable reductions in subscriptions and other sources of
income. However, the loss was heavier than we had estimated
‘ . and the new fiscal year finds us with a number of unpaid obli-
gations. Our chief indebtedness, however, is towards our own
il staff, who have been staying with us on a maintenance basis
', only. This has enabled us to carry on with the quality of our
Y work unchanged, although we reduced its volume.
‘ An interesting feature of the past year is the fact that
  although there is a drop in subscriptions of over forty percent
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2 FRONTIER NURSING snavxcm V
there is an actual increase in the number of subscribers, as the
following table will show. 1
1931-32 1932-33 E
Old subscribers ........................ 1,273 1,354 |
New subscribers ....,................. 656 675 1
Total ....................r...r........._. 1,929 2,029 4 _
In order to balance its budget for the current nscal year, · l
beginning May 10, 1933, on the lowest estimated income, the
Executive Committee decided to do away with all promotional  
costs outside the field for the present. No money will be risked E
in these uncertain times in order to raise money. Every dollar j
given will go to the maintenance of the work and the gradual A
liquidation of obligations incurred during the past year. We A
are happy to add that the experience of the summer months
demonstrates the wisdom of this policy. Our "saddle bag ,
» appeal" brought us in 271 new subscribers, and old friends
have not only stood by but in hundreds of cases increased their
subscriptions by ten percent. We have met current obligations
in full, paid a total of $1,800.00 on past obligations, and added ,
to the maintenance basis of our personnel enough for necessary A
vacations.
The hard feature of this policy has been the closing down
of our offices in New York, New England and Chicago—offices
which contributed substantially to our income in former days,
_ especially the New York office which has been an integral part
of us for over three years. The Executive Secretaries——Miss
Winslow, Miss DeJonge and Mrs. Gardner—with entire devo-
tion, efficiency and self-effacement, carried through the details
of this retrenchment. Our committees in these sections, headed .'
by their chairmen, Mrs. Linzee Blagden, Mrs. E. A. Codman ,
and Mrs. Frederic W. Upham, cooperated loyally in eliminating M 
‘ the oHices which had been so helpful in carrying forward their ·
programs, not only of raising money to support the field work,  
but of educating the American people to the need for such work E
and to its value. K

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l FIELD REPORT ‘
  Now as to the field work. The record for this past year is
i beyond all praise. The district nurses were reduced one-fourth.
l A comparison of the work of this reduced staff with the full
Q staff of the previous year is extraordinarily impressive, as the
following table will show.
‘ 75fré of the staff did 90% of the number of deliveries
I ` of last year
‘ } 75% of the staff cared for 99% of the number of sick
  cases of last year
| 75'TJ of the staH did 65fil more inoculations than last
1 year
{ 75C*i of the staff paid 75i`J of the number of visits of
  last year
l 75*] of the staff received 889} of the number of visits
of last year
Obviously the volume of this work could not be carried
other than by hours of overtime on Sundays and holidays and at
night and through all of the long days. In fact, the average
, overtime of our nurses this year has run, not into hours, but
A into weeks. It is a condition that no philanthropy which
values the health of its staff would ever want to repeat. During
catastrophic disasters in nature and during war nurses and
doctors are accustomed to pour out their lives in this manner.
We figure that this past year represents just such a prolonged
crisis. and that the nurses and doctors of many city services
have been overworked as well as ours. All have carried on,
not only gallantly but cheerfully.
The field nurses carried during the year a total of 8,965
{ people in 1,891 families. Of these 5,543 were children, including
A 2,535 babies and toddlers. Bedside nursing care was given to
"  453 very sick people, of whom 274 recovered and 33 died. The
Q district nurses paid 19,927 visits and received 18,190 visits at
g nursing centers. Our little hospital at Hyden was occupied
' 3,782 days by 341 patients. There were transported to hospitals
S outside the mountains, in Lexington, Louisville, Cincinnati and

