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My Experience During The Covid-19 Pandemic

• Categories: Covid 19

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Words: 440 |

Published: Jan 30, 2024

Words: 440 | Page: 1 | 3 min read

Table of contents

Introduction, physical impact, mental and emotional impact, social impact.

• World Health Organization. (2021). Coronavirus (COVID-19) Dashboard. https://covid19.who.int/
• American Psychiatric Association. (2020). Mental health and COVID-19. https://www.psychiatry.org/news-room/apa-blogs/apa-blog/2020/03/mental-health-and-covid-19
• The New York Times. (2020). Coping with Coronavirus Anxiety. https://www.nytimes.com/2020/03/11/well/family/coronavirus-anxiety-mental-health.html

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Personal Experience With the COVID-19 Pandemic

The COVID-19 pandemic has affected many areas of individuals’ daily living. The vulnerability to any epidemic depends on a person’s social and economic status. Some people with underlying medical conditions have succumbed to the disease, while others with stronger immunity have survived (Cohut para.6). Governments have restricted movements and introduced stern measures against violating such health precautions as physical distancing and wearing masks. The COVID-19 pandemic has forced people to adopt various responses to its effects, such as homeschooling, working from home, and ordering foods and other commodities from online stores.

I have restricted my movements and opted to order foodstuffs and other essential goods online with doorstep delivery services. I like adventure, and before the pandemic, I would go to parks and other recreational centers to have fun. But this time, I am mostly confined to my room studying, doing school assignments, or reading storybooks, when I do not have an in-person session at college. I have also had to use social media more than before to connect with my family and friends. I miss participating in outdoor activities and meeting with my friends. However, it is worth it because the virus is deadly, and I have had to adapt to this new normal in my life.

With the pandemic requiring stern measures and precautions due to its transmission mode, the federal government has done well in handling the matter. One of the positives is that it has sent financial and material aid to individual state and local governments to help people cope up with the economic challenges the pandemic has posed (Solomon para. 8). Another plus for the federal government is funding the COVID-19 testing, contact tracing, and distributing the vaccine. Lastly, the government has extended unemployment benefits as a rescue plan to help households with an income of less than $150,000 (Solomon para. 9). Therefore, the federal government is trying its best to handle this pandemic.

The New Jersey government has done all it can to handle this pandemic well, but there are still some areas of improvement. As of March 7, 2021, New Jersey was having the highest number of deaths related to COVID-19, but Governor Phil Murphy’s initial handling of the pandemic attracted praises from many quarters (Stanmyre para. 10). In his early days in office, Gov. Murphy portrayed a sense of competency and calm, but it seems other states adopted much of his policies better than he did, explaining the reduction in the approval ratings. In November 2020, Governor Murphy signed an Executive Order cushioning and protecting workers from contracting COVID-19 at the workplace (Stanmyre para. 12). Therefore, although there are mixed feelings, the NJ government is handling this pandemic well.

Some states have reopened immediately after the vaccination, but this poses a massive risk of spreading the virus. Soon, citizens will begin to neglect the laid down health protocols, which would increase the possibility of the increase of the COVID-19 cases. There is a need for health departments to ensure that the health precautions are followed and campaign on the need to adhere to the guidelines. Some individuals are protesting their states’ economy to be reopened, but that is a rash, ill-informed decision. The threat of the pandemic is still high, and it is not the right time to demand the reopening of the economy yet.

In conclusion, the pandemic has affected individuals, businesses, and governments in many ways. Due to how the virus spreads, physical distancing has become a new normal, with people forced to homeschool or work from home to prevent themselves from contracting the disease. The federal government has done its best to cushion its people from the pandemic’s economic effects through various financial rescue schemes and plans. New Jersey’s government has also done well, although its cases continue to soar as it is the leading state in COVID-19 prevalence. Some states have reopened, while in others, people continue to demand their state governments to open the economy, which would be a risky move.

Works Cited

Cohut, Maria. “COVID-19 at the 1-year Mark: How the Pandemic Has Affected the World.” Medical and Health Information . Web.

Solomon, Rachel. “What is the Federal Government Doing to Help People Impacted by Coronavirus?” Cancer Support Community . Web.

Stanmyre, Matthew. “N.J.’s Pandemic Response Started Strong. Why Has So Much Gone Wrong Since?” 2021. Web.

• Chicago (A-D)
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IvyPanda. (2024, February 26). Personal Experience With the COVID-19 Pandemic. https://ivypanda.com/essays/personal-experience-with-the-covid-19-pandemic/

"Personal Experience With the COVID-19 Pandemic." IvyPanda , 26 Feb. 2024, ivypanda.com/essays/personal-experience-with-the-covid-19-pandemic/.

IvyPanda . (2024) 'Personal Experience With the COVID-19 Pandemic'. 26 February.

IvyPanda . 2024. "Personal Experience With the COVID-19 Pandemic." February 26, 2024. https://ivypanda.com/essays/personal-experience-with-the-covid-19-pandemic/.

1. IvyPanda . "Personal Experience With the COVID-19 Pandemic." February 26, 2024. https://ivypanda.com/essays/personal-experience-with-the-covid-19-pandemic/.

Bibliography

IvyPanda . "Personal Experience With the COVID-19 Pandemic." February 26, 2024. https://ivypanda.com/essays/personal-experience-with-the-covid-19-pandemic/.

