Helping Out with COVID-19

Thank you for forwarding these valuable survival strategies. Nothing has more power and meaning than the words of someone who has walked the talk.

Hi all,

I thought I would share the information page we developed at the Canadian Arthritis Patient Alliance. I'm trying to keep it current since so much is changing all the time including with some of the medications we regularly take, like Non-Steroidal Anti-Inflammatory Drugs (NSAID's) and Hydroxychloroquine (yes, the Trump announcement).

http://arthritispatient.ca/covid-19-information-resources/

Some information is general while other information is specific to arthritis or living with chronic disease.

Hope this is helpful!

Laurie

This from an oncology nurse in the US on how the coping skills she learned as a cancer patient help with COVID 19.

https://herecomesthesun927.com/2020/03/23/a-few-covid-19-tips-from-someone-whos-had-a-lot-of-practice-living-with-uncertainty/

Putting on my Spiritual Care Chaplain chapeau now, here is a nice reference resource for navigating the existential and spiritual questions that may arise, from both adults and children:

Responding to Spiritual Questions and Emotional Needs after Tragedies

Following a terrible event or loss, these questions may arise, tempting others to
offer their own religious understanding or to engage in philosophical discussion. These
are valid questions... to be engaged at other times.

In times of deep crisis and pain, such questions – when posed by adults – might be heard
as:

“How could this have happened?”
“Does anyone care about and protect me and those whom I love?”
“What did I do to deserve this?”
“How can this terrible and unfair thing have happened?”
“Is there any order and security or is the world just chaos and

mayhem?”

When posed by children, depending upon their ages, they may be heard as:

“Why didn’t my parents/teachers/caretakers protect me?”
“Is it safe to be away from my parents?”
“Is it safe to go to sleep?”
“Are there bad guys everywhere?”
“Is the world a scarier place than I thought?”
“Is anyone in charge?”

How We Can Help

We needn’t try to convince these individuals of anything or to challenge their doubts and
disappointments, nor is it helpful to add our own negative conviction to theirs. If we hear
them saying (directly or others) that life and the world seem devoid of love, order, and
meaning, then agreeing or disagreeing isn’t the issue. Rather, the issue is how the world
feels to them right now – and thus, anything we can do on the side of life, calm, and
meaning will be most valuable.

The kindest response we can offer is one of listening, conveying acceptance that the
questions are being asked, and doing and saying things that help restore a sense of love,
justice, protection, and order in our world – even though what has happened is shocking,
unfair, hateful, or a result of temporary chaos.

We don’t necessarily have to convey all that in words. Instead, it can be in
compassionate care provided, accompaniment through agonizing tasks such as
funeral preparations, and the gentle and timely restoration of routine. We try to provide
living proof for one another that we live in a world in which there is great goodness, even
though it is also a world in which terrible tragedies sometimes occur.

When Children Have Questions

Children sometimes raise religious questions in the midst of tragedy too, although less
often than their parents. It is important to ask them what they think and to try to support
what they wish to and are able to believe, particularly if it is strengthening and
reassuring.

As adults, we needn’t profess beliefs we don’t have, but we can be respectful of our kids’
hopes – even when our own beliefs and faith are shaken.

Children need their sense of security restored and anything that helps with that (and isconsistent with their family's practice and belief) is what counts. Young children may not be able to conceive thatsomeone who was once here is now not somewhere (this is difficult enough for adults);most older children can conceive of people living on within our hearts, or of souls. It’s essential that we listen to children’s questions before we compose our answers, asvery young children age may not be clear about the permanence of death and thedifference between being alive and no longer alive. They still may be most concernedabout being separated from parents themselves and are reassured that the child or adultwho has died is not "somewhere" suffering and crying out in loneliness. At moments of traumatic crisis, children’s faith and trust in the people they have countedon to protect them may be more significantly shaken than their religious faith. Anythingadults can do to restore their sense that the people around them are working to restoresafety will matter most. They need to be allowed to remain close to caring adults and tohave a sense of calm – and, eventually, joy – returned to their lives. Perhaps in this way, children and adults are more alike than different: All of us need tofeel we are not alone and that there are trustworthy sources of hope, security, and joywithin our world.
Rabbi Edythe Held Mencher, LCSW, serves as Union for Reform Judaism faculty forSacred Caring Community and is director of the URJ Presidential Initiative forDisabilities Inclusion.

