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Fall 1990 Beacon Light: Fall 1990 St. Cloud Hospital

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Fall 1990 Volume 41, Number 3

Kay Smidt, manager of the Recovery Plus inpatient unit, shows Soviet psychotherapist Mark Pevzner some of the promotional mater- ials associated with Recovery Plus programs.

Saint Cloud Hospital received a grant to cover the costs associated with Pevzner's stay. "Since Mark's visit has been such a success we will host chemical dependency experts from Nor- way, Israel, France, Switzerland, and other coun- tries," Kurilla said. "We need to become familiar with substance abuse treatment professionals in other countries to enable us to explore new tech- niques and advancements." In fact, Liv Furuholt, chemical dependency specialist from Norway, arrived in August to spend three months studying the women's outpatient program and Journey Home, the halfway house for chemically dependent women and their children. And negotiations are continuing with two specialists from Israel who have expressed interest in the residency program. Soviet therapist studies Recovery Plus "By bringing treatment professionals together from around the world, we can improve interna- Q oviet psychotherapist Dr. Mark Pevzner's arrival specialists really work from their heart. That's tional understanding of chemical abuse," Kurilla at Saint Cloud Hospital's Recovery Plus essential for healing and wholeness." said. chemical dependency unit in July marked the Pevzner plans to take many of the concepts he beginning of an international residency training has learned here and incorporate them into the —LORI J. TIFFANY prograrh on that unit. cooperative therapy practice he directs in Lenin- Marcia Kurilla, RN, Recovery Plus, worked to grad. "We need an institute in the Soviet Union to develop the program and coordinated Pevzner's train counselors," Pevzner said. "I have seen here EON THE INSIDE: five-week visit. that they are a very important link in the whole Pevzner, a psychotherapist from Leningrad, process to sobriety." Primary focuses on personal care . Soviet Union, wanted to learn the In addition to his studies, Pevzner participated lifeline system affords peace of mind model of treatment which includes segmenting in several appearances including a public forum at treatment programs to meet individual needs. As which he discussed the alcohol and chemical Mid-Minnesota Health Clinic opens part of his training Pevzner observed the group dependency problems in the Soviet Union. New Yorker comes to hospital for surgery . . . 5 process and studied specialized programs including According to Pevzner things are very different Governor candidates talk health care 6 senior, adolescent, outpatient and relapse. in his country. Once a person is diagnosed as an Gifts and Memorials "The program was an excellent opportunity for alcoholic or drug addict it may cost the person me to learn the direction of work at Recovery his/her job, housing allocation, status and more. Beacon Bits 7 Plus," Pevzner said. "I am amazed at the Pevzner's visit was part of the statewide Keepingng You Healthy ...... 8 psychological atmosphere on this unit. The "Moscow on the Mississippi" program for which Keepi