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Tell us about your experiences during the Covid pandemic

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The pandemic has been a difficult, dramatic time for so many of us, for so many different reasons. We have lost loved ones, had our families torn apart, struggled financially and emotionally. Some of us have been stressed by overwork; others by sudden unemployment. We have had to shield from the outside world – or been reluctantly obliged to mix with it.

If you have a story to share we would love to hear from you. You might be a doctor working flat out in A&E, a student who was locked down at university, a key worker forced to serve the public with inadequate PPE, a single mother who had to go months without childcare, a son who couldn’t visit his dying father in the care home … or even one of the lucky ones who has come out of the past year feeling stronger and more optimistic about life.

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Read these 12 moving essays about life during coronavirus

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The world is grappling with an invisible, deadly enemy, trying to understand how to live with the threat posed by a virus . For some writers, the only way forward is to put pen to paper, trying to conceptualize and document what it feels like to continue living as countries are under lockdown and regular life seems to have ground to a halt.

So as the coronavirus pandemic has stretched around the world, it’s sparked a crop of diary entries and essays that describe how life has changed. Novelists, critics, artists, and journalists have put words to the feelings many are experiencing. The result is a first draft of how we’ll someday remember this time, filled with uncertainty and pain and fear as well as small moments of hope and humanity.

At the New York Review of Books, Ali Bhutto writes that in Karachi, Pakistan, the government-imposed curfew due to the virus is “eerily reminiscent of past military clampdowns”:

Beneath the quiet calm lies a sense that society has been unhinged and that the usual rules no longer apply. Small groups of pedestrians look on from the shadows, like an audience watching a spectacle slowly unfolding. People pause on street corners and in the shade of trees, under the watchful gaze of the paramilitary forces and the police.

His essay concludes with the sobering note that “in the minds of many, Covid-19 is just another life-threatening hazard in a city that stumbles from one crisis to another.”

Writing from Chattanooga, novelist Jamie Quatro documents the mixed ways her neighbors have been responding to the threat, and the frustration of conflicting direction, or no direction at all, from local, state, and federal leaders:

Whiplash, trying to keep up with who’s ordering what. We’re already experiencing enough chaos without this back-and-forth. Why didn’t the federal government issue a nationwide shelter-in-place at the get-go, the way other countries did? What happens when one state’s shelter-in-place ends, while others continue? Do states still under quarantine close their borders? We are still one nation, not fifty individual countries. Right?

Award-winning photojournalist Alessio Mamo, quarantined with his partner Marta in Sicily after she tested positive for the virus, accompanies his photographs in the Guardian of their confinement with a reflection on being confined :

The doctors asked me to take a second test, but again I tested negative. Perhaps I’m immune? The days dragged on in my apartment, in black and white, like my photos. Sometimes we tried to smile, imagining that I was asymptomatic, because I was the virus. Our smiles seemed to bring good news. My mother left hospital, but I won’t be able to see her for weeks. Marta started breathing well again, and so did I. I would have liked to photograph my country in the midst of this emergency, the battles that the doctors wage on the frontline, the hospitals pushed to their limits, Italy on its knees fighting an invisible enemy. That enemy, a day in March, knocked on my door instead.

In the New York Times Magazine, deputy editor Jessica Lustig writes with devastating clarity about her family’s life in Brooklyn while her husband battled the virus, weeks before most people began taking the threat seriously:

At the door of the clinic, we stand looking out at two older women chatting outside the doorway, oblivious. Do I wave them away? Call out that they should get far away, go home, wash their hands, stay inside? Instead we just stand there, awkwardly, until they move on. Only then do we step outside to begin the long three-block walk home. I point out the early magnolia, the forsythia. T says he is cold. The untrimmed hairs on his neck, under his beard, are white. The few people walking past us on the sidewalk don’t know that we are visitors from the future. A vision, a premonition, a walking visitation. This will be them: Either T, in the mask, or — if they’re lucky — me, tending to him.

Essayist Leslie Jamison writes in the New York Review of Books about being shut away alone in her New York City apartment with her 2-year-old daughter since she became sick:

The virus. Its sinewy, intimate name. What does it feel like in my body today? Shivering under blankets. A hot itch behind the eyes. Three sweatshirts in the middle of the day. My daughter trying to pull another blanket over my body with her tiny arms. An ache in the muscles that somehow makes it hard to lie still. This loss of taste has become a kind of sensory quarantine. It’s as if the quarantine keeps inching closer and closer to my insides. First I lost the touch of other bodies; then I lost the air; now I’ve lost the taste of bananas. Nothing about any of these losses is particularly unique. I’ve made a schedule so I won’t go insane with the toddler. Five days ago, I wrote Walk/Adventure! on it, next to a cut-out illustration of a tiger—as if we’d see tigers on our walks. It was good to keep possibility alive.

