xt7gxd0qsr19 https://exploreuk.uky.edu/dips/xt7gxd0qsr19/data/mets.xml The Frontier Nursing Service, Inc. 1983 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. 59, No. 1, Summer 1983 text Frontier Nursing Service Quarterly Bulletin, Vol. 59, No. 1, Summer 1983 1983 2014 true xt7gxd0qsr19 section xt7gxd0qsr19 FRONTIER NURSING SERVICE ;*" A2
1/;1Iun1¢·5%I Numhcrl Summer 1983 7; Q E
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QUARTERLY BULLETIN °·~_,,_¢_A_°s
FIFTY-EIGHTH ANNUAL REPORT
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CONTENTS ,(,
Childbearing Practices, in the Appalachian Culture 1 °  
—by Arlene Y. Day  
New Chapel Honors Glenda Sue Swartz 8 Al
Beyond the Mountains 9 ,
In Brief 11 l V
Courier News 12
In Memoriam 13
Memorial Gifts 14 `
Annual Meeting of the Frontier Nursing Service 15 .
Letters 15 ,i
Photo Pages 17 and 26 i
Field Notes 18 5
Alumni News 21  
Fifty-Eighth Annual Report of the i
Frontier Nursing Service, Inc. .
for the Fiscal Year May 1, 1982 to April 30, 1983 27   [
i l
FRONT COVER: In our feature story this issue, Arlene Day tells of the unusual strength Z
and importance of family bonds in Appalachian families and their effects on I
childbearing practices. With our cover photo, we join a happy father celebrating the
arrival of a new family member. .
l"
FRONTIER NURSING SERVICE QUARTERLY BULLETIN »_
US ISSN 0016-2116  ,
Published at the end of each quarter by the Frontier Nursing Service, Inc.  
Wendover, Kentucky 41775 »
Subscription Price $5.00 a Year `;
Editor’s Office, Wendover, Kentucky 41775 i
V()l,llMl·159 SUMMER 1983 NUMBER 1 `
Second-class postage paid at Wendover, Ky. 41775 and at additional mailing offices
Send Form 3579 to Frontier Nursing Service, Wendover, Ky. 41775
Copyright 1983, Frontier Nursing Service, Inc. i
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 ~` QUARTERLY BULLETIN 1
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j Author Arlene Day with two young parents-to-be
I CHILDBEARING PRACTICES IN THE
APPALACHIAN CULTURE
By Arlene Y. Day, RN, BSN, CFNP, CNM
  Arlene Day is a product of the culture she describes in this article. She
was born at Cutshin Mission Clinic. She has lived all her life in
Appalachia, and she is a graduate of the Frontier School of Midwifery
¤ { and Family Nursing. Arlene has been associated with the Frontier
l Nursing Service since 1977. Among other things, she has served on
{ Z the staff of the Hyden Clinic, and most recently she has been Family
{ , Nurse Instructor at the Frontier School. The following article is based
  on a paper she presented last May at a seminar entitled, "Appalachian
Z Children: A Challenge for Health Care," which was given under the
. sponsorship of the Continuing Nursing Education Appalachian
Consortium at the Mountain Area Health Education Center in
Asheville, North Carolina.
~ Each culture has its own health and illness belief systems. There
are many rituals and behaviors that often surround both the
process of birth and the process of death. For the most part these
rituals and behaviors are harmless. They may provide a psycho-