BEACON LIGHT

Nurses welcome responsibility of primary nursing

primary nursing was adopted as Saint Cloud Hospital's nursing care delivery system in 1988, beginning a transition which is directed toward increasing the quality of patient care through more individualized nursing care. "It really focuses on personalizing patient care," said Jean Sperl, primary nursing project coordinator. "Primary nursing aims to more clearly define nursing's responsibility for the co- ordination of patient care." In the primary nursing system, each patient has a primary nurse who is responsible for taking a special interest in him or her. Ideally, this nurse completes an admission assessment, draws up a care plan, ensures that it is followed or updated Floyd McConnell lives alone and is a Lifeline appropriately, communicates with the family, subso-iber Marie McConnell, his niece, knows physicians and other care givers, and completes that Floyd can summon help by pushing a discharge planning. button he wears around his neck. Generally, nurses are assigned to patients ac- cording to the nurse's experience and the acuity of the patient's condition. Assignments vary. A nurse may be assigned as primary nurse to several patients, and help as associate nurse in the care of others. Or, a nurse may be assigned as primary nurse to one critically ill patient, and spend almost all of his or her shift with that patient. To better explain this system it helps to com- pare it to another model such as team nursing, a system in which the various tasks associated with a group of patients were taken on by a group of Lifeline system gives niece peace of mind; uncle security nurses. Often, all the different tasks in an in- dividual's nursing care were dealt with by different Uloyd McConnell is a link to the past. His grand- Floyd is one of about 150 St. Cloud area Pioneers of America, a group of former telephone nurses. Team nursing was task centered. The great A‘ father, John Oscar McConnell, attended grade subscribers to the Lifeline emergency response company employees who do the installation free of thing about primary nursing, Sperl said, is that it school with future president William McKinley, system. Lifeline subscribers wear a button which charge. The hospital also has volunteers who do is patient centered. The nurse becomes more of a and attended Western Reserve College in Hiram, they can press to trigger an alarm in Saint Cloud test calls on the equipment on a regular basis. patient advocate, and the level of care is improved. , with James Garfield, another future Hospital's emergency trauma center. Each "The volunteer help is what makes the service "We now have a person accountable for coordinat- president. subscriber submits a list of persons to be contacted affordable," Langer said. "That includes Murphy ing the care of a patient, so there is more conti- John Oscar rode stagecoaches and fought In- in case of emergency, often relatives or neighbors. Ambulance, because if they make a call and the nuity and better quality care." dians before settling in St. Cloud. He bought land If a particular subscriber's alarm rings, emergency person doesn't need an ambulance, they don't "I grabbed hold of it right away," said Doris along Lake George, eventually owning property room staff contact somebody from the list, or, if charge." Harding, an R.N. on 4 NW with 13 years of exper- immediately. I think that patients deserve to have One of the responsibilities of primary nurse bordered by 9th and 14th Avenues West, and 2nd necessary, Murphy Ambulance or the local first The majority of subscribers are elderly, but ience on the surgical floor. "The main difference someone who will follow up and manage the care Doris Harding, R.N. , is reviewing the care plan and 8th Streets South. response emergency team. Floyd's list includes some have serious, disabling illnesses. Others are between primary nursing and what we did before given." with the patient. Floyd