At Literary Hub, novelist Heidi Pitlor writes about the elastic nature of time during her family’s quarantine in Massachusetts:

During a shutdown, the things that mark our days—commuting to work, sending our kids to school, having a drink with friends—vanish and time takes on a flat, seamless quality. Without some self-imposed structure, it’s easy to feel a little untethered. A friend recently posted on Facebook: “For those who have lost track, today is Blursday the fortyteenth of Maprilay.” ... Giving shape to time is especially important now, when the future is so shapeless. We do not know whether the virus will continue to rage for weeks or months or, lord help us, on and off for years. We do not know when we will feel safe again. And so many of us, minus those who are gifted at compartmentalization or denial, remain largely captive to fear. We may stay this way if we do not create at least the illusion of movement in our lives, our long days spent with ourselves or partners or families.

Novelist Lauren Groff writes at the New York Review of Books about trying to escape the prison of her fears while sequestered at home in Gainesville, Florida:

Some people have imaginations sparked only by what they can see; I blame this blinkered empiricism for the parks overwhelmed with people, the bars, until a few nights ago, thickly thronged. My imagination is the opposite. I fear everything invisible to me. From the enclosure of my house, I am afraid of the suffering that isn’t present before me, the people running out of money and food or drowning in the fluid in their lungs, the deaths of health-care workers now growing ill while performing their duties. I fear the federal government, which the right wing has so—intentionally—weakened that not only is it insufficient to help its people, it is actively standing in help’s way. I fear we won’t sufficiently punish the right. I fear leaving the house and spreading the disease. I fear what this time of fear is doing to my children, their imaginations, and their souls.

At ArtForum , Berlin-based critic and writer Kristian Vistrup Madsen reflects on martinis, melancholia, and Finnish artist Jaakko Pallasvuo’s 2018 graphic novel Retreat , in which three young people exile themselves in the woods:

In melancholia, the shape of what is ending, and its temporality, is sprawling and incomprehensible. The ambivalence makes it hard to bear. The world of Retreat is rendered in lush pink and purple watercolors, which dissolve into wild and messy abstractions. In apocalypse, the divisions established in genesis bleed back out. My own Corona-retreat is similarly soft, color-field like, each day a blurred succession of quarantinis, YouTube–yoga, and televized press conferences. As restrictions mount, so does abstraction. For now, I’m still rooting for love to save the world.

At the Paris Review , Matt Levin writes about reading Virginia Woolf’s novel The Waves during quarantine:

A retreat, a quarantine, a sickness—they simultaneously distort and clarify, curtail and expand. It is an ideal state in which to read literature with a reputation for difficulty and inaccessibility, those hermetic books shorn of the handholds of conventional plot or characterization or description. A novel like Virginia Woolf’s The Waves is perfect for the state of interiority induced by quarantine—a story of three men and three women, meeting after the death of a mutual friend, told entirely in the overlapping internal monologues of the six, interspersed only with sections of pure, achingly beautiful descriptions of the natural world, a day’s procession and recession of light and waves. The novel is, in my mind’s eye, a perfectly spherical object. It is translucent and shimmering and infinitely fragile, prone to shatter at the slightest disturbance. It is not a book that can be read in snatches on the subway—it demands total absorption. Though it revels in a stark emotional nakedness, the book remains aloof, remote in its own deep self-absorption.

In an essay for the Financial Times, novelist Arundhati Roy writes with anger about Indian Prime Minister Narendra Modi’s anemic response to the threat, but also offers a glimmer of hope for the future:

Historically, pandemics have forced humans to break with the past and imagine their world anew. This one is no different. It is a portal, a gateway between one world and the next. We can choose to walk through it, dragging the carcasses of our prejudice and hatred, our avarice, our data banks and dead ideas, our dead rivers and smoky skies behind us. Or we can walk through lightly, with little luggage, ready to imagine another world. And ready to fight for it.

From Boston, Nora Caplan-Bricker writes in The Point about the strange contraction of space under quarantine, in which a friend in Beirut is as close as the one around the corner in the same city:

It’s a nice illusion—nice to feel like we’re in it together, even if my real world has shrunk to one person, my husband, who sits with his laptop in the other room. It’s nice in the same way as reading those essays that reframe social distancing as solidarity. “We must begin to see the negative space as clearly as the positive, to know what we don’t do is also brilliant and full of love,” the poet Anne Boyer wrote on March 10th, the day that Massachusetts declared a state of emergency. If you squint, you could almost make sense of this quarantine as an effort to flatten, along with the curve, the distinctions we make between our bonds with others. Right now, I care for my neighbor in the same way I demonstrate love for my mother: in all instances, I stay away. And in moments this month, I have loved strangers with an intensity that is new to me. On March 14th, the Saturday night after the end of life as we knew it, I went out with my dog and found the street silent: no lines for restaurants, no children on bicycles, no couples strolling with little cups of ice cream. It had taken the combined will of thousands of people to deliver such a sudden and complete emptiness. I felt so grateful, and so bereft.

And on his own website, musician and artist David Byrne writes about rediscovering the value of working for collective good , saying that “what is happening now is an opportunity to learn how to change our behavior”:

In emergencies, citizens can suddenly cooperate and collaborate. Change can happen. We’re going to need to work together as the effects of climate change ramp up. In order for capitalism to survive in any form, we will have to be a little more socialist. Here is an opportunity for us to see things differently — to see that we really are all connected — and adjust our behavior accordingly. Are we willing to do this? Is this moment an opportunity to see how truly interdependent we all are? To live in a world that is different and better than the one we live in now? We might be too far down the road to test every asymptomatic person, but a change in our mindsets, in how we view our neighbors, could lay the groundwork for the collective action we’ll need to deal with other global crises. The time to see how connected we all are is now.