 I 2 FRoNT1ER Nunsmo Smnvrcxz ‘
I logical benefit to a culture, although there are times when these  
  same rituals and behaviors may cause both physical and psycho- l
  logical disharmony. V
I The purpose of this article is to discuss childbearing practices ·
as I have encountered them, both as a professional nurse—midwife
and as a woman from the Appalachian culture. E.,
Regardless of where one practices, in order to be effective with li
the childbearing couple, one must have an understanding of the ‘  
, cultural influences upon the family. In the Appalachian culture, ia
l there are two powerful forces that influence the childbearing l 
, couple. These are the family and religion. The family unit is
composed of a combination of the nuclear (i.e., immediate) and
the extended family. A young couple may live in a house by
themselves, but they often live in close proximity to other family
members. There is a constant interchange between family mem-
bers. While there is no strong emphasis on church going or church
participation, there is a strong sense of religion and commitment
l to God. Many times, this commitment goes beyond a strong trust .
  in God and develops into a fatalistic attitude. One may hear, "If ·
T God wants me to have a healthy baby, He will give me one." As a {_
, health care provider, the nurse-midwife must encourage the client
H to take responsibility for ensuring a healthy pregnancy and baby.
{ This often involves exploring with the client her philosophy of
‘ religion and responsibility for her body. Religion is a strong
influence and cannot be ignored, but it must be approached in a
respectful manner.
In a family-oriented culture, it is expected and often encouraged
that couples reproduce. But expectations have changed. Instead _
of having a large family, couples now plan for one or two children. ,
The reasons are many-fold, but are primarily economic.
Couples generally announce a pregnancy early. Family mem-
W bers begin preparations for the new baby early in pregnancy.  . ·
1 Grandfathers may make cradles or high chairs, while grand- I
¤ mothers may knit and sew special garments. Families and .
_ friends share cribs, baby books, high chairs, and even baby ~
I clothing. I
In such a family-centered culture, the pregnant woman is well
cared for and receives positive reinforcement. While the gross
percentage of unplanned pregnancies corresponds with the na-
I tional average, these pregnancies are accepted, and the children

 l QUARTERLY BULL:-mw R
, are well cared for. Rarely is a child given up for adoption. A
grandmother or other family member will care for, or assist in the
care of, the child while the mother works or finishes her education.
‘ Abortion does occur, but while there are no statistics available,
, my suspicion is that it is fairly uncommon.
li The health care provider needs to be knowledgeable about
is cultural traditions related to "Pica." Pica is defined as unusual
K cravings for non-nutritional substances such as clay, chalk,
`¥ ashes, etc. This desire occurs in some cases of hysteria and
T pregnancy. There are isolated incidences of Pica in the Appala-
chian culture. However, there are no specific cultural traditions or
rituals associated with Pica during pregnancy, childhood, or any
other time in the life cycle.
The Appalachian woman seeks the health care provider who
can best meet her needs during pregnancy and delivery. She is
often limited by the fact that the provider of her choice is not
available, such as the nurse—midwife or lay-midwife.
Traditionally the women are stoic and independent. They
’ want to be in control of, and aware of, what is occurring in their
1 bodies. It is common for a nurse-midwife to be the primary health
care provider when that service is available. ln the past, the
lay-midwife played an important role in the delivery of health
care to the childbearing couple. Today, with local community
hospitals, third-party reimbursement, and the availability of well
trained nurse-midwives and physicians, the lay—midwife is rarely
utilized. Home births in the Appalachian culture have steadily
declined over the last thirty years.
However, there is a slowly evolving process occurring, with a
* movement back toward home births. This movement is slow,
because grandmothers and other family members remember well
. the days of high infant and maternal morbidity and mortality,
l`‘. ' due to the unavailability of health care. The Frontier Nursing
Service, of course, has for years provided a level of health care in
, Appalachia that has brought mortality rates down to the lowest
T levels found in the United States. However, many grandmothers
i vividly remember the days before FNS, and many others have
lived in areas beyond the reach of FNS. Thus, many families
encourage couples to utilize the birthing room or hospital delivery
room. They see this as a safe place, with immediate intervention
available if needed.