If you're not on Twitter you wouldn't have seen this. It's practical advice on isolation from a guy who spent a lot of time on submarines

Jon Bailey‏ @SloopJontyB Mar 20

During my time in the Submarine Service, I - along with many others - endured many weeks and months cooped up in a steel tube under the waves. I just thought I'd share a few coping strategies for many of you now facing a Covid-19 "patrol".

More

ROUTINE: Life at sea is dictated by shifts and routines. You can tell what day it was by what was for dinner.Make a routine now, test it then write it down & stick to it. Divide your day up in to work (if home working) rest, exercise, meals, hobbies, etc. Do the same for kids.

PRIVACY: the only place private at sea was your bunk. Make a dedicated private time / place in the routine. Even if you timeshare the front room get everyone a couple of hours alone. Do whatever you want: watch shit films, pray, yoga, arrange matches: whatever gets you through.

EAT: scran onboard was usually pretty good and broke up the monotony of patrols. Take time to prepare meals. A good mix of "feast & famine" will stop the pounds piling on - one boat dis Steak Saturdays, Fishy Friday, Curry & Pizza nights. On other days soup & bread was enough.

EXERCISE: you'll have the advantage of not having to use a spinning bike in a switchboard. 20-30mins a day of whatever as a minimum. Fitness Blender on YouTube has workouts for all. It's a natural antidepressant, breaks up the day and keeps you healthy. Get outside when able.

CLEAN: that house is going to get grungy now you're spending a lot more time in it. Put time in your daily routine to clean and stick to it.

CONNECT: even during radio silence we still got a weekly telegram from loved ones back home. This was a weekly highlight. Keep in touch with your people. My current work have agreed a daily "coffee" catch up online even if there's no work to discuss.

PERSPECTIVE: like all other patrols, this one will end. It's a dirt sandwich but better than dodging barrel bombs. Don't obsess the news or Twitter. Bring your world closer, focus on little things that you enjoy & make plans for the future. At least you should have a window!

Susan, this is marvellous. HERE is a link to Rabbi Mencher's good counsel. These perspectives are definitely worth sharing, so this might be easier than cut and paste. Thank you, again. I will re-read this again and again through the upcoming weeks and months.

Another big challenge to all of us is information overload. And finding an escape from the onslaught of scary stuff. It's hard to look away and easy to become obsessed. Here is an excellent short guide to lowering our anxiety by managing our exposure to news. Choosing sources of information carefully is critical to COVID-19 mental well-being from the Mental Health Commission of Canada

Back to kids...
I find that advice purportedly for children actually boils down what's best for me and good guidance for everyone with whom I interact. Here is a short article in today's Guardian that offers the insights of three psychologists. 'No, we aren't all going to die': experts on how to talk to kids about coronavirus

Thanks to everyone for contributing here. I am sure we are all immersed in support for others, and that also helps ourselves navigate through the stress. I do feel that offering our greatest generosity and patience to others repays in so many ways.

We feel good in helping others --that's why we do our usual patient partner work! Now, making an extra effort for calm conversations and gentle acts of kindness allows us to share in the effect.

Thanks for all you are doing. Don't forget to get enough sleep. And please share what you find online to post here: bright ideas that others may value. Don't forget to offer a few of your own remarks on what it is about and why you think it is helpful. Thank you and take care.