The portrait these writers paint of a world under quarantine is multifaceted. Our worlds have contracted to the confines of our homes, and yet in some ways we’re more connected than ever to one another. We feel fear and boredom, anger and gratitude, frustration and strange peace. Uncertainty drives us to find metaphors and images that will let us wrap our minds around what is happening.

Yet there’s no single “what” that is happening. Everyone is contending with the pandemic and its effects from different places and in different ways. Reading others’ experiences — even the most frightening ones — can help alleviate the loneliness and dread, a little, and remind us that what we’re going through is both unique and shared by all.

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COVID-19 Lockdown: My Experience

When the lockdown started, I was ecstatic. My final year of school had finished early, exams were cancelled, the sun was shining. I was happy, and confident I would be OK. After all, how hard could staying at home possibly be? After a while, the reality of the situation started to sink in.

The novelty of being at home wore off and I started to struggle. I suffered from regular panic attacks, frozen on the floor in my room, unable to move or speak. I had nightmares most nights, and struggled to sleep. It was as if I was stuck, trapped in my house and in my own head. I didn't know how to cope.

However, over time, I found ways to deal with the pressure. I realised that lockdown gave me more time to the things I loved, hobbies that had been previously swamped by schoolwork. I started baking, drawing and writing again, and felt free for the first time in months. I had forgotten how good it felt to be creative. I started spending more time with my family. I hadn't realised how much I had missed them.

Almost a month later, I feel so much better. I understand how difficult this must be, but it's important to remember that none of us is alone. No matter how scared, or trapped, or alone you feel, things can only get better.  Take time to revisit the things you love, and remember that all of this will eventually pass. All we can do right now is stay at home, look after ourselves and our loved ones, and look forward to a better future.

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Writing about COVID-19 in a college admission essay

by: Venkates Swaminathan | Updated: September 14, 2020

Print article

For students applying to college using the CommonApp, there are several different places where students and counselors can address the pandemic’s impact. The different sections have differing goals. You must understand how to use each section for its appropriate use.

The CommonApp COVID-19 question

First, the CommonApp this year has an additional question specifically about COVID-19 :

Community disruptions such as COVID-19 and natural disasters can have deep and long-lasting impacts. If you need it, this space is yours to describe those impacts. Colleges care about the effects on your health and well-being, safety, family circumstances, future plans, and education, including access to reliable technology and quiet study spaces. Please use this space to describe how these events have impacted you.

This question seeks to understand the adversity that students may have had to face due to the pandemic, the move to online education, or the shelter-in-place rules. You don’t have to answer this question if the impact on you wasn’t particularly severe. Some examples of things students should discuss include:

• The student or a family member had COVID-19 or suffered other illnesses due to confinement during the pandemic.
• The candidate had to deal with personal or family issues, such as abusive living situations or other safety concerns
• The student suffered from a lack of internet access and other online learning challenges.
• Students who dealt with problems registering for or taking standardized tests and AP exams.

Jeff Schiffman of the Tulane University admissions office has a blog about this section. He recommends students ask themselves several questions as they go about answering this section:

• Are my experiences different from others’?
• Are there noticeable changes on my transcript?
• Am I aware of my privilege?
• Am I specific? Am I explaining rather than complaining?
• Is this information being included elsewhere on my application?

If you do answer this section, be brief and to-the-point.

Counselor recommendations and school profiles

Second, counselors will, in their counselor forms and school profiles on the CommonApp, address how the school handled the pandemic and how it might have affected students, specifically as it relates to:

• Grading scales and policies
• Graduation requirements
• Instructional methods
• Schedules and course offerings
• Testing requirements
• Your academic calendar
• Other extenuating circumstances

Students don’t have to mention these matters in their application unless something unusual happened.

Writing about COVID-19 in your main essay

Write about your experiences during the pandemic in your main college essay if your experience is personal, relevant, and the most important thing to discuss in your college admission essay. That you had to stay home and study online isn’t sufficient, as millions of other students faced the same situation. But sometimes, it can be appropriate and helpful to write about something related to the pandemic in your essay. For example:

• One student developed a website for a local comic book store. The store might not have survived without the ability for people to order comic books online. The student had a long-standing relationship with the store, and it was an institution that created a community for students who otherwise felt left out.
• One student started a YouTube channel to help other students with academic subjects he was very familiar with and began tutoring others.
• Some students used their extra time that was the result of the stay-at-home orders to take online courses pursuing topics they are genuinely interested in or developing new interests, like a foreign language or music.

Experiences like this can be good topics for the CommonApp essay as long as they reflect something genuinely important about the student. For many students whose lives have been shaped by this pandemic, it can be a critical part of their college application.

Want more? Read 6 ways to improve a college essay , What the &%$! should I write about in my college essay , and Just how important is a college admissions essay? .

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How to Write About Coronavirus in a College Essay

Students can share how they navigated life during the coronavirus pandemic in a full-length essay or an optional supplement.

Writing About COVID-19 in College Essays

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Experts say students should be honest and not limit themselves to merely their experiences with the pandemic.