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4 FRoNT1Ea NURSING snavicm i
’ Richmond, 28 patients and their attendants, on passes given us i
by the Louisville & Nashville Railroad. 1
Under the direction of the State Board of Health, the  
nurses gave 14,009 inoculations and vaccines against typhoid, I
diphtheria, smallpox, etc., and sent 125 specimens out for I
analysis. {
We held during the year 328 field clinics with an attend-
ance of 11,102 people.
Complete dental care, of a period of two and one-half `
months, i11 affiliation with the Kentucky State Dental Associa-  I;
tion, was given to 273 children and expectant mothers.
Dr. R. L. Collins, of Hazard, Kentucky, performed numer-
ous operations during the year, those on indigent people as a
courtesy to the Service. None of the doctors in the various
cities, to whom we sent patients, made any charges for their ;
services. Our regular medical service was carried by our own l
medical director, Dr. John H. Kooser; and various physicians l
from the nearest towns were called in, both for emergencies and  
_ at the request of individual patients.  
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MIDWIFERY '
The nurse-midwives delivered 362 women in childbirth of
355 live babies, 8 still-births, and 4 late miscarriages; and gave
` them full prenatal and postpartum care. There were five sets
of twins. Doctors were called in 12 times for abnormal con-
ditions. There was no maternal death. There were 525 mid- y
wifery cases closed during the year, and 397 new cases admitted. I
In addition to our regular cases, the nurse-midwives were called
in for 15 emergency deliveries where the mother had not been
registered and given prenatal care; 21 miscarriages (unregis-
tered cases); and they gave postpartum care, only, to 4 un- {
registered mothers.
i SOCIAL SERVICE DEPARTMENT  
(Alpha Omicron Pi Fund)  
Report for Fiscal Year Ending July 1, 1933.
The first year in the work of the Social Service Department
has, naturally, been one of constant experimentation, character-

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ized by a persistent attempt to discover where and how to use
1 the time of one social worker and a fund of approximately
{ $1,900.00 to the best advantage, when there were so many pos-
I sible uses for both.
l The receipts of the Social Service department for the year
p totaled $3,791.56, of which $3,678.45 was given by the Alpha
Omicron Pi Sorority, with $113.11 from miscellaneous sources.
[ _ Of this, $1,800.00 constituted the social worker’s salary. Of the
J remaining expenditures, $1,900.57 (not including a balance on
` hand as of July 1, 1933, of $90.99), 92% was spent in field
work, 892 for administrative costs. Expenditures for field work
fall into the following categories: child-caring service, 44%;
family welfare, 281} ; education, 13% ; medical social work, 5%;
miscellaneous, 2%.
In terms of people these expenditures are explained as
 ] follows: Twelve children were cared for outside their own
l homes~—six in free foster homes, two in boarding homes, and
' four older girls at nearby settlement schools. In addition to
I these, thirty-one children were given assistance in their own
homes, chiefly school books and clothing to enable them to go
to school. Contacts have been made with several handicapped
children and three deaf children were sent to the School for
the Deaf. Two older girls who had reached a crucial point in
I their education had loans that they might continue in school.
1 Nine children have been sent to outside hospitals and glasses
have been provided for one. One adult was sent to a specialist,
one to a hospital, and for another a corrective device was pro-
vided. Assistance of one kind or another has been rendered to
thirty-seven families. This has usually been given in the form
of work to supplement incomes from farm and/or relief from
Q the County Relief agency, in such constructive ways as the
— following: taxes to save farm land from being sold; farm and
  garden seeds; milk cows (two families) ; materials for improv-
 i ing house, etc.
These figures do not include innumerable contacts and
correspondence in which service was given without outlay of
money.

