Face masks and dry eyes

The science and the solutions

With face masks becoming compulsory throughout the pandemic, most of us will be wearing face masks for extended periods of time. While they help to prevent the spread of Coronavirus, there has also been a rise of reports of dry, uncomfortable eyes, otherwise known as mask-associated dry eye (MADE).

MADE is caused by an ongoing imbalance in the tear film resulting in eyes feeling sore, dry and irritated, looking red, watering eyes or lead to dry eye disease. Face masks cause repeated evaporation, as the exhaled air will travel upwards to our eyes.

To prevent this from happening:

  • wear your mask appropriately
  • use lubricating drops
  • limit time in air conditioned rooms or windy conditions
  • take regular breaks from digital devices
  • DON’T rub your eyes if they become itchy

Masks will be here for the foreseeable future therefore we need to remain alert and promote good mask wear if we are to overcome this pandemic. To find out more or have your say click here.

Returning to school after lockdown

Top tips for parents

With many children going back to school, there may be mixed emotions and feelings from different family members. The Mental Health Foundation have some practical advice to make the transition from home to school as smooth as possible. Their top tips include:

  • Talking – talk about their worries/concerns about going back to school
  • Get your children into a good sleep routine
  • Talk about the daily routines of school life
  • Develop coping strategies including breathing exercises, seeing friends or exercise
  • Make yourself available as much as possible, even simple things like going for a walk or baking may allow your child opportunities to talk rather than asking them directly
  • Be positive and discuss all the good things that are happening

For more details or resources to use at home click here.

Reflecting on COVID

Alone, surrounded

Fever came
And with it a sledgehammer
To my life
My life that still had
Time to run
But now there is no time to run
Instead I lie here alone,
Surrounded by an army
Of hospital staff who see me
Only through glass windows
Or the shield of PPE
Three thousand people
They say work here
But they won’t see me
Until I run once more
In the news
No longer alone,
Surrounded by other
Elderly with underlying conditions

A poem written by Shane O’Hanlon, who is a geriatrician in Dublin, Ireland.
He has a strong interest in the humanities in healthcare, and previously taught humanities at the Graduate Entry Medical School, University of Limerick. He now lectures on art in medicine and curates a humanities library for students and staff at University College Dublin.

NHS Reset

A campaign to shape what the health and care system could look life post COVID

Mental health services have faced unprecedented challenges due to COVID-19. They quickly and effectively moved to different ways of working to protect service users and staff. As we move to the next phase of the pandemic, we expect demand for mental health support to increase and to remain high for some time. This will have serious implications on resourcing and staff wellbeing.

This report from the NHS Reset campaign considers what mental health services need to prepare for, for the expected surge in demand. It also highlights how the health and care system can ‘reset’ the way care and support are planned and delivered in aftermath of COVID-19.

To find out more about the campaign click here.

Top tips for travelling safely in the UK

With ‘staycations’ becoming the new vacations, follow these top tips for your safety

UK Gov have highlighted 5 top tips for getting out and about in the UK:

  1. Know before you go – check whether the places you are visiting have any additional measure in place
  2. Follow advice on social distancing – keep your distance from people not in your household (2m if you can), avoid crowded places and try to avoid travelling on public transport at peak times
  3. Wash your hands regularly – take hand sanitiser with you in no washing facilities are available
  4. Check guidance on face coverings – ensure you travel with one and know where you will need to wear this
  5. Enjoy green spaces – remember to follow the Countryside Code

For more information click here.

Staying safe while travelling abroad

Keep up to date with health risks of your destination

The government has recently made changes to its travel policies, with the requirement to self isolate for 14 days being lifted for certain countries. Remember the current advice is to avoid all but essential international travel, however these countries are exempt from this advice.

Click here for advice and guidance about what to pack, what to do when you arrive at your destination and what you need to do on return to the UK.