The global impact of COVID-19, the disease caused by the novel coronavirus, means colleges and prospective students alike are in for an admissions cycle like no other. Both face unprecedented challenges and questions as they grapple with their respective futures amid the ongoing fallout of the pandemic.

Colleges must examine applicants without the aid of standardized test scores for many – a factor that prompted many schools to go test-optional for now . Even grades, a significant component of a college application, may be hard to interpret with some high schools adopting pass-fail classes last spring due to the pandemic. Major college admissions factors are suddenly skewed.

"I can't help but think other (admissions) factors are going to matter more," says Ethan Sawyer, founder of the College Essay Guy, a website that offers free and paid essay-writing resources.

College essays and letters of recommendation , Sawyer says, are likely to carry more weight than ever in this admissions cycle. And many essays will likely focus on how the pandemic shaped students' lives throughout an often tumultuous 2020.

But before writing a college essay focused on the coronavirus, students should explore whether it's the best topic for them.

Writing About COVID-19 for a College Application

Much of daily life has been colored by the coronavirus. Virtual learning is the norm at many colleges and high schools, many extracurriculars have vanished and social lives have stalled for students complying with measures to stop the spread of COVID-19.

"For some young people, the pandemic took away what they envisioned as their senior year," says Robert Alexander, dean of admissions, financial aid and enrollment management at the University of Rochester in New York. "Maybe that's a spot on a varsity athletic team or the lead role in the fall play. And it's OK for them to mourn what should have been and what they feel like they lost, but more important is how are they making the most of the opportunities they do have?"

That question, Alexander says, is what colleges want answered if students choose to address COVID-19 in their college essay.

But the question of whether a student should write about the coronavirus is tricky. The answer depends largely on the student.

"In general, I don't think students should write about COVID-19 in their main personal statement for their application," Robin Miller, master college admissions counselor at IvyWise, a college counseling company, wrote in an email.

"Certainly, there may be exceptions to this based on a student's individual experience, but since the personal essay is the main place in the application where the student can really allow their voice to be heard and share insight into who they are as an individual, there are likely many other topics they can choose to write about that are more distinctive and unique than COVID-19," Miller says.

Opinions among admissions experts vary on whether to write about the likely popular topic of the pandemic.

"If your essay communicates something positive, unique, and compelling about you in an interesting and eloquent way, go for it," Carolyn Pippen, principal college admissions counselor at IvyWise, wrote in an email. She adds that students shouldn't be dissuaded from writing about a topic merely because it's common, noting that "topics are bound to repeat, no matter how hard we try to avoid it."

Above all, she urges honesty.

"If your experience within the context of the pandemic has been truly unique, then write about that experience, and the standing out will take care of itself," Pippen says. "If your experience has been generally the same as most other students in your context, then trying to find a unique angle can easily cross the line into exploiting a tragedy, or at least appearing as though you have."

But focusing entirely on the pandemic can limit a student to a single story and narrow who they are in an application, Sawyer says. "There are so many wonderful possibilities for what you can say about yourself outside of your experience within the pandemic."

He notes that passions, strengths, career interests and personal identity are among the multitude of essay topic options available to applicants and encourages them to probe their values to help determine the topic that matters most to them – and write about it.

That doesn't mean the pandemic experience has to be ignored if applicants feel the need to write about it.

Writing About Coronavirus in Main and Supplemental Essays

Students can choose to write a full-length college essay on the coronavirus or summarize their experience in a shorter form.

To help students explain how the pandemic affected them, The Common App has added an optional section to address this topic. Applicants have 250 words to describe their pandemic experience and the personal and academic impact of COVID-19.

"That's not a trick question, and there's no right or wrong answer," Alexander says. Colleges want to know, he adds, how students navigated the pandemic, how they prioritized their time, what responsibilities they took on and what they learned along the way.

If students can distill all of the above information into 250 words, there's likely no need to write about it in a full-length college essay, experts say. And applicants whose lives were not heavily altered by the pandemic may even choose to skip the optional COVID-19 question.

"This space is best used to discuss hardship and/or significant challenges that the student and/or the student's family experienced as a result of COVID-19 and how they have responded to those difficulties," Miller notes. Using the section to acknowledge a lack of impact, she adds, "could be perceived as trite and lacking insight, despite the good intentions of the applicant."

To guard against this lack of awareness, Sawyer encourages students to tap someone they trust to review their writing , whether it's the 250-word Common App response or the full-length essay.

Experts tend to agree that the short-form approach to this as an essay topic works better, but there are exceptions. And if a student does have a coronavirus story that he or she feels must be told, Alexander encourages the writer to be authentic in the essay.

"My advice for an essay about COVID-19 is the same as my advice about an essay for any topic – and that is, don't write what you think we want to read or hear," Alexander says. "Write what really changed you and that story that now is yours and yours alone to tell."

Sawyer urges students to ask themselves, "What's the sentence that only I can write?" He also encourages students to remember that the pandemic is only a chapter of their lives and not the whole book.

Miller, who cautions against writing a full-length essay on the coronavirus, says that if students choose to do so they should have a conversation with their high school counselor about whether that's the right move. And if students choose to proceed with COVID-19 as a topic, she says they need to be clear, detailed and insightful about what they learned and how they adapted along the way.

"Approaching the essay in this manner will provide important balance while demonstrating personal growth and vulnerability," Miller says.