 The social worker has also given a great deal of time to  A
the work of the local County Relief Committee and Red Cross  E
Chapter, in which she has served as the representative of the
Fontier Nursing Service and as the one trained social worker .
in the whole region.
BLAND Moimow.
ADMINISTRATIVE .
The hours of overtime of the doctor, nurses and social  ,‘
worker have been matched by the heaviest possible overtime on
the part of the administrative group at Wendover. If our
friends will take into account the fact that a central records
system like ours should have three statisticians and that one
carried on alone, that we have nearly 40 horses whose feed has p
to be ordered and distributed, a complete system of modern Q
bookkeeping, over 20 houses, clinics, barns and other buildings  
of varying sizes, some with light plants, tanks, pumps, engines, i
. with replacements, renewals and upkeep to handle, oHice ac- Y
counts, an actual post office to be run for the U. S. Government, _
a huge correspondence, the usual filing, a quarterly bulletin to A
edit and publish under second class mailing privileges, constant
demands for publicity from the press, whose courtesy to us A
knows no bounds, books of our work for sale and publications
for free distribution, pastures, orchards, cows, sheep, hauling
and a general liason to be maintained among eight remotely
rural stations scattered over 700 square miles, our friends will _
realize that the administrative end of the field work is no light
task. In addition, we have had 111 guests who have stayed with
A us over a total of 1,841 days. Their welfare has been the }
especial attention of our voluntary hostess—housekeeper, Mrs. p
Vashti Duvall. In a city service, housing is rented, as a rule,  ,
VA and water and lights and transportation are supplied by the e
municipality, and guests to see the work are able to put up in ’ .
hotels. In a remotely rural service provision has to be made for
all of these things. In this connection we want to give a word 3
of grateful thanks to our invaluable courier service who, more i
than anything else, enable us to keep a liason with the various 1
stations and clinics over our wide area. 1
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 $ igoivrina Nuizsmc smaviciz 7
  Lastly, our gratitude is due to the unswerving loyalty of
Q our local committees and our thousands of patients, who have
I stood by in all the changes and chances of the past year with
 A the tenacity of loyal friendship.
(Signed) Mrs. S. Thruston Ballard, Chairman
_ Mr. C. N. Manning, Treasurer
 { Mrs. Mary Breckinridge, Director
  COMMITTEE NEWS
l We have the honor to announce that Mrs. Cary T. Grayson
= has taken the Chairmanship of our Washington Committee, and
Mrs. Chester C. Bolton the Vice-chairmanship.
* We are further honored that Mrs. Owen J. Toland, Jr., has
taken the Chairmanship of our Philadelphia Committee, and
Mrs. John Markoe the Honorary Chairmanship.
It is our pleasure, also, to state that Miss Katharine D.
Ernst has taken the Vice-chairmanship of our Cincinnati Coni-
mittee, of which Mr. James M. Hutton is Chairman.
, A committee has been formed in Providence, Rhode Island,
V of which Mrs. Gammell Cross has graciously accepted the
 I Chairmanship.
Y Our warm friend of many years standing, Mrs. George C.
‘· Christian, has accepted the Chairmanship of our Minneapolis
y Committee.
l Attention is called to the additions to our Trustees and our
National Medical and National Nursing Councils where they are
listed towards the end of the Bulletin. ·
1
3

 8 Faowrima Nuasmo snavmm E
THE WEST INDIES CRUISE OF THE FRONTIER
NURSING SERVICE ON THE SS. BELGENLAND
In 1932 the Frontier Nursing Service promoted a successful '
cruise to the West Indies on the M.V. Britannic of the White .
Star Line. Although the year was not auspicious and it was .v 
our first attempt, we realized a profit of over $5,000.00. °  _
We arranged for a second cruise in the early spring of  
1933, in cooperation with the International Mercantile Marine, il
whose relations with us had been altogether generous and  
courteous the previous year. The ship chosen was S.S. Belgen- '
land of the Red Star Line, a company like the White Star, whose `
ships are handled by the International Mercantile Marine. The A.
Frontier Nursing Service bent all its winter’s work towards
the promotion of this cruise, and in spite of the deepening de-
pression of the winter, the situation about three weeks before
the Belgenland was due to sail indicated a pront to the Service
~ of approximately $20,000.00. Then came the Michigan mora- A
torium, and for about a week the cancellations exceeded the
bookings. The Frontier Nursing Service realized no profit g
whatever on the venture, but also no loss, because the Inter- i
national Mercantile Marine volunteered to go on with the cruise  Z
and shoulder the risk.  #
The Belgenland sailed at the period of the breaking down *
of the entire American banking system. The radio messages i
each day told of state after state which closed all of its banks I
and finally of the national banking holiday. In spite of the .
gloomy news from home, the charming group of people who
took the trip had a royal good time, and the sportsmanship of
everyone was of the highest order. Almost all of those who  I
sailed had been working in one form or another throughout the 'j
 — winter to help in the alleviation of the sufferings of the people ,
in the various cities. All badly needed a holiday and all threw `_ ¢,.  _
themselves with zest into the royal pleasures and sports and  
short trips of the fifteen days.
  From every point of view except the financial one, the l
  Belgenland cruise was a huge success. The boat itself, with its
g, I
I