Evidence updates

Keeping up to date with current awareness

The next chapter in our plan to rebuild: the UK Government’s COVID-19 recovery strategy. Cabinet Office; 2020.
This additional chapter to the recovery strategy sets out the next stages of our plan. It looks ahead to the coming months, covering the tools we will use to suppress the virus, the challenges that winter will bring and how we are preparing for these, and our ambition for continuing to reopen the economy and society when it is safe to do so. The ‘CONTAIN Framework’ sets out how local authorities and national Government will work together to manage local outbreaks.

Remodelling elective hospital services in the COVID-19 era: designing the new normal. King LA. Future Healthcare Journal 2020;7(3):1-4.
The writers suggest six major themes which could affect the design and delivery of elective clinical services in response to the COVID-19 pandemic: hospital avoidance, separation of high- and low-risk groups, screening, maintenance of adequate infection control, and new ways of working.

Over-Exposed and Under-Protected: The Devastating Impact of COVID-19 on Black and Minority Ethnic Communities in Great Britain. Runnymede Trust; 2020.
Black and minority ethnic people are over-represented in COVID-19 severe illness and deaths. This is according to almost every analysis of COVID-19 hospital cases and deaths in the UK by ethnicity carried out by the Intensive Care National Audit and Research Centre (ICNARC), Office for National Statistics, Institute for Fiscal Studies and Public Health England, among others. COVID-19 has had a devastating impact on ethnic minority community


Coronavirus and the common cold

New research suggests that infection from a common cold could generate an immune response to COVID -19

The article focuses on one arm of the immune response – the B and T cells which produce antibodies. It shows that people keep T cells from the mild coronaviruses long enough to interact with a new challenge by SARS-CoV-2, meaning that those T cells might recognise SARS-CoV-2 and help to clear the infection. Could this possibly provide an answer as to why some people have less severe effects compared to others? Click here to read more.

To read the whole research, conducted by La Jolla Institute for Immunology click here.

Antibodies latching onto a coronavirus to neutralise it.
https://www.shutterstock.com/image-illustration/antibodies-attacking-sarscov2-virus-conceptual-3d-1700617951

Reflecting on COVID

Using time wisely during COVID

I am crying at my desk, writing poetry
Between tasks, remembering my afternoon
Collage of patients’ faces,
Wondering what’s ahead for them. For all of us.
No one would pay me to cry, or write poetry.
They would deem it nonbillable hours.
But it is one of those times
I don’t know what else to do.
We are living in dangerous times.
No one can escape it.
We can only try to
avoid- avoid- avoid
And I feel very small, like a field mouse.
It is all I can do to
Blend in and hope the great
Horned owl will pass me over,
Not realizing his target is close and
Those otherworldly yellow eyes
Will focus somewhere else
And I will sleep
safe- safe- safe
Wrapped in a merciful sky one more night.

A poem written by Marianne A. Broyles, who has been a nurse for 16 years, mostly in the field of inpatient behavioral health. She is also a writer and has published two books of poetry, The Red Window (West End Press, 2008) and Liquid Mercury Girl (Mongrel Empire Press, 2018). She is interested
in how the process of writing benefits mental health and an overall sense of well-being and was able to research this further while working at Vanderbilt Psychiatric Hospital in Nashville, TN, as a recipient of its nurse scholar grant.

Digital health and care conference

A virtual conference for the digital revolution

The Kings Fund are holding a virtual conference from Monday 2nd November to Thursday 5th November, which will bring together top experts from the NHS and other parts of the digital health system to discuss the lessons learned and next steps after the Covid-19 pandemic.

The conference, along with other topics, will include:

  • the role of leadership in a time of crisis
  • the role of digital solutions
  • how to engage with health care staff and prepare them for the digital work environment

To find out more and see the full programme click here.

This virtual conference will take place over four half-days from Monday 2 November. You can join the short, interactive sessions live or catch up later on demand.

Register before Sunday 20th September for early bird rates.