Warm regards, Carolyn

Along with our helpcare providers we need to think of those companies like Walmart whose employees ensure the basics are there for us to survive this unprecidented COVID-19 threat. I found Walmart canned goods whose prices had been cut in half, meat products reduced to cost etc. See below how this company works to ensure that their efforts do not go unnoticed.

Thank you!

We are incredibly proud of all of our Associates. Tens of thousands of our team members are working hard every day to take care of our customers, service our communities and support each other across Canada.

Our Associates truly show spirit by rising to the challenge of these unprecedented times. Each member of our team is going above and beyond to organize and deliver products to stores, ensure shelves are stocked, checkout is fast and customers have access to all their family needs. We are also grateful to our Associates’ spouses and loved ones who have had to take on extra responsibilities - particularly with many schools and daycares closed.

We are pleased to announce some programs we have put in place to thank our store and supply chain Associates during this time:

1. Appreciation Bonus – To thank over 90,000 store and supply chain associates for all of their hard work this past month, we will be providing all active Hourly Associates a March Appreciation Bonus of $200 for all Full-Time Associates and $100 for all Part-Time Associates.
2. Thank You Premium – Effective April 3 through April 30, for every hour worked, we will be providing a Thank You Premium of $2.00 for every Store and Supply Chain Hourly Associate on top of their hourly rate. This premium will be included on each pay for hours worked throughout this period.
3. Associate Discount Enhancement – In addition to their existing discounts, Walmart Canada will be offering every Associate an additional 10% discount for two shopping days in April. This will help enable Associates to purchase the essentials they need.
4. Store Incentive Program – We have accelerated the deposit of Annual Incentive Plan payouts by 2 weeks for all Store Associates. All eligible Associates will receive their payment earlier on April 3.
5. Access to Online Physician Care – We’re offering access to live online physician care for all 90,000 Associates at no cost so that they can get the advice and care they need.
6. Support For Quarantined Associates – We’re providing two-week replacement pay for Associates under mandated quarantine and additional supplemental income for those with confirmed cases who are require to stay home beyond two weeks.
Once again, we want to thank our Associates for everything that they’re doing to help serve our Canadian customers.

Susan, thanks for shedding some light on the existential and spiritual questions. I imagine these will become more important as the crisis continues.

I am struggling personally with managing the stress and frankly my husband's stress which is exponentially more than mine.

On the positive side, a) I find routine and focussing on what I can actually do -- sort, clean, talk with friends and family -- helps with normalization and connections and b) I have been asked as a patient partner to contribute to work that is dealing directly with the COVID crisis which gives me a sense of meaning.

I have not yet been able to parse through the flood of info to pick out good resources and am grateful for those of you who have.

Good morning. It is the last day of March and my Prairie Soul yearns for life to get back to ‘normal’. I find myself reflecting on what that new ‘normal’ will look like. For many of us we will retreat into our spirituality and come to our own conclusions. I very seldom talk about my Path as it is outside of mainstream religion. But each of us has a Path and what we believe is what will sustain us as we say here on the Prairie.... we carry on.

For myself as a Patient Family Partner I have been forced to slow down, take a breath, catch my breath and as I am a planner I have been planning my next steps. The positive for me in this Pandemic is that although I am frustrated that I have not been in the loop as a Patient Family Partner within my Healthcare Organization to bring the Patient lens to the discussion I have been processing.

As a ‘chronic’ with more than one ‘condition’ I called my Primary Care Physician and the next day she called. We have collaborated on a plan for my needs over the next three months that will keep me ‘safe’ and that same time reduce my anxiety. We also have a plan for me to see my Ophthalmologist to get my injection. I have also had deep discussions with Family about Advanced Care decision making.

Hello Brenda; Not sure from what prairie longitude you write, but as a former geographic centre of Canada resident 'gone down the road', I can empathize with your soul-searching regarding for how long we may (or may wish to) occupy space and consume non-renewable resources that could by used by children and grandchildren on our collective Earth.