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  Regardless of where the birth occurs, it is a family affair. It is
` not unusual to have 10-15 people in the waiting room while a
. woman is in labor. The family is present out of concern for the
. mother, as well as to welcome the new family member. While this
0 may be frustrating to the staff, and certainly requires more time,
 . one must remember that the culture is family oriented, and this
  interaction facilitates family bonding. Historically, fathers and
{ ip husbands have been viewed as being separate and not involved in
Q; the childbearing experience. My experience has been the exact
T opposite. With an open invitation, husbands and fathers are very
willing, and obviously they enjoy participating. They participate
in the prenatal clinical visits when their work schedule permits.
They share information concerning the prenatal course, and they
are eager to learn about the infant’s development. Some hospitals
and birthing rooms do not require that fathers attend childbirth-
  ing classes prior to admission to the labor and delivery units. I
l have found that "on the spot" education has been relatively easy
V and very beneficial. The fathers seem to have a strong sense of
  what to do to provide support and comfort to the mothers. There
 j are very positive benefits in having them present.
Grandmothers encourage breastfeeding — they feel that
breast-fed babies do much better. Data collected at the Frontier
Nursing Service in 1980-1981 by Susie Baker, CNM, of the FNS
staff, indicates that approximately 50% of mothers practice
breastfeeding and 50% rely on bottle feeding. These statistics
reflect the national trend toward breastfeeding. This influence
came from pediatricians in the 1950’s and social pressures to
» ` bottle feed.
¢ The Appalachian culture has the same problems with diet and
exercise as are being seen across the U.S. Perhaps in many ways
they are not as severe. Traditionally, families have large vegetable
·· gardens. This facilitates the intake of quality, nutritional, foods,
ii especially in the summer and early fall. Many of these foods are
preserved for use throughout the year, thus decreasing the intake
of processed foods and fast foods.
There are many old wives’ tales pertaining to the childbearing
period. These are passed from one generation to another. While
attempts are made by the nurse—midwives and physicians to
» discount these, one must never underestimate the impact of these
tales. The health care provider must be very careful in dealing

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  6 FRONTIER Nunsmc Smzvicm
1
  with them. When a woman asks about an old wives’ tale, it can be .
  a grave mistake to put it aside. To tell her that the tale is foolish
Q and untrue will only harm the communication that one is
I developing with the client. One must listen carefully and assist
the woman in looking at the rational side of the tale.
The following are but a few of the old wives’ tales that are ·_,
common in the Appalachian culture:
(1) Hanging up clothes on a clothes line with the hands above  "`
3 the head will cause a cord around the baby’s neck. " ;
  (2) If the pregnant woman puts away (freezes or cans) {
  strawberries while pregnant, the baby will have a strawberry `
  mark at birth.
  (3) If the pregnant woman has a lot of heartburn during her  »
L pregnancy, the baby will be born with a lot of hair.
(4) Eating hot peppers while pregnant will purify the blood
(preventing toxemia or pre-eclampsia). (
(5) If the baby is carried high, it will be a girl; if carried low, it
will be a boy.
g (6) If one’s wedding ring is tied on a string and the ring is held
l over the wrist, then if it turns in a circle, the baby will be a girl, but  V
, if it swings back and forth, the baby will be a boy.  ‘
{ (7) An ax under the bed will cut the pains of labor.
R (8) If the placenta and cord are planted behind the house, the  
‘ soul ofthe baby will stay close to home. (This is not now observed A
to my knowledge.) `
The post—partum period is also a time of support and family
involvement. Family members, especially the grandmother, help
with the care of the new mother and the infant. This helps f
facilitate bonding, as well as identifying new roles and responsi- J
bilities for the mother. Fathers are especially supportive during  
this time, as they assist with the care and feeding of the infant.
There is always a desire for early discharge from the birthing  .v ·
room or hospital. Many places have 24-hour release because ofthe  Y
4 strong family support system at home. There is a tradition of the  
_ baby wearing an attractive suit or dress home, often one that a
family member has given as a gift.
g In summary, the childbearing couple of the Appalachian
culture desires the same outcome as other couples in other
cultures. That is for a healthy pregnancy, a safe delivery, and a
( healthy baby. In many ways, the Appalachian woman may have