was born to John Oscar's son, Oscar Marie, other relatives, and Carter Place convalescing, and stop the service once they are is that we now establish a relationship with the Primary nursing is practiced in outpatient as McConnell. Floyd remembers the area where management. well again. "The two main reasons to subscribe to patient. Patients remember you as the primary well as inpatient areas. Endoscopy R.N. Linda Technical High School now stands as a corn field to Floyd once fell while not wearing his button Lifeline are security and independence," Langer nurse and feel more relaxed and are more open to Donabauer finds that it organizes nursing care. "A Primary nursing isn't new. The term was which deer came. In winter, he skated across Lake and spent an hour struggling to reach it. Now he is said. share feelings and information about their condi- patient comes in about a half-hour before the pro- coined in 1969. But like most innovations that re- George from his front yard to the doors of St. careful to always wear it or keep it within reach. For Floyd, who uses a magnifying glass to read tion. That's good, because it helps the nurse make cedure. The primary nurse introduces herself, quire massive adjustments in how people think Mary's School. Otherwise the family traveled by "It just gives me peace of mind; I don't really need two newspapers daily, and Marie, who grew up lov- more accurate assessments of what will help the checks the patient's pulse, blood pressure and about and practice their work, it takes time to gain sleigh. He has seen interesting times, including it," Floyd said, drawing a quick "Well you're going ing Floyd as though he were a third parent, that's patient." respiratory rate, gets the medical history, explains acceptance. Primary nursing experts from other WWI service in France. to wear it because it's peace of mind for me, too," reason enough. Like other nurses, Harding gives her patients the procedure to the patient with the use of wall hospitals have said that it often takes 5-10 years to He lives in Carter Place, a converted St. Cloud from Marie. business cards, so that if they have questions they charts—helps the patient feel cared for. The make a complete transition to this type of system. warehouse that has clean brick walls and an airy The decision for Floyd to become a Lifeline —JOHN PEPPER know who to ask. She likes to be there when the primary nurse then turns the patient over to the Sperl sees it as an important stage in the continued central atrium open to a bright, translucent roof. A subscriber was made by his family, which is patient's physician visits, because it helps her procedure nurse. After the procedure, the pro- evolution of nursing as a profession, creating an short man who wears his tweed brimmed hat in- typical, according to Linda Langer, the hospital's understand the patient's condition and medical cedure nurse reports back to the primary nurse, environment where nurses can have more author- doors, he remains fiercely independent, though he Lifeline coordinator. Subscribers all have a private history. "I learn from that, and I like the respon- and the primary nurse plans the care and co- ity to manage the patient's care. Harding finds an walks with canes. According to Marie McConnell, phone line and are within the St. Cloud dialing sibility. If during my assessment I see some signs of ordinates whatever happens next, whether the additional benefit. "It's real satisfying emotion- Floyd's niece, he can be curmudgeonly, but he system. skin breakdown I can make sure that the patient patient is discharged or admitted. It's much more ally to care for patients in this more personalized maintains a sharp sense of humor. "I was born in Installation of the special equipment which the gets a special mattress and that it's taken care of organized than before." way," she said. 1895. You figure out how old I am," he said. Lifeline system uses is performed by the Telephone

