xt7bg7371z94 https://exploreuk.uky.edu/dips/xt7bg7371z94/data/mets.xml The Frontier Nursing Service, Inc. 1991 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. 66, No. 3, Winter 1991 text Frontier Nursing Service Quarterly Bulletin, Vol. 66, No. 3, Winter 1991 1991 2014 true xt7bg7371z94 section xt7bg7371z94 FRONTIER NURSING SERVICE   `“``  
vomme 66 Number3 wma 1991    
QUARTERLY BULLETIN  
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A CI·I|LD'S PRAYER. I94O
I Now I Iay me down +o sIeep.
I pray Thee. Lord. +he souIs +o keep
O+ o+her children Far away
· Who have no homes in which +o s+ay.
Nor know where is +heir daiIy bread.
Or where a+ nigh+ +o Iay +heir head;
Bu+ wander +hrough a broken Iand
Alone and heIpIess. Take +heir hand,
Dear Fa+her-Mo+her God. I pray;
Keep +hem sa+e by nigh+ and day.
And give +hem courage when +hey wake.
This I ask for Jesus` sake
Who was a Ii++Ie Child. like +hem.
God bIess us all +onigh+. Amen.
Drawing through the courtesy of the P. E. O. Record
Poem hy Cnrillon. from The Liiw O' Typo or Two Column

 USISSNO016-2116
Table of Contents
Courier Goes on Home Health Rounds - Catherine Craft 1
FNS Welcomes Joan and Harry Zeltzer - Catherine Cro]? 7
First Impressions of a Mountain Veterina.rian's Wife — Deanna Severance 9 I
Kim McQuoid, Family Nurse-Midwife - Catherine Cro]? 14
Mrs. Georgia Hart Rodes Contributes - Meriwether Wash 18
Meet the Board of Govemors · Catherine C raft 20
The Charitable Remainder Trust — John Foley 23
Holiday Happenings at FNS — Catherine Craft 26
Beyond the Motmtains — Deanna Severance 27
Notes from the School - Judith Treistman 33
FNS says Goodbye to Ruth Morgan - Catherine Craft 35
Courier News · Susie H udgins 36
Field Notes - Susie H udgins 37
In Memoriam — Loma Bowling 39
Memorial Gifts - Lama Bowling 39
Urgent Needs Inside back cover
COVER: This drawing and poem appeared on the 1940 Autumn cover.
  in
FRONTIER NURstNG seizvice QUARTERLY BULLETIN
Us 1ssN 0016-2116 4
Published at the end of each quarter by the Frontier Nursing Service, Inc.
Wendcver, Kentucky 41775 Q
Subscription Rice $5.00 a Year L
Ed|tor's Office, Wcndover, Kentucky 41775 __
VOLUME 66 NUMBER3 Winter 1991 ir
Second—class postage paid at Wendover, KY 41775 and at additional mailing offices. 1  
POSTMASTER: Send address changes to Frontier Nursing Service, Wendover, KY 41775. |
Copyright 19 86, Frontier Nursing Service, Inc. l
I
E
i 1

 QUARTERLY BULLETIN 1
Courier Goes on Home Health Rounds
The courier position is that of a volunteer
who commits their time to FNS for about six to eight
weeks. Their duties are varied and can be arranged
according to interest. Home Health is one such op-
` portunity for couriers to work with people and to
gain exposure to the nursing field. For further
information regarding courier opportunities, con-
tact Susie Hudgins, Courier Coordinator.
Driving up the steep, rough road to the Brock’s home is
quite a trek. You’re never quite sure if you’ll make it even in the
best of weather conditions. At the top of the driveway sits a two-
story house with an outside porch that is enclosed in clear plastic.
This is where the clothes are hung to dry. Dogs are everywhere
and the squawking of chickens is heard nearby. As Mae knocks
on the door a voice from inside answers, "Yeah, Mae. Come on
in." Everyone is expecting us. We walk in out of the cold into the
bright green welcoming room. Everyone is sitting around and we
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FNS Courier Flora Jewell chats with Grannie Brock.
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it   ..... l-i...--.    

