Letter - E.C. Schmon to Arthur A. Schmon, 17 February 1917

This letter mentions a visit from Arthur in the next couple of days. He will visit Eleanor Celeste for two days and home to see his mother and friends for four days.

Letter - E.C. Schmon to Arthur A. Schmon, 22 December 1919

This letter describes a visit downtown for shopping and a walk and a planned outing to the theater that evening followed by dinner. The letter is labelled number 80.

Letter - E.C. Schmon to Arthur A. Schmon, 25 September 1917

The letter describes a visit to the library where Eleanor Celeste retrieves book about travels in Europe. She mentions she wants to explore the places that Arthur will travel to by reading books about countries in Europe. She also plans to go to the Red Cross to assist with making surgical dressings.

A Narrative Study of Patient Encounter Accounts of Physicians, Nurses, and Medical Receptionists after Two Decades of a Paradigm of Patient-Centered Care

Despite recent well-known advancements in patient care in the medical fields, such as patient-centeredness and evidence-based medicine and practice, there is rather less known about their effects on the particulars of clinician-patient encounters. The emphasis in clinical encounters remains mostly on treatment and diagnosis and less on communicative competency or engagement for medical professionals. The purpose of this narrative study was to explore interactive competencies in diagnostic and therapeutic encounters and intake protocols within the context of the physicians’, nurses’, and medical receptionists’ perspectives and experiences. Literature on narrative medicine, phenomenology and medicine, therapeutic relationships, cultural and communication competency, and non-Western perspectives on human communication provided the guiding theoretical frameworks for the study. Three data sets including 13 participant interviews (5 physicians, 4 nurses, and 4 medical receptionists), policy documents (physicians, nurses, and medical receptionists) and a website (Communication and Cultural Competency) were used. The researcher then engaged in triangulated analyses, including N-Vivo, manifest and latent, Mishler’s (1984, 1995) narrative elements and Charon’s (2005, 2006a, 2006b, 2013) narrative themes, in recursive, overlapping, comparative and intersected analysis strategies. A common factor affecting physicians’ relationships with their clients was limitation of time, including limited time (a) to listen, (b) to come up with a proper diagnosis, and (c) to engage in decision making in critical conditions and limited time for patients’ visits. For almost all nurse participants in the study establishing therapeutic relationships meant being compassionate and empathetic. The goals of intake protocols for the medical receptionists were about being empathetic to patients, being an attentive listener, developing rapport, and being conventionally polite to patients. Participants with the least iv amount of training and preparation (medical receptionists) appeared to be more committed to working narratively in connecting with patients and establishing human relationships as well as in listening to patients’ stories and providing support to narrow down the reason for their visit. The diagnostic and intake “success stories” regarding patient clinical encounters for other study participants were focused on a timely securing of patient information, with some acknowledgement of rapport and emapathy. Patient-centeredness emerged as a discourse practice, with ambiguous or nebulous enactment of its premises in most clinical settings.

Letter - E.C. Schmon to Arthur A. Schmon, 14 June 1918

Eleanore Celeste has been to visit Arthur Schmon's parents. His father has not been feeling well and takes a week vacation per month. His mother worries because the checks Arthur sends do not come when they should. Eleanore Celeste requests that Arthur write to Washington to have it straightened out. She also mentions her family and who they are visiting over the next week. This letter is labelled number 114.

Letter - E.C. Schmon to Arthur A. Schmon, 22 & 23 November 1919

Eleanore Celeste mentions a visit to Rahway with her sister. She also discusses Xmas gifts she is sewing. The letters are labelled number 51, 52 and 53.

Letter - E.C. Schmon to Arthur A. Schmon, 29 November 1919

She mentions a visit to Arthur Schmon's parents. She then goes on to describe the rest of her outings for the day. This letter is labelled number 60.

Letter - E.C. Schmon to Arthur A. Schmon, Tuesday P.M.

The letter reads:"Daddy dearie I have been so blue and homesick to-day that I could have cried my eyes out. Oh! Sweetheart, will the time ever come for that ice breaker to go down? I love you so and miss you so that dearie me if I don't see you soon, I'll die. Please keep reminding Mr. Grogan to let me know when that boat goes, for if I should miss it, I would be distincted. And if you should hear of it's sailing, dear, you let me know, too. The way I talk anyone might think that I am having a very unpleasant visit. On the contrary, I am enjoying my little sojourn here very much. I am with the family most of the time and they are all perfectly wonderful to me. They can't do enough for me. Shower me with love all the time, but with it all there is that big, big desire to be with my Dadd. I want to be where my heart is - in Shelter Bay. I can hardly wait to hear about the house. Have they started the plastering yet? I forgot to tell you that I cannot find out whether or not that linoleum can be bought in Canada. I shall keep on making inquiries, tho, dear, and hope to hear something about it soon. Well Daddy my own, bye-bye for another time. Al the love in the world your little Bubbles."

Letter - E.C. Schmon to Arthur A. Schmon, 25 October 1916

Eleanore Celeste mentions her mother's eye surgery is complete and she is now recuperating. She also mentions that Arthur plans to come for a short visit soon.

Letter - E.C. Schmon to Arthur A. Schmon, 10 March 1920

Eleanore Celeste is packing up their things for the move. She has been to a Lenten Service and had a visit with Miss Ketcham. The letter is labelled number 148.