Pippen encourages students to remember that they are in an unprecedented time for college admissions.

"It is important to keep in mind with all of these (admission) factors that no colleges have ever had to consider them this way in the selection process, if at all," Pippen says. "They have had very little time to calibrate their evaluations of different application components within their offices, let alone across institutions. This means that colleges will all be handling the admissions process a little bit differently, and their approaches may even evolve over the course of the admissions cycle."

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I Thought We’d Learned Nothing From the Pandemic. I Wasn’t Seeing the Full Picture

M y first home had a back door that opened to a concrete patio with a giant crack down the middle. When my sister and I played, I made sure to stay on the same side of the divide as her, just in case. The 1988 film The Land Before Time was one of the first movies I ever saw, and the image of the earth splintering into pieces planted its roots in my brain. I believed that, even in my own backyard, I could easily become the tiny Triceratops separated from her family, on the other side of the chasm, as everything crumbled into chaos.

Some 30 years later, I marvel at the eerie, unexpected ways that cartoonish nightmare came to life – not just for me and my family, but for all of us. The landscape was already covered in fissures well before COVID-19 made its way across the planet, but the pandemic applied pressure, and the cracks broke wide open, separating us from each other physically and ideologically. Under the weight of the crisis, we scattered and landed on such different patches of earth we could barely see each other’s faces, even when we squinted. We disagreed viciously with each other, about how to respond, but also about what was true.

Recently, someone asked me if we’ve learned anything from the pandemic, and my first thought was a flat no. Nothing. There was a time when I thought it would be the very thing to draw us together and catapult us – as a capital “S” Society – into a kinder future. It’s surreal to remember those early days when people rallied together, sewing masks for health care workers during critical shortages and gathering on balconies in cities from Dallas to New York City to clap and sing songs like “Yellow Submarine.” It felt like a giant lightning bolt shot across the sky, and for one breath, we all saw something that had been hidden in the dark – the inherent vulnerability in being human or maybe our inescapable connectedness .

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But it turns out, it was just a flash. The goodwill vanished as quickly as it appeared. A couple of years later, people feel lied to, abandoned, and all on their own. I’ve felt my own curiosity shrinking, my willingness to reach out waning , my ability to keep my hands open dwindling. I look out across the landscape and see selfishness and rage, burnt earth and so many dead bodies. Game over. We lost. And if we’ve already lost, why try?

Still, the question kept nagging me. I wondered, am I seeing the full picture? What happens when we focus not on the collective society but at one face, one story at a time? I’m not asking for a bow to minimize the suffering – a pretty flourish to put on top and make the whole thing “worth it.” Yuck. That’s not what we need. But I wondered about deep, quiet growth. The kind we feel in our bodies, relationships, homes, places of work, neighborhoods.

Like a walkie-talkie message sent to my allies on the ground, I posted a call on my Instagram. What do you see? What do you hear? What feels possible? Is there life out here? Sprouting up among the rubble? I heard human voices calling back – reports of life, personal and specific. I heard one story at a time – stories of grief and distrust, fury and disappointment. Also gratitude. Discovery. Determination.

Among the most prevalent were the stories of self-revelation. Almost as if machines were given the chance to live as humans, people described blossoming into fuller selves. They listened to their bodies’ cues, recognized their desires and comforts, tuned into their gut instincts, and honored the intuition they hadn’t realized belonged to them. Alex, a writer and fellow disabled parent, found the freedom to explore a fuller version of herself in the privacy the pandemic provided. “The way I dress, the way I love, and the way I carry myself have both shrunk and expanded,” she shared. “I don’t love myself very well with an audience.” Without the daily ritual of trying to pass as “normal” in public, Tamar, a queer mom in the Netherlands, realized she’s autistic. “I think the pandemic helped me to recognize the mask,” she wrote. “Not that unmasking is easy now. But at least I know it’s there.” In a time of widespread suffering that none of us could solve on our own, many tended to our internal wounds and misalignments, large and small, and found clarity.

Read More: A Tool for Staying Grounded in This Era of Constant Uncertainty

I wonder if this flourishing of self-awareness is at least partially responsible for the life alterations people pursued. The pandemic broke open our personal notions of work and pushed us to reevaluate things like time and money. Lucy, a disabled writer in the U.K., made the hard decision to leave her job as a journalist covering Westminster to write freelance about her beloved disability community. “This work feels important in a way nothing else has ever felt,” she wrote. “I don’t think I’d have realized this was what I should be doing without the pandemic.” And she wasn’t alone – many people changed jobs , moved, learned new skills and hobbies, became politically engaged.

Perhaps more than any other shifts, people described a significant reassessment of their relationships. They set boundaries, said no, had challenging conversations. They also reconnected, fell in love, and learned to trust. Jeanne, a quilter in Indiana, got to know relatives she wouldn’t have connected with if lockdowns hadn’t prompted weekly family Zooms. “We are all over the map as regards to our belief systems,” she emphasized, “but it is possible to love people you don’t see eye to eye with on every issue.” Anna, an anti-violence advocate in Maine, learned she could trust her new marriage: “Life was not a honeymoon. But we still chose to turn to each other with kindness and curiosity.” So many bonds forged and broken, strengthened and strained.