2 Health clinic opens New York man flies to St. Cloud for vacation, surgery to provide care for area's underinsured

eptember 24, 1990 was an important day in the lives of the estimated 17,000 uninsured and underinsured people who live within a 30-mile radius of St. Cloud. It was the day that the Mid- Minnesota Health Clinic opened. For these people it means that they will have access to quality health care without having to worry about how they're going to pay the bills. The clinic's medical director, Dr. John Hann, started in August and he was anxious "to get up and running and seeing patients." It's been a busy two months for Hann, project coordinator Jim Davis and the clinic's advisory committee. They've hired a clinic manager, volunteer coordinator, nur- sing staff and a receptionist — all key team members for the clinic. Sheryl Priesnitz began working part-time as the clinic's manager September 1 and increased to full-time on the 24th. Priesnitz has a Master's degree in Public Health from the University of Min- nesota and most recently worked for Lederle Laboratories as a medical representative. She also has 12 years experience working for the State of Minnesota in Public Health.

J As this Beacon Light was being assembled, staff were preparing the Mid-Minnesota Health Clinic for eople go to New York to see the sights. Some health care in New York. He knows a good urologist After being discharged from 4 Northwest Bill business. Above: Manager Sheryl Priesnitz and medical director Dr. John Hann were opening boxes of come to Minnesota to go fishing. Bill Mesick in Albany, New York, and at least one hospital not Mesick remained with his daughter's family in supplies, while X-ray technician, Debbie Sowada answered the phones. Laura Hann was making came from New York State to Saint Cloud Hospital too far from him has a good reputation. But he the St. Cloud area for a few days of rest before friends. Left: In the examination rooms carpenters Terry Nystrom and Dean Anderson were fitting to have prostate surgery. weighed the choices, and SCH won. He wanted to flying back to New York. shelves into cabinets. Mesick (it rhymes with seasick) lives in Ger- have surgery at the same place his wife did. And mantown, New York, on the east side of the Hud- last year his wife, Ruth, had surgery at SCH. staff by having a strong volunteer base. being duplicated elsewhere in the community. son River, about half way between Poughkeepsie This story began a few years ago, when the So when Bill Mesick found out he needed sur- •A task force has been formed to tackle "We're working hard now to reach those peo- and Albany. He travelled some 1300 miles for Mesicks' married daughter moved to Sartell. gery he took a vacation from his job as a public transportation problems. "This clinic is serving a ple who can use the clinic's services. It's impor- surgery because he thinks Saint Cloud Hospital is Naturally, the Mesicks came to visit, and it so hap- schools business manager and flew out to Min- 30-mile radius—that's 2,700 square miles. For tant for people to know that anyone can come special. pened that at one point Ruth Mesick was having nesota. His surgery has gone well. He will spend a many of the patients, getting to and from the clinic regardless of their ability — high or low — to pay. He flew in on Thursday, met urologist Dr. David some eye problems and needed to see a local few days with his daughter, recuperating, then The planning, development and opening of the is a big issue," Hann said. There are no financial barriers. If someone doesn't Matthew on Friday, was admitted for surgery on ophthalmologist. She was very pleased with her head back to New York and home. His one com- clinic was overseen by a 24-member advisory com- •Establishing a sliding fee scale for payments have a nickel they can come here," Davis said. Monday, and by the following Thursday morning treatment, which created a level of trust in plaint: too much food. "It's good. I've been eating mittee. This group made up the nucleus of six dif- has been the responsibility of the finance task Hann added, "This clinic is an independent was propped up in bed with a smile on his face. St. Cloud health care. like a horse. I must be putting on weight." ferent task forces: force. The group's long-term goal is to find addi- clinic. It will function like any other clinic in that "The admissions desk was very helpful and The daughter's family are friends of urologist He even looks like a man on vacation. •The marketing task force was charged with tional sources of funding for the clinic. we see people primarily by appointment or referral very kind. The anesthetist was wonderful. I just David Matthew, M.D. So when, on one visit, developing and closely following a detailed •A clinic cannot operate without qualified only. To come in just call us at 251-6805." can't say enough about this hospital," Mesick said. Dr. Matthew found out that Ruth Mesick needed —JOHN PEPPER marketing plan as they spread the word about the physicians and staff. The health care providers Hann and Davis are excited to see the clinic "The management of it is very good. The place is surgery, he discussed the procedure with the clinic and its services. "We have worked with task force's job has been to encourage volunteering open. "This type of work is what's most rewarding always clean. The staff are exceptional. It might Mesicks, and she elected to have the surgery at social service agencies, prepared news releases among the medical community, develop an on-call for me. It's what I went to medical school for," sound strange, but I can almost say that I've Saint Cloud Hospital. That was when the Mesick's and brochures and let our staffs know our progress. coverage schedule and promote the referral net- Hann said. "It was chance or luck that Dr. Hann's enjoyed my hospital stay. Being from out of state I found out what their local East Coast hospitals These have been all important steps in work within the 30-mile coverage area. needs and our needs meshed so well. We're for- don't get many visitors. But the nurses here are were missing. In Bill Mesick's words, "On the disseminating the information," Davis said. •The main duties of the community agency tunate to have him," Davis added. always helpful and friendly. They have a profes- East Coast people don't take the time to care. It's •The volunteer task force has been busy liaison task force have been to encourage referrals sional attitude and they care. Unfortunately, on the almost foreign to us." At SCH they found a hospital writing job descriptions for the various duties of from other social service agencies and to monitor —DIANE HAGEMAN East Coast, the warmth is missing." that gave the kind of service they wanted and in- the volunteers. Their goal is to double the paid the clinic's activities, ensuring the services aren't It wasn't that Mesick couldn't find competent spired a high level of trust.

