The News record SERVING THE PEOPLE OF MADISON COUNTY On thm fniid* County School Calendar For 1980-81 Year ... Turn To Page 2 79th Year No. 18 PUBLISHED WEEKLY IN THE COUNTY SEAT AT MARSHALL. N.C. THURSDAY, May 1, 1980 15' Per Copy Foster Care Experiment Draws High Praise The problem of footer children ? finding hornet for them, helping footer portent* adjust to them, dealing with the problems of the natural parents ? is ooe of the moot difficult facing any social agency. Perhaps the moat serious difficulty is "drift" - the movement of a foster child from one home to another, with intermediate stops in the court system. Permanency planning for each foster child takes time, patience and discussion among Judges, at torneys, social worker*, parents and cUkha ? and (tare is seldom enough time, due to heavy case loads. . The Department of Social Services in Madison County is typical in this respect. Just over a year ago, Sandy Marler, in charge of the faster care program, had more than 30 cases to handle ? far too many to give careful attention to any one of them. Then the state chose Madison County, along with seven other counties in the state, to participate in a year long pilot program in per- i manency planning The goal was to determine whether, by reducing the caae toad of the footer care worker, mora footer children could be placed in permanent homes. Madison was the only western county selected. "We were very eager to get into the program," said DSS Director Anita Davie. "We knew that with Sandy's case load, which was X when the program started, there was no way to deal effectively with each child. We also knew that she could do more if the load were reduced. Of course every agency tella the state this same story, so we needed a chance to prove it is really true." They had their chance, for a trial year ending in February 1980. Sandy's case load was reduced to S3, (really somewhat lower, because some of the children were sibl ings). Some of her clients were shifted to several col leagues at DSS, who gamely shouldered the additional burden for the sake of the ex periment They are adoption worker Judy Briggs and pro tective services worker Sarawill Bellamy. At year's end, the results were unmistakably positive. As the DSS people told their colleagues at the state Depart ment of Human Services recently, six of the 23 children had been returned home to their natural parents ? the preferred plan in the case of foster children. In addition, two children were cleared for adoption and seven more were pending adoption. By comparison, DSS had been unable to dear any foster children for adoption during the previous 24 years. Of the rest, seven were pen ding adoptive placement, six were placed in long-term foster care and one left the project. "We think the project was very effective," said Anita Davie. "We were able to move children out of foster homes into permanent homes or back to their natural parents. This is just too difficult when the caseload is too high." Abo, of IS more children ad ded after the beginning of the project, eight have been returned home, and there are plans to return four more home. One has been cleared for adoption. "The project has ended," said Sandy Marler, "but we are continuing. We are so ex cited to find that permanency planning can work that we don't intend to stop." DSS does need some addi tional money to continue the project, to pay some addi tional salary expense. But already the state has in dicated that at least a small amount of money is <v?niwg "It won't be enough for aB 100 counties," said Mrs. Davie, "but it's a start. Dr. Saran Morrow, N.C. secretary of human resources, recently announced that $750,000 will be redirected statewide to the permanency planning program. "We have a moral obligation to do all we can to reduce the number of children in foster care," she said. There are more than (Con Unued on Page 2) Special Nursing Program Offers Care At Home For some medical patients, especially those suffering from long-term ailments, a hospital is not the most desirable place to stay. It is not only expensive, but it also lacks the comfort and familiarity of home. For such patients in Madison County there is an alternative: the Home Health Program. Two home health nurses, Fay Skemp and Bren da Pace, and one aide, Linda Boswell, visit patients throughout the county on a regular basis. They check the diets, medications and vital signs of scores of home-bound patients. To many of the pa tients, these nurses, in their familiar blue-and-white Jeeps, have become close family friends and important bonds to the outside world. One of the home health nurses, Fay Skemp, invited me recently to go with her on her rounds. It became ap parent through the day