 Fnowrimn Nunsine smavrcm 9
  great sand beaches, swimming pools and broad decks, the
 L courtesy of its service and its excellent table, was all that we had
I been led to expect. The novel features the Frontier Nursing
Service introduced, such as a free bridge lesson every day at
, twelve o’clock (attended by over 50 people), the previews of the
best moving pictures, the services of six "dean’s list" students
‘ from Yale, Harvard and Princeton, instead of "gigolos," the
{V volunteer hostess,-—all of these were voted a pronounced success.
I — The officers were exceptionally delightful, the trips ashore satis-
V , factory, and we were entertained, as on the previous year’s
, cruise, by General and Mrs. Preston Brown at the Canal, and
 , afterwards, we assisted at the moving spectacle of the lowering
t of the flag on the site of America’s most triumphant achievement
in engineering and statesmanship.
I Although this second cruise of the Frontier Nursing Service I
brought in no money, as the previous one had done, and although
we cannot afford to promote another cruise during the current
year, we feel that when times are normal again we have got
· behind us several hundred old cruising friends and ardent sales-
men. The public is beginning to realize that the Frontier
, Nursing Service promotes these cruises simply as a means of
i making money and not by way of propaganda. None of the
F trustees of the Service who take the cruises discuss the nursing
 A work with the guests. None of the guests are sent an appeal
 1 afterwards. No speech about the Service is ever made on board.
, The Frontier Nursing Service has twice proved the truth of
{ its advance publicity, namely, that those who go on its cruises
are assured of an exceptionally charming group of people, of
I delightful social courtesies ashore through the unobtrusive
arrangements effected by the Service and because of its wide-
, spread circle of friends, and that they are not solicited, directly
rg or indirectly, in behalf of the Frontier Nursing Service. Through
its arrangements with the steamship line, the Frontier Nursing
 . Service secures pronts that would accrue to any other agency.
Q  The people who buy the tickets pay no more for them, and they
i have the satisfaction of knowing that they are helping a
national philanthropy without in any way being approached
by propaganda from that philanthropy.
I
I

 1 10 Fnoivrrian Nuasmo smzvrcm
· We are already getting applications from people who cruised
with us before, and from new people, for a 1934 cruise. We
dare not undertake the risk of promoting another cruise during
the current year. Even if we risk no loss on the cruise itself,
the costs of promotion are too grave a risk if the outcome
remains uncertain. WVe are glad that we have won a solid recog-
nition in the cruising world and the reputation of having justi- V.
fied to the full all of our advance publicity. We shall hope to t
promote another cruise in better times with the cooperation of [ i
that shipping company whose relations with us have been so 1
friendly and so fair——the International Mercantile Marine.  
"We had a big tide yesterday. At noon a midwifery call
‘ came. Everybody said we couldn’t ford, but we crossed fairly
easily and I iinished dressing on the opposite bank. Jack Cald-
well came for me and noticing that I was lightly clad, because `
of the expected ducking, and that I hadn’t my gloves, just in-
sisted that I wear his. He owns the only mule on Sam’s Branch I
and always brings me the neighbors’ calls. I-Ie said, "I d0n’t  
know what Sam’s Branch would do without you and me." ,
A. W. (nurse in charge of the Jessie  
. Preston Draper Center) E
w if 
U
J
1
I