l‘CON A 11

reform; administrative cost savings; individual Discharge Time Changes State candidates responsibility for health care choices." Question 2 : What do you think is a health Beacon Bits After extensive review and discussion, the care priority today? discharge time at Saint Cloud Hospital changed for Governor talk Rudy Perpich: "Minnesota has taken a step- Bond Issue from 1 p.m. to 11 a.m. effective September 1, by-step approach to providing access to quality, af- St. Cloud City Council authorized a tax-exempt 1990. The change includes all patient units except about health care fordable health insurance to all our citizens. Now revenue bond sale of up to $93.3 million which will the Maternal Child Unit. we must finish the task. While 17 percent of the allow the hospital to: finance construction of an Although the time has changed, the late charge nation is uninsured, we have lowered the rate in addition; remodel areas of the hospital; acquire policy will not change. A late fee will not be Editor's Note: Minnesota will be electing a Gover- 110 assessed until after 1 p.m. The two-hour change in nor this fall. The incumbent is Rudy Perpich; his Minnesota to 6.5 percent. Unlike , and install special hospital equipment; and which developed a state health care system that Rudy Perpich Jon Grunseth the discharge time will help incoming patients challenger is Jon Grunseth. The Beacon Light refinance 1985 bonds. The city issues these bonds bankrupted the state, Minnesota has adopted a Jon Grunseth: "The issue of affordable access in order to provide lower interest costs for the Auxiliary Presents Hospital waiting in admitting or the post anesthesia care staff wanted to know how these two candidates unit get to the comfort and privacy of their own think about some specific health care issues. They systematic approach that insures more and more to health care in Minnesota and across the country hospital, but the hospital is solely responsible for with $33,000 Check people as the state finds ways to fund additional will be increasingly important in the years ahead the repayment of the bonds. room more quickly. were asked specific questions. We have printed Ruth Boeckmann, chairperson, Gift Shop, and programs. We have expanded support of the Alter- as the 'baby boom' generation nears retirement age Saint Cloud Hospital provides services at their answers below. Lorraine Buttweiler, treasurer, Auxiliary, pre- native Care Grant Program, which provides grants and begins utilizing health care services more charges of approximately 14 percent below the Empty Arms sented a $33,000 check to Roger Oberg, Saint to seniors so they can use home care rather than rapidly. We cannot afford to postpone the difficult Twin Cities average. This project and the financial Cloud Hospital marketing vice president. The The summer Beacon Light failed to recognize Question 1: What are the most significant enter a nursing home. We have expanded eligibility decisions that must be made. By addressing these restructuring of the hospital's debt is important in check represents money raised as a result of Gift the Empty Arms support group. Alice Rademacher, health care issues in Minnesota that must be for Medical Assistance, which provides health care issues today and building upon the successes of the controlling costs in the future. Portions of the Shop and Auxiliary fundraising efforts and will be Empty Arms founder and director, received a JC addressed? to pregnant women and infants up to age one. We past, we can ensure that the next generation of bond sale will provide outpatient facilities needed used to fund SCH projects. Approximately $13,000 Penney Golden Rule Award on behalf of Empty Rudy Perpich "1) Access to quality, affordable created the Prenatal Care Initiative, which pro- Minnesotans will receive quality health care." now and in the near future to include: construc- will go to the new 5 South oncology unit for home Arms which volunteers support for families whose health care. 2) Continued improvement of the vides intensive prenatal care services to pregnant Question 3: What are your ideas for im- tion of building and parking facilities; addition of accessories. Other departments that will receive children die before leaving the hospital. state's community mental health services, women at risk of a pre-term or low birthweight proved health care access? new programs and services; and expansion of especially to children. 