just how important she is to her pa tients, and how much they en Joy being at home. There they are free to garden, keep house, cook their own meals and most important, make their own decisions. Our first stop was at a small house by the river Just up from Marshall where Lloyd Cut shall and his friend Henry live. It was Lloyd's 74th birth day, and Fay brought him a cake she had made. Lloyd suf fers from high blood pressure, pancreatitis, a duodenial ulcer and bursitis which becomes so severe at times that he can't walk. He was feeling all right today and was clearly moved by the present. "Thank you for the cake, Fay, be said several times. Henry, who also has dangerously high blood pressure, made her a present of green onions from his garden, which she ac cepted, and Lloyd got out a large bag of ramps, which she declined. "The biggest problem for a lot of my patients," she said as we drove away, "is salt. I can't get them to cut it out, and as long as they don't they won't get well. For most peo ple with any kind of heart con dition, salt is bad. It causes the body to retain too much fluid, especially in the feet and sometimes hands. The blood pools there and the heart has to work harder to pump. When they lie down the fluid comes up around the lungs and the heart. TMs can cause death by suffocation ? what many peo ple here call 'smothering'. "Then there is diet. We < at the house of Evie Church , who also suffers from high Mood pressure. Her feet and ankles were swollen, and whenever she works in the garden they become very sore. Fay took a blood sample in order to test the clotting time. Medication for high blood pressure thins the blood to ease the heart's pumping load, but it is important not to thin the blood too much. We tiptoed around Evie's dog, which has bitten Fay once already, and went over to Cotton Mill Hill where Geneva Edwards, 90, lives. She is Fay's oldest patient and is cared for by her daughters. She recently fell and cut her forehead, which seems to have set her back and reduced her appetite; her weight has fallen to 70 pounds. Fay fussed at her about eating more and drink ing more fruit juices. Geneva protested that she drinks gallons of juice, and held her hands wide apart to indicate how much, but her daughter told us as we left that she pro bably swallows no more than a spoonful at a time. "When patients get this old," said Fay, "sometimes they just refuse to eat enough to keep themselves going. I spend a lot of time talking to them and their families. One of the most important parts of my job is talking to them about death, which many home-bound patients will soon face. We try to prepare the pa tients and families for this, so that it does not come as a shock but as something to be expected." According to Michael Norins, director of the Hot Springs Health Program, there is a very high "burn-out rate" among home health nurses nationwide because the nurses devote so much atten tion and time to caring for pa tients, many of whom die. "All of the home health nurses are very strong, very dedicated people," said Norins. "They live with a lot of stress. They have not only the hard work and the endless paperwork, but also the (Continued on Page 13) , PAYE'S OLDEST PATIENT, Geneva Edwards of Cotton Mill Hill, Marshall, celebrated her 99th birthday in January. Nurse Skemp takes her blood pressure and urges her to eat more. Inade quate diet is one of the most serious problems with home bound patients. Marshall Fire Rates Drop Homeowners in the Smoky Mountain Fire District in Madison County will save money on their property insurance as a result of improvement in their fire protec tion classifications, according to the North Carolina Insurance News Service. INS reported the savings will apply to homeowners' and fire in surance policies. For example, the rate for a $50,000 brick veneer home in the Food Stamp Suspension Warned Unless Congress acts quick ly to provide more funds, food stamps for the month of June may be reduced or completely cancelled. Therefore, all reci pients are urged to spend their May allotment wisely. If funding is not provided by May IS your local Food Stamp Office will be ordered by the Federal Government to stop all food stamp issuance for June. News -Record To Post May Election Returns The primary election returns will be potted on a blackboard in the courtroom in Marshall next Tuesday night through the courtesy of The News Record. Election officials at the various polling places are asked to phone in the returns as soon as possible to the county election board which will be in the courthouse. The News Record will be a day late next week so that the readers will have the elec tion results. district will drop from $268 to $228 a year. The