I have found two groups to be informative on these issues:

Dying with Dignity Canada https://www.dyingwithdignity.ca/ and

World Population Balance https://www.worldpopulationbalance.org/content/one-planet-onechild

With the extra time we have to contemplate, we need to consider the implications of this virus (and those likely to come in future) in relation to our own consumption and mortality... and how we may wish to Exit this 'mortal coil'.

Stay Well;

Toby

It sounds like we are moving from a short term, 'temporary' situation, into a new normal of extended time of social isolation.

So we now have to create new strategies for maintaining some sort of equilibrium, socially, economically, for health, and overall.

Here are a few more resources on the topics of resilience and the value of experiencing anger for yourselves and to share.

They take two approaches, pragmatic tips and wisdom stories.

This is from the American Psychological Association with tips for how to build resiliency;

One is from a professional Chaplain/Rabbi who discusses the value of how anger is natural and motivates us toward problem solving; you can ask me for this one, the pdf is not available online yet.

Here is a link from Men's Health about anger and COVID-19

Sometimes a Fact Sheet with tips on how to organize the chaos that brings anger can help you feel more in control.

These references help us to engage with this ongoing change and all the feelings it
arouses, rather than avoiding or inhibiting our painful reactions to it. These are keys to successful personal and social coping, and a part of
staying healthy.

Just having an approach of curiosity, in itself, can be helpful.

Wishing You Movement and Stability,

...Susan

Thanks Alies and others, glad the resources are helpful.

The whole world now seems to be doing what I've been doing for the past 5 years to manage my ME/CFS: social distancing!

Instead my normal life of being on my own, either being left out of or missing meetings and social events, there are now Zoom meetings galore. It is tiring me out. Can't win! I still have to pace my social interactions.

It has been interesting to hear how people struggle with the isolation, and how I am reacting to the e-invasion of isolated people.

There must be a great cartoon or sitcom for this. Along the lines of dogs who are hiding under furniture because everyone is home now and incessantly taking them for a walk.

Watch your bottom line, try to right yourself when tipped,

Best,

...Susan

Dear COVID-Coping pals,

PAN is about to launch a new discussion board related to adapting to COVID. Keep your eyes peeled for the headings. I'll be leading this change, and will also post directions here.

Suggestions on topic headings? Do you like "COVID-coping"? Or is that too grim?

Here is my preliminary topic list. Do you think I'm on the right track for the PAN community? Headings may change with more clever wording. Suggestions welcomed!!!

PAN community on COVID-Coping (please respect confidentiality)

My questions needing your answers from experiences during COVID
What I’ve learned during COVID
Building outreach for community during COVID
How my past helps me now with COVID
My favourite distractions from COVID
Maintaining my health during COVID
Continuing patient partnership during COVID
?
?
?

Thanks for your energy and help! And thanks for bringing this discussion alive.

Best regards, Carolyn

I came across this and thought to share. It is a blog post by someone experienced in adapting to crisis who shares the stages we go through as we adapt to a crisis. I find it comforting to know that I am not totally losing it.

Why You Should Ignore All That Coronavirus-Inspired Productivity Pressure by Aisha S. Ahmad Mar 27, 2020

I was also reflecting on my mother's stories of being in occupied Europe during WWII. She spoke of the unreality of the first weeks which I am only now starting to viscerally understand as I grapple with the scope of this crisis. She was 14 and playing tennis when the German planes went overhead and assumed it was an exercise that mistook where the border was. When she got home for tea, she learned that Rotterdam had been leveled by bombs and 4 days later the Netherlands fell to the German army.

She also talked of living with uncertain and the specter of death and how the decisions you make are so different from when you can plan with certainty -- so much like the feeling today.

We were in the midst of starting major renos with all these wonderful plans... and now we have moved to Plan Z having moved through the alphabet through these last few weeks.