 QUARTERLY BULLETIN 7
advantages over other women. She has strong family support
_ systems with family-oriented health care. Often she has the
advantage of being able to choose a home-like birth in a birthing
room with a nurse-midwife.
Strong implications for the health care provider can be seen in
. this. One can utilize the family unit to promote wellness and
preventive health care. One must not assume that all Appala-
T chians share the same beliefs or rituals. Each couple and family
A must be assessed individually. Allowing families the option to
practice their cultural beliefs may help avoid conflicts with the
health care system. Patients sometimes hesitate to discuss the
importance they attach to their cultural beliefs, for fear of causing
offense. Instead, they continue to behave according to their
customs without telling the health care providers. This, of course,
can interfere with health measures. However, if the options are
presented with an open attitude and mutual respect, relationships
will be smoother and health care more effective. Thus, cultural
traditions can be utilized by the nurse-midwife to promote a
‘ healthy pregnancy, while also making the childbearing experience
‘ a safe and happy one.
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 8 FRONTIER NURSING Sizavicrs ‘
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NEW CHAPEL HONORS GLENDA SUE SWARTZ t
The Glenda Sue Swartz Memorial Chapel of the Mary Breck— i
inridge Hospital was dedicated on June 30, 1983 at an inspiring
10:30 AM service. "Susie" Swartz, in whose memory the chapel
was dedicated, was a loving and caring Christian who worked at
the hospital as an X-ray technician until her death in December of
1981.
The dedication service was a joint effort of the Swartz family; f ‘
Miss Swartz’ former pastor, the Reverend Mr. Alvin Kanagy; ,
Susie’s friends; the Reverend Walter Campbell, representative of l
the Leslie County Ministerial Association; and the Frontier L `
Nursing Service Staff, which was represented by the director, Mr. ip
David Hatfield.
The chapel, which is located near the emergency room, was  
made possible by the generous gifts oftime, materials, and money `
from the Swartz family, various religious groups, the friends of
Miss Swartz, and other interested individuals.  
With the completion of the chapel, one of the dreams of Susie -
Swartz and others has come into being. However, along with the

 QUARTERLY BULLETIN e>
joy of a dream realized, the dedication service also reflected the
E hopes for the future use of the chapel.
I Glenda Sue Swartz was one whose faith in God was summed
. up in the beautiful phrase from Isaiah 30:15, " . . . in quietness and
in confidence shall be your strength .... "
;, It is appropriate that this verse is also the theme of the new
1 chapel. It expresses the hope that whoever enters the quietness
ll and beauty of the room shall find confidence, peace, encourage-
  ment, and strength for living.
1 Reverend Leonard L. Hood
` Pastor of the Presbyterian Ch urch, Hyden
BEYOND THE MOUNTAINS
Editor’s Note: In this edition of "Beyond the Mountains," we are
featuring an excerpt from a recent letter written by our Honorary
National Chairman, Mrs. Jefferson Patterson, of Washington,
D.C. Writer, director, and creator of The Forgotten Frontier in
1929, Mrs. Patterson devotes a great deal of her time to lecturing
-` on the work of the Frontier Nursing Service, and sharing this and
. other historical FNS films with interested individuals. Mrs.
i Patterson writes:
i On July 4, I showed The Forgotten Frontier and The Road
at the American Museum in Britain at Bath. The auditorium
was almost filled and the crowd very attentive during my
introduction and the films.
. To my surprise and pleasure, there were three Frontier
Nurses (retired) present: Liz Palethorp, Rosemary Radcliffe,
and Jill Ash (who is planning on visiting FNS in September
for the Mary Breckinridge Festival).
¢ I offered a print of each film to the Museum if they were
wanted, to be shown or lent to suitable groups, and both were
accepted. I also left one or two copies of FNS literature for
* e background information.
 I John Huitson, the Museum’s Director ofEducation, wrote:
Q "It was a great pleasure to meet you on Independence Day
I  and to see the films. There has been a considerable amount of
Y. favourable comment about the evening, and we were most
r grateful to you for providing us with such a rich experience as
; well as for donating the films to the museum."
J On July 20th, I showed The Forgotten Frontier at a benefit
sponsored by the Baltimore·Washington Chapter of the
American College of Nurse-Midwives. It was held at the