Instead of relying on default relationships or institutional structures, widespread recalibrations allowed for going off script and fortifying smaller communities. Mara from Idyllwild, Calif., described the tangible plan for care enacted in her town. “We started a mutual-aid group at the beginning of the pandemic,” she wrote, “and it grew so quickly before we knew it we were feeding 400 of the 4000 residents.” She didn’t pretend the conditions were ideal. In fact, she expressed immense frustration with our collective response to the pandemic. Even so, the local group rallied and continues to offer assistance to their community with help from donations and volunteers (many of whom were originally on the receiving end of support). “I’ve learned that people thrive when they feel their connection to others,” she wrote. Clare, a teacher from the U.K., voiced similar conviction as she described a giant scarf she’s woven out of ribbons, each representing a single person. The scarf is “a collection of stories, moments and wisdom we are sharing with each other,” she wrote. It now stretches well over 1,000 feet.

A few hours into reading the comments, I lay back on my bed, phone held against my chest. The room was quiet, but my internal world was lighting up with firefly flickers. What felt different? Surely part of it was receiving personal accounts of deep-rooted growth. And also, there was something to the mere act of asking and listening. Maybe it connected me to humans before battle cries. Maybe it was the chance to be in conversation with others who were also trying to understand – what is happening to us? Underneath it all, an undeniable thread remained; I saw people peering into the mess and narrating their findings onto the shared frequency. Every comment was like a flare into the sky. I’m here! And if the sky is full of flares, we aren’t alone.

I recognized my own pandemic discoveries – some minor, others massive. Like washing off thick eyeliner and mascara every night is more effort than it’s worth; I can transform the mundane into the magical with a bedsheet, a movie projector, and twinkle lights; my paralyzed body can mother an infant in ways I’d never seen modeled for me. I remembered disappointing, bewildering conversations within my own family of origin and our imperfect attempts to remain close while also seeing things so differently. I realized that every time I get the weekly invite to my virtual “Find the Mumsies” call, with a tiny group of moms living hundreds of miles apart, I’m being welcomed into a pocket of unexpected community. Even though we’ve never been in one room all together, I’ve felt an uncommon kind of solace in their now-familiar faces.

Hope is a slippery thing. I desperately want to hold onto it, but everywhere I look there are real, weighty reasons to despair. The pandemic marks a stretch on the timeline that tangles with a teetering democracy, a deteriorating planet , the loss of human rights that once felt unshakable . When the world is falling apart Land Before Time style, it can feel trite, sniffing out the beauty – useless, firing off flares to anyone looking for signs of life. But, while I’m under no delusions that if we just keep trudging forward we’ll find our own oasis of waterfalls and grassy meadows glistening in the sunshine beneath a heavenly chorus, I wonder if trivializing small acts of beauty, connection, and hope actually cuts us off from resources essential to our survival. The group of abandoned dinosaurs were keeping each other alive and making each other laugh well before they made it to their fantasy ending.

Read More: How Ice Cream Became My Own Personal Act of Resistance

After the monarch butterfly went on the endangered-species list, my friend and fellow writer Hannah Soyer sent me wildflower seeds to plant in my yard. A simple act of big hope – that I will actually plant them, that they will grow, that a monarch butterfly will receive nourishment from whatever blossoms are able to push their way through the dirt. There are so many ways that could fail. But maybe the outcome wasn’t exactly the point. Maybe hope is the dogged insistence – the stubborn defiance – to continue cultivating moments of beauty regardless. There is value in the planting apart from the harvest.

I can’t point out a single collective lesson from the pandemic. It’s hard to see any great “we.” Still, I see the faces in my moms’ group, making pancakes for their kids and popping on between strings of meetings while we try to figure out how to raise these small people in this chaotic world. I think of my friends on Instagram tending to the selves they discovered when no one was watching and the scarf of ribbons stretching the length of more than three football fields. I remember my family of three, holding hands on the way up the ramp to the library. These bits of growth and rings of support might not be loud or right on the surface, but that’s not the same thing as nothing. If we only cared about the bottom-line defeats or sweeping successes of the big picture, we’d never plant flowers at all.

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Coronavirus: My Experience During the Pandemic

Anastasiya Kandratsenka George Washington High School, Class of 2021

At this point in time there shouldn't be a single person who doesn't know about the coronavirus, or as they call it, COVID-19. The coronavirus is a virus that originated in China, reached the U.S. and eventually spread all over the world by January of 2020. The common symptoms of the virus include shortness of breath, chills, sore throat, headache, loss of taste and smell, runny nose, vomiting and nausea. As it has been established, it might take up to 14 days for the symptoms to show. On top of that, the virus is also highly contagious putting all age groups at risk. The elderly and individuals with chronic diseases such as pneumonia or heart disease are in the top risk as the virus attacks the immune system. 

The virus first appeared on the news and media platforms in the month of January of this year. The United States and many other countries all over the globe saw no reason to panic as it seemed that the virus presented no possible threat. Throughout the next upcoming months, the virus began to spread very quickly, alerting health officials not only in the U.S., but all over the world. As people started digging into the origin of the virus, it became clear that it originated in China. Based on everything scientists have looked at, the virus came from a bat that later infected other animals, making it way to humans. As it goes for the United States, the numbers started rising quickly, resulting in the cancellation of sports events, concerts, large gatherings and then later on schools. 