Letter - E.C. Schmon to Arthur A. Schmon, 8 May 1918

Arthur has received a new "assignment as adjutant". Eleanore Celeste had a visit with Mother Schmon. The letter is labelled number 97.

Letter - E.C. Schmon to Arthur A. Schmon, 13 April 1917

Eleanore Celeste mentions she went to see the film "The Matrimaniac" starring Douglas Fairbanks. She hopes to travel to Princeton in a week or so to visit Arthur. He is studying for exams.

Letter - E.C. Schmon to Arthur A. Schmon, 4 April

She begins the letter by mentioning the marriage of her friend Maude to Leslie Douglass. She had a visit with Mother Schmon and Gus, Arthur's brother has returned to college. There is also a newspaper clipping titled "Can't Send Articles to Soldiers in France Unless Asked For". The letter is labelled number 80.

Letter (2 letters contained in one with a total of 2 pages) addressed to Henry Nelles. The first part is from Gilles Moffatt. The second part is addressed to Henry Nelles from R. Gillespie

Letter (2 letters contained in one with a total of 2 pages) addressed to Henry Nelles. The first part is from Gilles Moffatt and he says that there is a balance of 277 pounds and 13 shillings in their favour. This is dated Jan. 10, 1831. The second part is addressed to Henry Nelles from R. Gillespie and it says that he intends to go to London district before paying Mr. Nelles a visit in Grimsby. The second page of this letter is stained and missing a section. Text is slightly affected, Jan. 29, 1831.

Suivi postnatal à domicile après un congé précoce : Critères de sélection et Appréciation du délai

Aujourd’hui, la satisfaction des utilisateurs des services de santé est reconnue comme une mesure de la qualité des soins. Au Québec, le congé précoce en obstétrique constitue la norme pour les mères ayant donné naissance à un bébé en santé. Selon la littérature, cette pratique n’entraîne pas de répercussions négatives pour la santé des mères et de leur nouveau-né à condition qu’un suivi adéquat soit assuré. D’autre part, bien qu’il semble que la diminution de la durée du séjour hospitalier soit appréciée par les mères, peu de données sont disponibles relativement aux caractéristiques menant à l’appréciation du suivi postnatal. Objectifs : Cette étude s’intéresse principalement à la première visite à domicile effectuée par une infirmière suite au congé précoce en obstétrique. Dans un premier temps, elle vise à tracer un portrait des mères en fonction du délai de la première visite à domicile et, dans un second temps, à connaître les facteurs associés à l’appréciation, par les mères, du délai de cette visite. Méthode : Les données de cette étude ont été recueillies au Québec, entre janvier 2002 et janvier 2003, lors d’une enquête téléphonique effectuée auprès de mères de bébés nés en santé, un mois suivant leur accouchement vaginal sans complication (n=1548). Pour nos analyses, nous avons retranché les mères ayant eu une durée de séjour de plus de 60 heures, une grossesse de moins de 37semaines et un bébé pesant moins de 2500 g à la naissance. Notre échantillon se compose donc de 1351 mères. Résultats : 86,2 % des mères ont reçu une offre de visite à domicile. La majorité (80.2 %) des mères ont reçu la visite dans les trois premiers jours suivant leur retour à la maison, dont près du tiers (28,1 %), dans les 24 premières heures. Comparativement aux mères visitées au deuxième ou troisième jour suivant le congé, celles visitées dans les 24 premières heures ont jugé la durée de séjour hospitalier trop courte (p=0,018) et reçu un appel de l’infirmière qui a duré plus longtemps (p=0, 009). De plus, au moment du congé, elles perçoivent leur bébé en moins bonne santé (p=0,029). Elles ont aussi accouché d’un bébé plus petit (p=0,052) qui a tendance à avoir présenté des signes d’ictères pendant le séjour hospitalier (p=0,100). D’autre part, la majorité des mères (86,4 %) disent que le délai de la première visite à domicile est adéquat alors que 11,6 % le jugent trop court et 2,3 % trop long. Pour les mères visitées au premier jour, l’analyse multivariée révèle que certaines caractéristiques et certains besoins sont associés à la perception que le délai de la visite est trop court : une seule visite postnatale, un revenu familial de plus de 40 000 $, la perception que la durée de séjour est trop longue et le fait de ne pas allaiter. Pour les mères qui reçoivent la visite au deuxième et troisième jour, ce sont, seulement, le fait d’avoir été au rendez-vous médical et le fait d’avoir reçu une seule visite qui sont associés à la perception que le délai de la visite est trop court. Pour conclure, au Québec, le programme de suivi postnatal universel semble en mesure d’offrir une visite à domicile dans les délais prescrits à une majorité de mères. Les résultats de cette étude suggèrent que le délai de la première visite à domicile n’est pas optimal pour toutes les mères et permettent d’envisager que certaines mères auraient souhaité recevoir une seconde visite plus tardivement au cours de la période postnatale. D’autres recherches devront être effectuées afin de parfaire nos connaissances relativement au moment idéal pour réaliser les interventions postnatales.Mots clefs : Satisfaction, appréciation des utilisateurs, qualité des soins, programme universel, suivi postnatal, congé précoce en obstétrique, visite à domicile, délai de la visite, provision des services.