 10 FRoNT1ER NURSING SERVICE ‘
Society of Engineers in Baltimore and was successful enough _
to net $3,000 toward their legislative efforts. Instead of an
honorarium, they have sent a contribution to the FNS.
We are also pleased to report that the FNS National Chairman,
Miss Kate Ireland, has recently completed an 18-month assign- _’
ment for the United States Congress Office of Technology  
Assessment. Kate joined with 19 other leaders in the health field i
from throughout the United States on an Advisory Panel on  
Medical Technology and Costs of the Medicare Program. The ,,
panel’s function was to study various methods of reducing or L
limiting Medicare costs which are related to medical technology,
and to present these options for review by members of Congress
and their staffs. `
Finally, a word of congratulations to Betty Ann Mead,
Whitney Robbins, and the FNS Boston Committee for holding a
very successful spring meeting at the lovely home of Brooks
Lobkowicz in Dover on June 7. NEED Committee Co-chairman
Miss Jane Leigh Powell and Development Director Ron Hallman
traveled to Boston to report to the committee and assist with
plans for future activities.
P.S. We apologize for an error in last issue’s "Beyond the
Mountains." Poggy Gay Thomas was a courier in 1947, not in
1974.
. , \
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The new officers ofthe Mary Breckinridge Hospital Auxiliary: Left to right: Vice President
Alice Estridge, Secretary/Treasurer Cloma Moore, and President Faye Farmer.

  I QUARTERLY BULLETIN 11
¤ IN BRIEF
 · Nursing Hall of Fame. The American Nurses’ Association desires
nominations for its Nursing Hall of Fame, which was established in
1976; its purpose, according to the ANA, is "to commemorate the
 · achievements and contributions of nurses who helped shape the health
4 care system in the United States." Four criteria have been announced:
»_ The nominee must (1) "have performed work that affected the health
 i and/or social history of the United States through contributions in
·  i nursing practice, education, service, research or literature 20 years before
 V the time of selection," (2) have been prepared in a formal nursing
I program (except where the contribution was made before 1873), (3) have
worked in the United States or its territories, and (4) be deceased.
, Nomination forms are available from the Office of Public Affairs,
American Nurses’ Association, 2420 Pershing Road, Kansas City,
Missouri 64108. The deadline for submitting nominations is November 1 ,
1983.
Child Health Day will be observed on October 3. This event, which is
. also celebrated as Universal Children’s Day, has been observed on the
first Monday of October since 1959. Information can be obtained from
. the Public Inquiries Unit, United Nations, New York, NY 10017.
V NRPCA Calls for Papers. The National Rural Primary Care Associa-
tion requests papers for its Seventh Annual Conference on Rural
Primary Care, which will be held in Albuquerque, New Mexico, March
18-21, 1984. The Association invites contributions in the form of (1)
original research and evaluation, (2) program evaluation and problem-
oriented case studies, and/or (3) descriptive, analytic, or methodological
· papers. Manuscripts should be approximately 2,000-4,000 words in
, length. Papers must be received no later than December 15, 1983. Further
 I, information, including instructions for submitting papers, is available
_ from the National Conference on Rural Primary Care, New Mexico
 I Health Resources, 5200 Copper NE, P.O. Box 8735, Albuquerque, New
, Mexico 87198.
Operating Room Nurses’ Day is scheduled for November 14. Details
are obtainable from the Association for Operating Room Nurses, 10170
East Mississippi Avenue, Denver, Colorado 80231.
. Education for Nursing Practice in the Context ofthe 1 980s, a new
publication from the American Nurses’ Association, presents ANA’s
. position on the educational requirements for nurses. Basically, ANA
holds "that practitioners of professional nursing [must] be prepared with
a minimum of a baccalaureate degree in nursing and that practitioners
of technical nursing must be prepared with a minimum of an associate