3) Expanded use, support baby. And we created the Children's Health Plan, Rudy Perpich: "My budget proposal to the part of the funds include education, Recovery Plus, specialty care centers. The and coordination of home care services. 4) Ex- the nation's only state sponsored insurance plan 1991 legislature will provide funding to expand the neonatal intensive care unit, echocardiography, Beacon Light is published by the Public Relations therapeutic recreation, and pediatric rehabilitation. and Development Department of the Marketing panding and supporting existing rural health care for the uninsured. The Children's Health Plan has health care to the remaining uninsured and Waste Management Division, Saint Cloud Hospital, St. Cloud, MN. services." served 17,000 Minnesota children in the past two underinsured. Current state revenue projections The hospital's waste management task team Journey Home Wins Award Sister Dolores Super, O.S.B. Jon Grunseth: "Affordable health care in- years and will cover an additional 50,000 children are running $41 million ahead of forecast, and I Chairperson, Board of Directors began meeting in May of this year. Its purpose is to surance for all; access to rural health care; a basic when it is expanded up to age 18 on January 1, have directed Finance Commissioner Peter Hutch- Journey Home, the only halfway house/ extended assess the hospital's entire waste management pro- John R. Frobenius, President care plan for medical services; medical liability 1991." Continued next page care facility in Minnesota that allows children to gram, assess current knowledge and guide the Roger Oberg stay with their mothers, has received the Minne- Vice President, Marketing and Planning hospital to a waste management program that is sota Hospital Association's Innovation of the Year Mary Downs Wilma Oberman environmentally sound, safe for employees and FRANK STOCKINGER BERNICE BOVY award. The award was presented in the category of Manager, Public Relations and Development Frederic Petters Mrs. Frank Stockinger Urban Bovy community, cost effective, and in which the Patient Care Enhancement. John L. Pepper, Editor Gifts and Memorials KAREN OLSEN HILDEGARD TWOMEY Sylvester & Corrine hospital can take pride. Hildegard Twomey Family Janochoski Journey Home is part of Saint Cloud Hospital's Halina Callahan Included among the team's goals is "To iden- Diane Hageman, Lori Tiffany Howard & Arleen Hermance BARBARA WHITE HILDEGARD TOWNEY Recovery Plus chemical dependency services. It Contributing Writers Saint Cloud Hospital acknowledges the following individuals and Mr. & Mrs. Harold Jorgensen Kathleen Peceka tify, reduce and ultimately eliminate any adverse organizations who have supported our mission of caring from June 1, Ethel Backes provides both extended care and halfway house Photography by Joel Butkowski, John L. Pepper Frances Ross Elizabeth Bardy H. Towney effects upon the environment that may be caused 1990 through August 31, 1990. Contributors' names are listed Shirley Stern programming for chemically dependent women age following the name of the person to whom they pay tribute or pur- Lynn Boulay DOROTHY BELL by existing hospital waste management practices." Janice Winch Jean Dillon Mr. & Mrs. Orville Brust pose they support. Objectives in place to address this goal involve 18 and older and their children. It is a structured, ARMAND PHILLIPS Frederick Fandel EDNA SECKINGER recovery focused setting for women who are re- REUBEN HOPFNER Mr. & Mrs. T. E. Alexander Mrs. Tannis Gruber Constance Moline reduction of waste that is landfilled or incinerated CUTS It_7E Kathryn Hall ferred after the completion of primary chemical Caroline Hopfner Jack Bell ARLENE DOUSETTE by recycling such waste where possible. NON-DESIGNATED Betty Freese Pauline Hall dependency treatment. HAMILTON JOHNSON Constance Moline Programs were already in place to recycle card- Joe & Denise Locnikar Ardelle Gustafson Gail Jacobsen Journey Home opened its doors in January, 1990. Laura Stang New York Life Insurance Co. Myron Moselle Elinda Laubach EARL VERKINNES board and X-ray film. This summer, nutrition ser- —Mpls. General Office Linus & Doris Weis MARVIN FABER Martinella Muggli Virginia Monarski vices began a program that will recycle at least Ronald & Elaine Buettner Staff & Agents Mrs. Joyce Phillips Mrs. N. D. Pappenfus CECILIA STRACK Nurse of the Year Queen of Peace Hospital— MICHAEL KLEIN Jeanne Tweedy Patricia Plattes Catherine & Renee Strack four tons of tin cans per year, three tons of plastics New Prague Mary Ann Klein Carol