Doctors’ wellbeing: self-care during the covid-19 pandemic

Unadkat, Shreena; Farquhar, Michael

doi:10.1136/bmj.m1150

Cited by 69 publications

(61 citation statements)

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“…Self-care becomes a significant issue not only for patients, but also for mental health professionals in the time of COVID-19 (A1, C1, R1, C3, R2, see also Unadkat & Farquhar, 2020). Psychologists, for example, who work from home, risk getting insufficient exercise, becoming overloaded and working with patients longer than usual (A1).…”

Section: Self-carementioning

confidence: 99%

Adapting mental health services to the COVID-19 pandemic: reflections from professionals in four countries

Jurcik

Jarvis

Đorić³

et al. 2020

Counselling Psychology Quarterly

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The COVID-19 pandemic significantly changed the lives of a majority of the world's population. People have been encouraged to implement social distancing behaviors enforced by governments, and have experienced loss of employment or changes to their usual working environment. In the mental health sector, psychologists and psychiatrists have been forced to alter the standard care of patients without compromising safety. This article documents the experiences of the authors-mental health professionals in four countries, Canada, Russia, Australia and Japan-at the time of the COVID-19 pandemic, and offers recommendations on how clinical, training, and research practices may need to be adjusted to deal with lockdown situations. Clinicians adapted their usual best practices by learning new skills and updating their knowledge base. Mental health clinicians noticed that the pandemic led to symptomatic changes in some of their patients. Most clinicians moved towards providing telemental health services, such as conducting assessments and treatments remotely. Those who continued seeing patients in person employed personal protective equipment with various impacts on the clinician-patient relationship. The dilemmas of mass quarantines need to be carefully examined, as their effects on numerous health and psychosocial variables appear to be farreaching.

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Section: Self-carementioning

confidence: 99%

Adapting mental health services to the COVID-19 pandemic: reflections from professionals in four countries

Jurcik

Jarvis

Đorić³

et al. 2020

Counselling Psychology Quarterly

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“…The average age of the elderly population in India was 67.5 years (see Table 1). Out of total elderly population (60 years or above), 66.1% were in the age group of 60-69 years, 25.9% in (70)(71)(72)(73)(74)(75)(76)(77)(78)(79), and 8% were aged 80 years or above. 67.1% of India's elderly live in rural areas.…”

Section: Resultsmentioning

confidence: 99%

“…There is no alternative to maintaining a good daily schedule, which includes a proper diet, exercise, and sleep. Research shows these small steps help in improving the physical health and immunity and reducing the stress [69,70]. 7.…”

Section: Discussionmentioning

confidence: 99%

Equity and Elderly Health in India: Reflections from 75th Round National Sample Survey, 2017-18, amidst the COVID-19 Pandemic

Ranjan

Muraleedharan

2020

Preprint

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Background: Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) outbreak, called coronavirus disease - 2019 (COVID-19), has affected more than 200 countries across the globe with a higher fatality rate in the elderly population. Historical experience shows that the pandemic disproportionately afflicts the socioeconomically disadvantaged population. Aim of the study is to highlight the vulnerability of the aged amidst the current pandemic, in the light of the recent international evidence, and what government could do to mitigate their vulnerability.Methods: Data from the recently released (November 2019) 75 th Round National Sample Survey (NSS), which was conducted from July 2017 to June 2018, across 8077 rural villages and 6181 urban wards was used for this study. Data collected from 555115 individuals (rural: 325232; urban: 229232) included that of 42762 elderly individuals (60 years or above). Bivariate and multivariate analysis was used for the calculation.Results: 27.7 % of elderly reported suffering from any ailment in the last 15 days, whereas 8.5% had hospitalization during the last 365 days. Hospitalization rate was higher in the urban areas (OR: 1.21), general category (OR: 1.18), richest economic quintile (OR: 1.68), and among elderly living alone (OR: 2.05), which was statistically significant. 64% of the scheduled tribe and 51.0% of the poorest income quintile elderly utilized public facilities during hospitalization. Cardiovascular ailments were major cause for hospitalization (18.1%) and outpatient visit (32.0%) in the elderly. Diabetes and hypertension together constituted 55% of outpatient visit for the elderly. 18.9% of the elderly has health insurance though chances of facing catastrophic health expenditure was high in the elderly. 6.6% of elderly female and 1.6% male live alone, and 27.5% of elderly of age 80 years or above are immobile. 50% of male and 90% of female are financially dependent on others and more so in poorer economic quintiles.Conclusions: The vulnerability of India’s elderly increases across various equity dimensions which include the place of residence, gender, caste, marital status, economic quintile, living arrangements, surviving children, and economic dependence. The current COVID-19 pandemic poses a greater risk of social isolation among the elderly, which may lead to detrimental health impact.Trial Registration: No applicable since the study is based on secondary data.