 2 FRONTIER NURSING SERVICE
join them for coffee. The house is veiy warm and smells like
biscuits, gravy, and bacon. There is a large coal stove in the center
of the room and even though we are there quite early, all the beds
are made and the house is spotless. There are all kinds of pictures
on the walls — mainly photographs of family members and pictures
of Jesus. There are National Geographies on the shelves and a
Bible rests on a table next to the bed.
The conversation revolves around happenings in the
holler, the weather, news, and the cost of things. It is a very
cheerful and welcoming place. Neighbors come and go to check
on the Brock’s. Everyone knows Mae, the Home Health aide. We
are here to check on Comelius Brock who is about 75 years old and
has had a stroke. He is bedridden and unable to move so his wife ‘
and daughter take care of him. He recognizes Mae as she tends to .
gi.; Q ` , r n~,•4,
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 i I xiv. (:%::%(   ah  S`?} if —‘   ~ .t*r f rrff T  
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Q .   · .-.   only limited to medi-  4
V _     q .  * ,qr» “  V-     J cal care. Mae also  
  % , i ,  ; , T . Q       ».    t .   Jrri     confidence and 3 2
if    if V,    sense of security as  Q
_ ` _   _   well as being a good  .
Mae Bowlrng, carrng for her patients. friend. The pcoplc j
trust and love her and she gives the same back to them. It is won- ij

 QUARTERLY BULLETIN 5
~ derful."
Flora is referring to Mae Bowling, one of the Home
j Health aides with whom she normally goes out. Even after she
leaves her courier duties, Flora plans to keep in touch with Mae.
Mae has been a Home Health aide for ten years and hopes to earn
her R.N. degree soon. As a Home Health aide, Mae works hard
and has a lot of responsibility. She had to study extensively and
. pass many tests in order to become an aide. Presently Mae is
, attending college, and on some of their long drives Flora will quiz
Tp her in history or psychology. Flora feels a real bond to Mae and
2 it is evident that the two work well together. "We have many
  personal jokes from working together. We spend most of our
  driving time laughing. It’s a lot of fun!"
  The Home Health Agency offers important and much
E needed health care to the people of Leslie County and parts of Clay
»_ and Perry Counties. The agency provides skilled nursing care to
  patients who are homebound, that is, who are unable to leave
j home without assistance. This nursing care is initiated with a
"Plan of Care" developed jointly by a nurse and a physician.
j Traditionally at the Frontier Nursing Service, the care of
j the chronic and acutely ill patients in the home has been the prov-
  ince of the district nursing staff. Because it became increasingly
  difficult to accurately identify the cost of care for the official
  homebound patients versus patients who could go to a clinc for
. care, the FNS Home Health Agency was opened in the summer of
 ”“ 1976, separate from other district activities.
Z  It now has its own staff, currently consisting of a director
 w of Home Health, four registered nurses, six Home Health aides, a
  secretary and a unit manager. Each Home Health nurse is respon-
  sible for a geographic area and has one or two Home Health aides
j who help manage their regular caseload. Support for the Home
J  Health staff and the services they provide come from Mary Breck-
A inridge Healthcare.
  Sue Snider, the Director of Home Health, has been with
 . FNS for four years. She was a social worker with an emphasis in
 _ psychology, but went back to school to pursue a nursing degree so
 i she could work with Home Health. Sue loves her work and not
 l

 6 FRONTIER NURSING SERVICE
only serves as the director, but also has her own caseload of
patients, which keeps her very busy. But as she says, "I feel very
self·fuliilled and the people I work with are terrific. They are
dedicated and devoted which makes my job a lot easier. I intend
to stay here for a while because of my love of the area and the
people and because Home Health is such an important service."
Referrals to Home Health come from a variety of sources
including families, physicians from the University of Kentucky .
Medical Center, Hazard Appalachian Regional Hospital/Medical 2
Center, Mary Breckinridge Healthcare, and other medical facili- K
ties in and out of Kentucky. Home Health referrals continue to .
increase, as we are able to offer more complex services to patients  
sent home from the hospital with problems requiring additional  
follow-up by medical professionals. A great deal of the nurses’  
time is spent educating families in how to care for their sick loved  
ones.  
The Home Health Agency currently has 94 active patients  
in Leslie, Clay, and Perry Counties. Sue says "Our active patient  
status has increased this year alone, from an average of 70-75  
patients to an average of 85-90 patients. The average number of  ‘
visits per month for this fiscal yearis 900. Ourcaseload of patients  4
vary in age from a 3 month old to 95 years of age. Some ofthe most  
common health problems of our patients are diabetes, hyperten-  
sion, and Chronic Obstructive Pulmonary Disease, while we  =
continue to serve those with rare types of problems such as f
William’s Syndrome in a pediatric case. We continue to look for  "
ways to improve and expand our service as the needs of our  L
community change."  l
As is obvious through Flora’s account of her experience  
and work, FNS continues the tradition of dedicated care for J
patients in their homes.
—by Catherine Croft I
This article is dedicated to Bill, one ofthe patients mentioned in g
this article, who passed away March 5, 1991.
Note: The names of the actual patients and families have been i
changed to protect their conjidentiality. ‘