Vogt John Quinlivan ART PFANNENSTEIN and one ton of glass. A pilot program to recycle Sue Omann, R.N. , surgical enterostomal clini- Thomas J. Stone, D.D.S. 3M Club of St. Paul, Inc. RED PIERCE Faye Reilly Al & Kathy Seifert office paper began on August 1, involving four cian, was selected as district winner in the Min- GAYLE LAFOND Mrs. Clara Reiter HAROLD J. KLEIN Elly Pierce HOSPICE FUND hospital departments. nesota Organization of Nurse Executives' "Nurses A REGIONAL MEDICAL CENTER Ken & Juletta Malikowski Mrs. Muriel LaFond Bernadine Roe MARK RENGEL Donna Sakry MARK RENGEL The waste management team's brief also in- Ann G. Schroeder LeRoy Poganski Peter Woken Monica Daniel Make a Difference" contest. She is one of seven Hattie C. Smith Helen Sauer cludes examination of legal requirements regarding VIM® MARY LINN KNEVEL SHERMAN SANDVEN Lorraine Spengler CARDIAC CARE Minnesota nurses selected for demonstrating com- Esther Reischl Loretta Wentz Member of Voluntary Hospitals of America, Rosella Weyer Evelyn Eckroth Lois Stevenson JACQUELINE DAVIS hazardous waste, and the consideration of reusable passion, leadership and/ or creativity in direct pa- Gail Schlauderaff ANNA MAIER Mrs. Fred Thielman Ray & Rose Augustinack as well as recyclable products. tient care. k-13SPITCE FUND Jeanne Tweedy IRIS SCHROEDER Mary Ann Valley DANIEL HOXTELL Mary Kovell Barbara White Family ALZHEIMER USE JOHN MCMAHON Dorothy Norden St. Cloud Women of Today Roman Schroeder Mary White-Levilan Jerry & Diane Woit Corwin Snyder CANCER FUND DOROTHY BELL ADRIAN NOHNER BYRON & KATHRYN Continued from page 6 survey of small businesses indicated that 75 per- Country Club Bowling League FRANCES SCHULTENOVER /11,ELHAILlY health care providers and hospitals to meet the Mrs. Cyrilla Nohner & Family Margaret Mondloch STEENBURGH inson to begin working with the Health Care Ac- cent of the employers that do not offer health-care health care needs of greater Minnesota. My rural ARTHUR DUKE NON-DESIGNATED Earl & Ardelle Mueller Mrs. Betty Duke Lionel & Eileen Spaniol cess Commission to develop plans to finance this benefits would do so if the product was affordable. health care agenda will include: educational loan Dr. Phillip Boyle BILL AND HARRIET SEEP'S 7LIND CLARENCE LITCHY Mrs. Kathryn Martin Carolyn Byard Florence Litchy effort. In addition, I will recommend the creation Also, we may need to look carefully at utilizing a forgiveness programs; state income tax credit pro- J. B. Rogan 50TH WEDDING ANNIVERSARY GREATEST NEED Knights of Columbus, Bishop Mrs. Alvina Sauer LEONARD STOTKO Gary & Joyce Litchy of a new state agency to administer this program state operated reinsurance or stop-loss risk pool. grams for health care professionals willing to serve RITA FOX Elroy & Sandy Ness Marty Council #3603 Miriam Bohmer and all the current state health care programs now As Governor, I will be seeking advice on the afford- Susan Johnson Knights of Columbus-4th FRANK SKUDLAREK Lawrence & Pearl Solarz in greater Minnesota; tax credits for reimburse- Jim Gulland L.E. ROISEN Ellen Nipe Degree LEONARD STOTKO handled by several different departments." able access issue from a wide variety of people. I ments of professional liability premiums for rural Ruth Jeremiason-Jensen Ray & Rose Augustinack VA Medical Center—Nursing Rosella Weyer Rosalie Timmers Jon Grunseth: "I favor allowing working will make every effort to develop a good program obstetric physicians; training and educational Service Staff Heidi Johnson Agnes Habstritt LESLIE OBERMAN people within certain taxable income ranges to de- that will not impose undue burdens on Minnesota CONNIE HEINRICH Steve Larsen Glen & Betty Orren opportunities for health care professionals in rural Sharon Beedle Jim Studer vote all or part of their state income tax to health Gary Heinrich Gwen Lickteig DONATION taxpayers. There is a shortage of physicians, areas; incentives for additional residencies and Corwin Snyder Carroll Oberman MARIAN STEENSON Anonymous insurance premiums. Incentives should also be of- nurses, and other medical personnel at all levels in clerkships in rural areas; and aggressive assistance Marilyn Trojohn KAREN HOLM Edna Oberman fered to small employers who currently are not able greater Minnesota. My administration will focus for rural communities in recruiting physicians and Michele Juip Mrs. Irene Oberman & Family to offer health coverage to their employees. A its efforts on removing financial disincentives for other health care providers."