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“…Worldwide frontline heroes including the health care providers (doctors, pharmacists, nurses, allied health care professionals and paramedical staff) and researchers are working tirelessly to fight against the COVID-19 by putting their lives at risk. People not only Pakistan, but globally acknowledge their efforts and struggle [24][25][26] .…”

Section: Discussionmentioning

confidence: 99%

Knowledge, attitude and practices among the inhabitants of Lahore, Pakistan towards the COVID-19 pandemic: an immediate online based cross-sectional survey while people are under the lockdown.

Ashiq

Bajwa

et al. 2020

Bangladesh J Med Sci

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Background: COVID-19 is an emerging infectious disease and has reached a status of global health emergency. It is widespread in Pakistan causing morbidity and mortality amongst masses. Objectives: Undertaken study aims at investigating knowledge, attitude and practices of the people residing in Lahore, Pakistan whilst the global crisis with sparse data available previously. Methodology: Following lockdown announcement, an immediate online cross sectional study was conducted from the 31st March to 6 April 2020. Data was analyzed by using SPSS IBM version 22. 00. Results: A total of 316 responses were received. Our study has shown that people 95.80% were well familiar with COVID-19, informed via news channels 46.2%. 91.7% believed the virus is contagious, 95.8% reported that the virus is spread by the respiratory droplets, 89.2% believed that all ages are at risk while 62.3% believed it risky for geriatrics only. 60.4% believed in its prevention with 91.7% respondents agreeably quarantined themselves while 6.6% didn’t. 99.7% participants were aware of social/physical distancing and 75.6% found it affecting mental health i.e. cause anxiety, depression etc. 59.2% of respondents were optimistic expecting it to end soon while 32.3% were uncertain. 49.1% said they have diagnostic facility and 89.6% acknowledged efforts of researchers/healthcare providers (doctors, pharmacist, nurses, allied health professionals and paramedical staff) for the society. 94.3% believed that there is need of awareness regarding COVID-19. Conclusion: An ever increasing need of awareness amongst the local population regarding COVID-19 is needed. It will lend hands in preventing spread of COVID-19 with minimal secondary transmission. It is recommended that extensive survey studies are required that can provide supportive data in developing and implementing public health policies regarding COVID-19 pandemic. It would further control and arrest the spread of COVID-19 in country. Bangladesh Journal of Medical Science Vol.19(0) 2020 p. S 69-S 76

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Doctors’ wellbeing: self-care during the covid-19 pandemic

Abstract: During a period of increased stress and uncertainty it is more important than ever for NHS staff to look after themselves, say Michael Farquhar and Shreena Unadkat

Cited by 69 publications

References 0 publications

Adapting mental health services to the COVID-19 pandemic: reflections from professionals in four countries

Adapting mental health services to the COVID-19 pandemic: reflections from professionals in four countries

Equity and Elderly Health in India: Reflections from 75th Round National Sample Survey, 2017-18, amidst the COVID-19 Pandemic

Knowledge, attitude and practices among the inhabitants of Lahore, Pakistan towards the COVID-19 pandemic: an immediate online based cross-sectional survey while people are under the lockdown.

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