I am not so worried about myself and my husband although I definitely don't want to experience COVID, but I worry for my sons who are in their mid-40's. They are just blooming in their careers and are being cut down in mid-stride. I pray they remain resilient and adaptable and find new opportunities. In the meantime, we remain close (virtually) and look to humour and love to move from day to day.

All the best to everyone

Carolyn, reflecting on the topics related to COVID:

My questions needing your answers from experiences during COVID - yes
What I've learned during COVID - yes - my previous post may come under this category
Building outreach for community during COVID - yes
How my past helps me now with COVID - combine with What I've learned?
My favourite distractions from COVID - yes, we all need this
Maintaining my health during COVID - yes, need online yoga, breathing, etc.
Continuing patient partnership during COVID - yes, because in the urgency of the moment, we are not necessarily being included and that does not bode well for the future. Patient Partners are not a frivolity, they are what grounds the actions now and in the future around the patient. Without that, we are in trouble.

I am involved in some COVID tables and projects which I will talk about more later. Stay well, all.

I am interested in knowing how some of you are getting involved in the fight against COVID. I understand some people are volunteering around food banks and food delivery. For those who are health compromised, I have also heard that there is a great need for volunteers to help with tracking - all phone-based.

Check out this Govt of Canada site for volunteers:

https://www.canada.ca/en/public-service-commission/national-covid-19-recruitment-campaign-we-need-you.html

Alies

Using Zoom - There have been security issues lately with Zoom. A
number of school boards have cautioned against using it. I would be
careful of what you share using it. https://nymag.com/intelligencer/2020/04/the-zoom-app-has-a-lot-of-security-problems.html
and https://jewishjournal.com/news/313842/nyc-department-of-education-bans-schools-from-using-zoom-due-to-zoombombing/

Thank you. I know they are working on the security issues but all my work is via other platforms and won’t be using it. It is handy for families and non-private chats. To check on the updates/issues for Zoom just Google zoom and them click on the news tab.

Stay safe.

Here's another type of toolkit for coping: Humour! Laughter and sharing humour with others is a well-known tonic to maintain health and wellbeing.

This just came from a friend. Don't forget to LOL.

My Self-Isolation Quarantine Diary:
>>> Day 1 – I Can Do This!! Got enough food and wine to last a month!
>>> Day 2 – Opening my 8th bottle of Wine. I fear wine supplies might not last
>>> Day 3 – Strawberries: Some have 210 seeds, some have 235 seeds. Who Knew??
>>> Day 4 – 8:00pm. Removed my Day Pajamas and put on my Night Pajamas.
>>> Day 5 – Today, I tried to make Hand Sanitizer. It came out as Jello Shots!!
>>> Day 6 – I get to take the Garbage out. I’m So excited, I can’t decide what to wear.
>>> Day 7 – Laughing way too much at my own jokes!!
>>>
Day 8 – Went to a new restaurant called “The Kitchen”. You have to
gather all the ingredients and make your own meal. I have No clue how
this place is still in business.
>>> Day 9 – I put liquor bottles in every room. Tonight, I’m getting all dressed up and going Bar hopping.
>>> Day 10 – Struck up a conversation with a Spider today. Seems nice. He’s a Web Designer.
>>> Day 11 – Isolation is hard. I swear my fridge just said, “What the hell do you want now?”
>>>
Day 12 – I realized why dogs get so excited about something moving
outside, going for walks or car rides. I think I just barked at a
squirrel.
>>> Day 13 – If you keep a glass of wine in each hand, you can’t accidently touch your face.
>>> Day 14 – Watched the birds fight over a worm. The Cardinals led the Blue Jays 3–1.
>>> Day 15 – Anybody else feel like they’ve cooked dinner about 395 times this month?

...Cheers!

...Susan

No rreferences to share, but it seems to me that since Zoom was made aware of these issues, they have worked on the problem, and it should be a lot better now. If I come across a reference, I will try and remember where this conversation is, and post for you all.

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Helping Out with COVID-19

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