 QUARTERLY BULLETIN 7
FNS Welcomes Joan and Harry I. Zeltzer
Volunteer Midwife and Optometrist
J a H U a Y Y ·      ti .   .
1991, the Frontier   I V   ?;§·;f ; _ ’   ri' A ;
Nursing Service was °‘ $1, -t-·___     A   y
fortunate to be able to r A   »        
offer free vision __ __ irrri        
screenings at the   ,’.t ‘    _   V   
Hyden Clinic under “ <'·" r  V __   ‘ , M    I  
the g¤id¤¤<=¢ Of Hm r »     r   r. ~ r . tz,  
1. Zeltzer, o.D., ,:»v- i      Q.;
F.A.A.o. Dr. zeirzer, ~ `   ··  
? with the help of couri— T      
Q ers, was able to exten- S ‘   · ,  
sively screen about yu     . —    
‘ 125 people. He also   *»  a I   g     °'’_ ii
  held screenings at   21  j   _  
li three of the district Joan and Harry Zeltzer
ii clinics. Dr. Zeltzer noted, "It was surprising to iind such a large
  number of people who ignore vision care but who really need at-
l tention. Most people don’t have regular eye examinations?
  Dr. Zeltzer also noted that the adults in the community
i have their children‘s eyes checked but neglect their own. "The
` common aihnents I saw were refractive errors. In other words
E. many people who needed glasses didn’t have them, or used out-
  dated lenses for their particular eye—sight. In one instance I saw
X V a girl of three years of age with strabismus. She was referred for
eye glasses which will straighten the eye and restore good vision,
thus avoiding surgery. One year of waiting would have been too
5. late. I also examined many people with presbyopia, a condition
‘ where vision becomes fuzzy at close—range. This occurred at an
Q earlier age in this population compared to some of the other places
I’ve worked. I also found eye problems that related to health
A problems, such as diabetes which is more common in the area. In
one instance a patient with significant leaking blood vessels was
referred for emergency laser treatment?
Dr. Zeltzer retired from thirty—three years of optometry
practice in Watham, Massachusetts in 1984 and has been volun-
teering his services in a variety of different settings. He is the

 8 FRONTIER NURSING SERVICE
director of Eyecare Mexico which works independently and also
with international organizations, such as VOSH (Volunteer Op-
tometric Services
for Humanity)
_ . _ ~.. which has 23
  _         _ chapters. Dr.
    ` :_   .   · `   __ Zeltzer is also the
  v_     _ `   _ * inventor of the X-
    - “     · ‘     Chrom lens - a
{2* c‘`·’   ··   ‘° ' Q? ‘’"‘     contact lens aid
   Q  . ’;*    for color blind-
—- · -s       »l‘— f * ·   E ‘    - ¤¢SS·
·   I  gi    . —- fw 5.; ‘’e. if   Dr. Zeltzer’s
  '=»‘--·* I  ·  `    `   wife,] oan,was
A i` M t··‘`‘ "  working for FNS
 ~ . as a midwife dur-
-’ Y J; is   ilitat . _     ing the month of
» QQ;  e· January. She is a  
· »   principal f<>¤¤i(_ a;»lY ;”   ;°" _°4 . ._ "  '¤ ~ V “1·.j_`,‘_: 3;;*.Qs} 
·.. j   ..»   .... . as _— I     ‘   .
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Z: ,·-nr " `     .’ "A » ‘ ." ,¢{',.?}Tf:"‘_>;*;¤i;.ijT ;_- ‘ _   -·j:?"-?•" ‘·*;4~"g_},¢rf·f`  ·
.7 I , :!r     .     · ··t./ a~··&¢r~;'·~ ·..a·‘<   w,ai     I
r ., . . M   it Q   —·· ‘*·r-1:%; 1.*;;   . sy?-·i.··‘+ 2   .‘ ·"Y3·?TI;.»’.—. " ._   ‘ *
gg   i`};/Q: *·.v¢},:;§€;§{Q i1—·Q`“' ·,—   L` L         =
  I;i:‘·>:&iit;-v w.?   if -`~.I ‘·     *
  ·iz*i.f;§éE.=iz‘5';}i,éif  5*%*.    `
  ;»2»   A rela i’·'-“‘ .‘i » I·’‘ 1         rf éiri   * ?‘§I%?3t€%* `   .`    *·;‘  »
One of CarI's newest patient's — Charlie Dog of Wendover  ,