BETON irr LIGHT 6

Keeping You Healthy Family Education Program

Recovery Plus patterns. Treatment services are tailored to in- Prepared Childbirth Classes For more information or to register, call dividual needs. A 10-week treatment group is con- This comprehensive childbirth class is designed 255-5613. ducted four times each year, and a continuing care for expectant couples in their 6th to 8th month of group is ongoing. pregnancy. It meets for 7 sessions on Mon, Tues, or Family Education Program Wed. evenings. Afternoon session available on This program provides information on the Child and Adolescent Services Tues. dynamics of chemically dependent families, in- The behavior of your child or adolescent can be Time: 6:30-9 p.m. cluding how individual relationships and the fami- confusing and your role as a parent may be difficult Time: 2-4:30 p.m. ly as a whole are affected by alcohol or drug at times. The Counseling Center offers child and Place: Hoppe Auditorium dependency. adolescent services to assist you in recognizing Cost: $35 per couple Date: Wednesday evenings problems, determining appropriate interventions Time: 6:30 - 8 p.m. and learning how and when to get help. Sibling Classes Place: West Room, Level A, The Counseling Psychologists especially trained to work with Designed for children ages 3-12 years. The Center children and adolescents are available, providing child will gain a better understanding of the where Cost: FREE, no registration necessary the following services: and why of the time mom spends at the hospital • Assessment of Child or Adolescent Problems and the safe way to handle their new brother or Family Intervention Workshop • Individual and Family Therapy sister. Learn how to effectively intervene when a • Adolescent Group Therapy Time: 6:30 - 8 p.m. family member or a close friend has an alcohol or • Attention Deficit Hyperactivity Place: Fireside Room drug abuse problem. Help yourself to be able to • Evaluation and Consultation Cost: $10 help them. • Play Therapy Date: First Saturday of each month Time: 9 a.m. - 12 noon Women's Self-Esteem Group A HEARTY INVITATION Date: Third Monday of each month This group meets for ten sessions and is open to Time: 6:30 - 9:30p.m. women of all ages who are interested in building THE MEMBERS OF THE Place: Group Room 5, Level 1, The Counseling their self-esteem. Call 255-5777 for starting date. CARDIAC SERVICES PROGRAM AT Center Birthing Classes SAINT CLOUD HOSPITAL Cost: FREE, no registration necessary CORDIALLY INVITE YOU TO For more information or to register, call BUSINESS AFTER HOURS. Counseling Center 255-5642. The following programs are offered at The TUESDAY, NOVEMBER 27TH Counseling Center. For more information, call Refresher Class in Labor & Delivery 5:00 - 7:00P.M. 255-5777. In three sessions an expectant couple can RIVERFRONT DINING ROOM review the labor delivery process, breathing SAINT CLOUD HOSPITAL Eating Disorder Treatment Program techniques and relaxation. 1406 SIXTH AVENUE NORTH The outpatient eating disorder program pro- Time: 6:30 - 9 p.m. vides a variety of services: evaluation, individual Place: Fireside Room JOIN US FOR A SAMPLING OF and small group therapy, family therapy, educa- Cost: $20 per couple SOME DELICIOUS HEART HEALTHY FOODS, tional and nutritional information. These services TOURS OF OUR are professional and confidential. Evaluation is the CARDIAC SERVICES AREAS first step for anyone concerned about overeating, AND GREAT COMPANY! purging, fasting or any other problematic eating

Non-Profit Organization BEACON U.S. Postage PAID St. Cloud, MN Lan' Permit No. 389 Saint Cloud Hospital 1406 Sixth Avenue North St. Cloud, MN 56303

Sister Kathleen Kalinowski, OSB St. Benedict's Convent St. Joseph, MN 55374 © 1990 Saint Cloud Hospital

BEACON LIGHT

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