 l
12 Faonrma NURs1No Smwicm
  degree in nursing." At the same time, ANA supports "grandfathering,”
  in order to assure that those registered nurses who are already licensed
2 will continue to be licensed despite changes in educational standards for ~
i new nurses. ANA expects that by 1992, half of the states will have
  adopted ANA’s educational standards.
National Radiologic Technology Week will be observed November 7  
through 13. Information is available from the Executive Director, ._
American Society of Radiologic Technologists, 55 East Jackson Boule-  lj
  vard, Suite 1820, Chicago, Illinois 60604.  
1
  COURIER NEWS L
i Horace Henriques, Summer ’7 6, Washington, D.C. - "Internship
i is now days from being over and am getting re—energized for the next few
  years. Will be at VA in D.C. July/Aug/Sept/Oct where I’ll get lots of
  independence so I think lots of experience will follow. Am still pleased
l with being at George Washington University, a smaller program with -
some excellent research potential and lots of elective time. So over all am `
planning to be here for four more years."
j Susan ("Sus") Williams (Mrs. Frederick C. Beckhorn), ’73, Rex-
Q ville, New York — “Fred and I had a baby girl, Fern Aurora Beckhorn,
  on July 15. Sure is wonderful to be a family! Love to all." `
_ Phoebe Sussler, Winter ’83, New London, Connecticut — "I spent
g most of the spring working opening shift at McDonald’s. I am back to .
. school this fall. I’ll be a junior at Lesley College in Cambridge, MA. It’s a
·, teaching college for women. My major is Child and Community."
  Midge Cull, Summer ’82, Lexington, Kentucky — "I’ve taken a job
  at the University of Kentucky hospital. Right now I’m supposed to be in
I the orientation program, but my work permit (temporary license) hasn’t J
  arrived yet from Ohio. I’ve been spending a lot of time just observing and
  helping out. Will be working on a medical floor when the permit arrives." `
I   , l
  James Sizemore, former Health Careers Student, writes: "I am no  .
  longer attending Berea College, but instead I am at University of ‘
  Kentucky. I’m planning on attending the University this fall and I’m I
  also working at the medical center. I’m pursuing my career in the nursing ,
¥ field and possibly at a later date I shall continue in the doctoral area.
  Since our town has such a shortage of nurses, I hope that some day I will
li be able to return and help by offering my talents. I think that we should
  feel honored to have the "Health Careers Program" at our high school,
i because it really has helped me through my education, so far."
4
4
1 Z
E

 QUARTERLY BUi.1.1a·m~1 is
A IN MEMORIAM
i We wish to acknowledge our appreciation and personal gratitude to
those friends who have, by including FNS in their wills, made a
continuing affirmation of interest and belief inthe care of mothers and
  babies and their families by the Frontier Nursing Service. Such legacies
i are added to the Endowment Fund.
  MRS. JAMES B. ARNOLD
i ·‘ Rochester, New York
MISS MABEL E. WINSLOW
Bethesda, Maryland
These friends have departed this life in recent months. We wish in this
manner to express our gratitude for their interest in our work, and our
sympathy to their families.
. MR. ALLEN GAY
Versailles, Indiana
Member of Bowlingtown Committee
MR. WALTER C. BEGLEY
Hyden, Kentucky
- Long-time friend and supporter
V of the Frontier Nursing Service
MR. JEFFREY GREENHOUSE
Husband of Alumna Sandy Hochman
Glen Head, New York
J DR. COLEMAN C. JOHNSTON
‘ Lexington, Kentucky
R Member of FNS Medical Advisory Committee
 r MRS. IAN PAUL
. New York, New York
* New York Committee Member and
T Chairman of Bargain Box
A MISS MARION S. ROSS
Oakville, Ontario, Canada
Former FNS staff member — various posts,
including secretary to Mrs. Breckinridge