rate for a similarly valued frame dwelling will drop from $310 to $259 per year. The ex amples are based on the most widely purchased homeowner's policy. Savings on other policies are comparable. The Smoky Mountain Fire District includes the town of Mar shall and the area within a four mile radius of the fire house. YOUNG MATHEMATICIANS from Madison High traveled last week to Cullowhee to participate in the 10th annual Western Carolina University High School Mathematics Contest, along with 32 other high schools. Pictured above are, first row, left to right: Elaine Fore, Ronnie Weathers, Chris Wilde, Kevin Johnson, Karlyn Ammons and Michael McMahon; second row: Teddy Allison, Gina Worley, Chuck Pfaff, Teresa Norris, Jan Blair, Dana Allen and Sandra Keller; third row: Dwayne Buckner, Greg Dillingham, Amy Knisley, Alfred Dockery, Russell Lambert and Greg Lisenbee. Not pictured: Robbie Waites. The competition was held in algebra I, algebra 2, geometry and comprehensive areas. The contest was won by the Brevard High School team, for the eighth consecutive year. Community Development Meeting Marshall. There will be Citizens Vote In Primary Here May 6 The Primary Election for both Democratic and Republican candidates, for local, state and national of fices, will be held on May 6, 1980. The purpose is to nominate candidates who will run in the general election in November. In the primary, voters can vote only for can didates of their declared par ty On entering your polling place you must state your name, address and party af filiation. If you are properly registered, the primary lever will be adjusted for your party in the voting machine. You can then vote for one can didate from your party for each office by turning the pointer beside the name to the left until an "x" appears in the box. Only two county offices are up for election ? tax collector and register of deeds. Both Democratic and Republican candidates are running unop posed, so that they are not listed on the primary ballot. Following is a list of can didates for state and national offices who will be on the ballot: Democratic Primary Governor Salary;- *47, 700, plust $10,000 expenses. James B. (Jim)Hunt Jr. of Lucama, age 43. Occupation: Attorney. Education: BS in Agricultural Education, NCSU; MS in Agricultural Economics, NCSU; Doctor of Law, UNC-CH. Robert W. (Bob) Scott, of Haw River, age SO. Occupa tion: Dairy Fanner. Educa tion: Attended Duke Universi ty for 2 years; received a B.S. degree in Animal Husbandry, NCSU. Harry J. Welsh of Raleigh, age SO. Occupation: Sr. claim representative. Education; B.S. degree, Morehead State University. Lieutenant Governor Salary: $41,4S4, plus $10,000 expenses. James C. (Jimmy) Green of Clarkton, age SO. Occupation: Businessman and Farmer. Education: Washingto & Lee University. Clyde Pulley of Golds boro, age 45. Occupation: Com munity College Instructor. Education: B.S., Criminal Justice; M.S., Corrections. Carl J. Stewart Jr. of Gastonia, age 43. Occupation: Attorney. Education: A.B. and J.D. Duke University. Associate Justice, N.C . Supreme Court Salary $40,956 (Unexpired Term Ending 13/31/64) Ottway Burton of Asheboro, age 63. Occupation: Lawyer. Education: Graduate UNC Chapel Hill - School of Com merce; Harvard Graduate School of Business Ad ministration; UNC-Chapel Hill School of Law. J.P. (Phil) Carlton of PinetofM, age 43. Occupation: Associate Justice, N.C. Supreme Court. Commissioner Of Insurmnce High Point College; Masters Degree - Emory University. John Ingram of Cary, age 50. Occupation: N.C. In surance Commissioner. Education: B.S. in Business Administration, First in Class, Doctor of Law Degree, UNC Chapel Hill. James E. (Jim) Lo*g of Burlington, age 39. Occupa tion: Attorney. Education: N.C. State University; Univer sity of North Carolina, B.A.; University of North Carolina School of Law, J.D. Roy H. Rabon Jr. of Raleigh, age 43. Occupation: Resigned as District Manager, U.S. Census, to run. Education: UNC-CH, IMS School of Journalism. Secretary Of State Salary: $41,484 George W. Breece of Fayet teville, age 34. Occupation: Broker, former Member of N.C. House of Represen tatives. Education: B.A. Atlantic Christian College. Thad Eure of Win ton, age 80. Occupation: Lawyer; Dean of Secretaries of State of America. Education: Academic and laws Schools, UNC. State Senator James McChire Clark Zeb R. Shepard Robert S. Swain District Court Judge Boyd Laine Johnson Richard George Miller ( Continued on Page 13) Unaka Center Invites Public ToOpen House The Unaka CMtar in Hot Springs will hold an open house on May ? from 5 to 7 p.m. The public is cordtaUy in vited to see the center'# new building, BBjMlO^nderson s

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