 QUARTERLY BULLETIN 13
Wendover Pooch in Residence-Charlie
l  wr ..¤¤:as
_ ··   `     B Wendover is
.  { ·» ‘       ·  'i;~Q,__   thrilled to introduce
  =  _,  —».,   l Charlie, our newest
,   ._     " W resident. Charlie
i $1 L ~ · S comes from Elisha's
__,  Creek in Leslie
; w   ,1  County where he was
{ ,   ,   ; » livingasastraymoun-
  i L.   V`    . tain dog. He is_pres—
  » »         Cmly serving EIS the
    :`   official Wendover
{   Welcome Wagon and
  l _ · is doing a fine job.
  Sue Snider and Sandy
i Charlie and his momma, Cathy Croft. Mathm Home Héahh
l nurses, brought him to
l be checked out by Dr. Carl Severance, D.V.M. and he is in tip-top
  shape. Charlie‘s official breed, as suggested by his physician, is
Q blue merle collie. His new owner, Catherine Croft- PR specialist
` and assistant editor of the Quarterly Bulletin, has been feeding
  him quite well and spoiling him rotten. Welcome Charlie Dogll
l

 14 FRONTIER NURSING SERVICE
Kim McQuoid - Family Nurse-Midwife
I don’t know what I would have done if
Kim hadn’t been there. I was in so much pain and
I just couldn’t seem to relax myself . It was her
voice that I remember most. It was soothing and
comforting and I could do what she said. When-
ever she left the room even for a few minutes I
went crazy. I just lost control and couldn’t handle
what was happening to me. But as soon as she’d
appear, I would be okay again and I could con-
centrate on my contractions and my breathing. I
could even feel myself come out of my body and
comiect with her. Looking back I had a very i
positive birthing experience!  
This is an account given by Malinda Meehan, a first—time §
mother, who gave birth to a nine pound-live ounce, twenty-{WO  
inch long son on Tuesday, February 19th, 1991 at 10:20 p.m. *
Malinda had been due around January 31st and had to be chemi-  
cally induced to go into labor with pitocin, a labor inducing drug. Q
Malinda and her husband Jim had come in to the Mary Breckin- Q
ridge Hospital on Sunday evening and after two long days, finally  
delivered a bouncing baby boy who was named James Joseph E
Meehan. Malinda is originally from Indiana but has lived in 2
Hazard for the past five years. She attended Hazard Community   ‘
College for two years and then went to Morehead for another two  
years. Currently she teaches sixth grade at A.B. Combs Elemen-    
tary School in Combs, Kentucky. Her husband Jim, originally  
from Michigan, works for Whitehall Mobile Homes in Hazard. V;-
The two met after college and have been married for about a year.  
The Meehans were very thankful for Kim’s comforting presence. ,
"It made what I would have believed an impossible feat, a truly  
wonderful experience!" beamed Malinda the following day. 1
The Frontier Nursing Service has been quite fortunate to “
have Kim working as a nurse-midwife at the Community Health i
Center and Mary Breckinridge Hospital for the past four months.

 QUARTERLY BULLETIN 15
Kim graduated last August from the Frontier School of Midwifery
and Family Nursing and is in the process of completing her
graduate work. Originally, she was supposed to go to Cleveland
to do this, but was able to stay here and eam her Master's degree
while through the Community Based Nurse-Midwifery Educa-
tion Program (CNEP). Kim says "Because I received such a great
education from the Frontier School, I wanted to give something
back, so I stayed." Kim also states that the school has a global
reputation of generating well trained and well rounded family
nurse-midwives.
 g , _ *    •
     ,    as I
’ p` _ »   p .. »
    ’
 yi-   ·   i ( ‘   ~  .
` Y ., 1 w  · "*“’·"  , Q
\  `V  w   `  
, ` Kim with the Meehans and their new baby.
? "The Frontier School of Midwifery and Family Nursing
A A offered me a diverse education. As a student, I worked in the inner
. city of Detroit, in the different counties of Eastem Kentucky, and
i with the Navajo in Arizona. These varied communities opened
  my eyes to the necessity of culturally sensitive care. Because
  various cultures approach life, family, and birth differently, it is
  vital to tailor one ’ s practice to reflect their uniqueness. I have been
i touched and changed by these experiences?
  During the graduation ceremony in August, Kim was
® presented the Helen E. Browne Award which the students vote to

 16 FRONTIER NURSING SERVICE
award to their fellow classmate whom they feel best exemplifies
their ideals of midwifery. "Midwifery has been a fourteen year
dream of mine. I made the decision to go forit in 1976 afterl had
spent some time in Arkansas and I saw mothers and babies
suffering postpartum neona- p J _
tal infections due to a lack of   ._ ..    _ ____   r_:._
hfiiilih Café: kn0wledge_ I      
knew that their suffering       ,  
could have been avoided with   _,    
a trained midwife and with         I,. ui
education about hygiene and    r’’` *  p    ,..§»~“’f”
nunirinnrr Kim nas commit-         Jl e_ty     ·-
ted to work for FNS through   » ‘      
May, 1991 and then plans to      *   .i=i_
retum to herhome and farm in      
Illinois. She wants to start a      J    ljl 1
midwifery service in this rural   ·  * -rtr.. = I   " “  ni  
setting and work with three   ‘ I   ,