 1 '
14 FRONT1ER NURs1NG SERVICE _
  MISS MARGUERITE T. WOOLLEY
  Charles Town, West Virginia
  Ex-staff and former member of
  Washington Committee
A REMEMBRANCE: MR. KENYON C. BOLTON  .
Last July, the Frontier Nursing Service lost a dear friend and loyal .' 
supporter, Mr. Kenyon C. Bolton, of Cleveland, Ohio. During the past 16  
years, Mr. Bolton served the FNS as Trustee, Honorary Trustee, and l
. Cleveland Chairman of the Mary Breckinridge Hospital and Develop- i 
  ment Campaign. Just prior to his death, Mr. Bolton, always so willing to '
1 help, contributed an extra gift toward the renovation of the Frances .
  Payne Bolton House on Hospital Hill. He made this contribution in
Z memory of his mother, the Honorable Frances P. Bolton, who gave the v
l FNS its second district nursing center ("Possum Bend" at Confluence) in »
5 1927.
  IN MEMORY OF WALTER C. BEGLEY ·
I Walter C. Begley, who died this summer, was a very special friend ofthe
Frontier Nursing Service. Like his father, who had been ofimmense help
to FNS in its early days by hauling heavy materials and equipment to  
, Wendover from the railroad depots at Krypton and Hazard, he was a `
i devoted friend. By the time he took over his father’s business, emphasis `
E had shifted to the need to haul provisions and hay for the horses. His ‘
  friendship, eagerness to help, and concern for FNS went far beyond the
  call of duty and of business, and FNS will miss him. *
  MEMORIAL GIFTS .
Q We take this means ofexpressing deep appreciation to our friends who -
  make a supporting contribution to the work of Frontier Nursing Service,
4 as a way of showing their love and respect for these individuals.
l Mrs. William Adams Lillian and Emil Anderson A
  Mrs. Charlotte Shaw Edith E. Anderson, R.N., C.N.M.  
1 Dr. Hugh C. Williams Dorothy Mae Anderson Bieber  .
  Mrs. Frances M. Williams Edith E. Anderson, R.N., C.N.M.
  Mrs. Redington Fiske Mr. Walter C. Begley  F
  Mr. and Mrs. John C. Fiske Harold and Jean Muncy A.
l Pgygis Boutgn McDougal Mr. Rutheford B. Campbell, Jr.
  MI; Robert McDOuga1,Jr_ Mr. and Mrs. Curt Steger and boys
DL and Mrs. Karl M. Wilson Mr. and Mrs. Roy IG. Eversole
T Mr. and Mrs. Charles B. Wilson Ml" and Mrs Davld McEwan
· D C I C J h t Mrs. Margaret D. Sharpe
2 r` 0 eman ° 0 ns on Mr. and Mrs. Alfred E. Combs
I Mr. and Mrs. John H. Kerr, Jr. M d M I . J D . I
r. an rs. ,onme . avis _
V. Miss Marguerite T. Woolley and daughters  
E MTS' Augustme J· Todd The J.O.Y. Group of the First .
_ Mr. Henry W. Boteler Baptist Church, Mt. Sterling, Ky.
  Mrs- Ameha H- 130**3*9* Mr. and Mrs. can Willoughby
l

 . QUARTERLY BULLETIN 15
ANNUAL MEETING OF THE
FRONTIER NURSING SERVICE
The Annual Meeting of the Frontier Nursing Service was held at the
Appalachia Motel and Restaurant in Hyden on Saturday, June 11 at
12:30 PM.
 ,‘ Over 100 friends of FNS came from near and far to share a day filled
`; with ample amounts ofboth business and pleasure. Many people arrived
  early to take advantage of tours of Wendover, the old Hyden Hospital
i n (now the Frontier School of Midwifery and Family Nursing), the Mary
ii Breckinridge Hospital, and the FNS Community Health Center at Big
Creek.
The Frontier Nursing Service National Chairman, Miss Kate Ireland,
* called the business meeting to order by recognizing the many special
t guests who were in attendance. Reports were then given by Mr. Homer L.
Drew, Treasurer of the Frontier Nursing Service, and FNS Director
` David M. Hatfield.
The new dean of the Frontier School, Mrs. Ruth Coates Beeman,
~ briefly addressed the gathering and introduced her goals for the future of
¥ the FNS educational program. She also touched upon the Nursing
‘ Education Enrichment Drive, a capital campaign to support the Frontier
· School beyond 1985.
The day was highly successful, and a word of thanks is extended to
° Mr. Eddie J. Moore and his Appalachia Motel and Restaurant staff for
helping to make the 1983 Annual Meeting a very special event.
LETTERS-
  · ‘ Our recent mail brought us two letters that we would like to share. The
= first is from Mrs. Edward Arpee, one of our Honorary Trustees:
 l June 5, 1983
 , Dear Ron,
\ The May 25th and 26th "Open House" tour ofthe FNS could not have
1 ‘ been more perfect weatherwise nor in any other way. The memories of
fifty—one years ago, when as the first courier from Chicago I spent eight
winter weeks at Wendover, were mingled with the new impressions to
make an exciting two days. The "Big House," all spic and span, was as
warm and welcoming as when Mary Breckinridge was in her little
bedroom at the end of the hall.
i It was good to see the same buildings — the Upper and Lower Shelves,
· Garden House, the Barn and log cabins along the road — all in use
 ‘ though “spruced up" from the stable days. I was even able to look down
‘ from the terrace to see the old gate that used to have a pull—rope one could

 16 FRoNT1ER