 ERoN1·1Er». NURSING SERVICE 11
IN MEMORIAM
HELEN DRAPER AYER
Boston, July 27, 1933
=|< >I<
5 HARRY FRENCH KNIGHT
i St. Louis, July 18, 1933
1 * =i=
?
l In the deaths this summer of these trustees we have lost
] two of our oldest and best friends, and the East and the West
are the poorer for the passing of two distinguished Americans.
In Mrs. Ayer, the old stock of New England and Kentucky
blended, and she lived up to the responsibility of her traditions.
With her fortune, and from the depths of a generous heart, she
eased the load of many thousands of men and women, and sought
to re-create the environment of whole areas of people. From the
mill towns of New England to the remoter hills of Kentucky
her interest travelled, and in all she did, or directed to be done,
` there was the expressed desire to supplant conditions not so
good with something better.
S The first district nursing center of the Frontier Nursing
  Service, the Jessie Preston Draper, was Mrs. Ayer’s gift as a
, memorial to her Kentucky mother. Up until her death she
J contributed monthly towards the support of the work she cre-
i ated. In a region where women had suffered and often died
E for over 100 years, untended and unregarded, not a single _
I woman has lost her life since Mrs. Ayer made it possible for the
l Frontier Nursing Service to carry on there. A new generation
 ’ of little children is growing up because she arranged for their
V  mothers to be taught how to care for them, and gave them
  nursing and medical care. May their blessings follow her now
` that she is "a portion of the loveliness which once she made more
b lovely."
J ` In Harry French Knight the Frontier Nursing Service had
a supporter who not only gave many thousands of dollars, but
1
I

 Y 12 FRONTIER, NURSING saavicm
shared in every struggle and every thrill of our big adventure,
` from the snowy Thanksgiving Day when he first came in to see
us down until the time of his sudden death. He knew the staff
by name, subscribed for magazines and gave radios to the
nursing centers, entertained several of us in his home, and was
altogether one of us. In our patients he had the same personal
interest. Aside from his large gifts for the running of the
Service he directly paid for the education of a little girl in
whom he was interested, shod hundreds of little feet, and never - fi _
turned a deaf ear to any human appeal while he could meet it.
Our mountain friends will never forget his ringing speech, at a  
meeting called in his honor, concluding with the words, "We are
doing it together." He said that our adventure was the most
constructive practical thing he had seen anywhere in the course
of his life. Even the horses he knew by name and remembered
in his generosity. Nothing was too large or too small for his
large mind and finely tempered heart.
"Peace, peace! he is not dead, he doth not sleep—
He hath awakened from the dream of life—
’Tis we, who lost in stormy visions, keep
¥Vith phantoms an unprofitable strife,
He has outsoared the shadow of our night.
§.@
{ .

 Faonrinn Nunsmo SERVICE is
THE CLEVELAND CLINIC ON GRASSY BRANCH
The dedication of The Cleveland Clinic on Grassy Branch on
Sunday, June 4, 1933, will long be remembered by the people of
Possum Bend Center, Confluence, Kentucky, and the surround-
ing countryside, as well as by the members of the Frontier
A Nursing Service.
5 ` The building of such a clinic was desirable for several
  reasons. Grassy Branch is six miles long and very rough. The
various forks of the branch add about six miles more to the
travel time of the nurse on horseback. Think of a mother
walking from three to six miles carrying a baby or young child
for treatment to the main clinic on the river. After a nurse had
made one such trip herself during a time of high, unfordable
water, she would never again ask a mother with a baby to make
the same trip over hills and rocks, creeks and fords. She would
try to make it possible for the mothers to have their children
cared for at a more centrally located place. The Cleveland
Clinic on Grassy Branch is the solution.
During this time of depression the Frontier Nursing had
no surplus funds, and the people, even under normal conditions,
have little money. But there were local supplies and a willing
spirit among the people in the community. A site of land was
given and deeded to the Frontier Nursing Service. The logs were
donated; and the work was done by men on Federal Relief work.
Due to the interest and help of several Cleveland friends and
the Business and Professional Women’s Club of Ravenna the
windows, cement and nails became available. The daffodil yellow
paint was furnished by a member of the Sherwin-Williams
Paint Company. Dr. Crile and Dr. Lower gave instruments,
` 1 basins and other equipment. One friend gave the baby scales,
another gave the adult scales, and still another the apple green
,4* curtains.
The fireplace was cut by hand