As it goes personally for me, my school was shut down on March 13th. The original plan was to put us on a two weeks leave, returning on March 30th but, as the virus spread rapidly and things began escalating out of control very quickly, President Trump announced a state of emergency and the whole country was put on quarantine until April 30th. At that point, schools were officially shut down for the rest of the school year. Distanced learning was introduced, online classes were established, a new norm was put in place. As for the School District of Philadelphia distanced learning and online classes began on May 4th. From that point on I would have classes four times a week, from 8AM till 3PM. Virtual learning was something that I never had to experience and encounter before. It was all new and different for me, just as it was for millions of students all over the United States. We were forced to transfer from physically attending school, interacting with our peers and teachers, participating in fun school events and just being in a classroom setting, to just looking at each other through a computer screen in a number of days. That is something that we all could have never seen coming, it was all so sudden and new. 

My experience with distanced learning was not very great. I get distracted very easily and   find it hard to concentrate, especially when it comes to school. In a classroom I was able to give my full attention to what was being taught, I was all there. However, when we had the online classes, I could not focus and listen to what my teachers were trying to get across. I got distracted very easily, missing out on important information that was being presented. My entire family which consists of five members, were all home during the quarantine. I have two little siblings who are very loud and demanding, so I’m sure it can be imagined how hard it was for me to concentrate on school and do what was asked of me when I had these two running around the house. On top of school, I also had to find a job and work 35 hours a week to support my family during the pandemic. My mother lost her job for the time being and my father was only able to work from home. As we have a big family, the income of my father was not enough. I made it my duty to help out and support our family as much as I could: I got a job at a local supermarket and worked there as a cashier for over two months. 

While I worked at the supermarket, I was exposed to dozens of people every day and with all the protection that was implemented to protect the customers and the workers, I was lucky enough to not get the virus. As I say that, my grandparents who do not even live in the U.S. were not so lucky. They got the virus and spent over a month isolated, in a hospital bed, with no one by their side. Our only way of communicating was through the phone and if lucky, we got to talk once a week. Speaking for my family, that was the worst and scariest part of the whole situation. Luckily for us, they were both able to recover completely. 

As the pandemic is somewhat under control, the spread of the virus has slowed down. We’re now living in the new norm. We no longer view things the same, the way we did before. Large gatherings and activities that require large groups to come together are now unimaginable! Distanced learning is what we know, not to mention the importance of social distancing and having to wear masks anywhere and everywhere we go. This is the new norm now and who knows when and if ever we’ll be able go back to what we knew before. This whole experience has made me realize that we, as humans, tend to take things for granted and don’t value what we have until it is taken away from us. 

Articles in this Volume

[tid]: dedication, [tid]: new tools for a new house: transformations for justice and peace in and beyond covid-19, [tid]: black lives matter, intersectionality, and lgbtq rights now, [tid]: the voice of asian american youth: what goes untold, [tid]: beyond words: reimagining education through art and activism, [tid]: voice(s) of a black man, [tid]: embodied learning and community resilience, [tid]: re-imagining professional learning in a time of social isolation: storytelling as a tool for healing and professional growth, [tid]: reckoning: what does it mean to look forward and back together as critical educators, [tid]: leader to leaders: an indigenous school leader’s advice through storytelling about grief and covid-19, [tid]: finding hope, healing and liberation beyond covid-19 within a context of captivity and carcerality, [tid]: flux leadership: leading for justice and peace in & beyond covid-19, [tid]: flux leadership: insights from the (virtual) field, [tid]: hard pivot: compulsory crisis leadership emerges from a space of doubt, [tid]: and how are the children, [tid]: real talk: teaching and leading while bipoc, [tid]: systems of emotional support for educators in crisis, [tid]: listening leadership: the student voices project, [tid]: global engagement, perspective-sharing, & future-seeing in & beyond a global crisis, [tid]: teaching and leadership during covid-19: lessons from lived experiences, [tid]: crisis leadership in independent schools - styles & literacies, [tid]: rituals, routines and relationships: high school athletes and coaches in flux, [tid]: superintendent back-to-school welcome 2020, [tid]: mitigating summer learning loss in philadelphia during covid-19: humble attempts from the field, [tid]: untitled, [tid]: the revolution will not be on linkedin: student activism and neoliberalism, [tid]: why radical self-care cannot wait: strategies for black women leaders now, [tid]: from emergency response to critical transformation: online learning in a time of flux, [tid]: illness methodology for and beyond the covid era, [tid]: surviving black girl magic, the work, and the dissertation, [tid]: cancelled: the old student experience, [tid]: lessons from liberia: integrating theatre for development and youth development in uncertain times, [tid]: designing a more accessible future: learning from covid-19, [tid]: the construct of standards-based education, [tid]: teachers leading teachers to prepare for back to school during covid, [tid]: using empathy to cross the sea of humanity, [tid]: (un)doing college, community, and relationships in the time of coronavirus, [tid]: have we learned nothing, [tid]: choosing growth amidst chaos, [tid]: living freire in pandemic….participatory action research and democratizing knowledge at knowledgedemocracy.org, [tid]: philly students speak: voices of learning in pandemics, [tid]: the power of will: a letter to my descendant, [tid]: photo essays with students, [tid]: unity during a global pandemic: how the fight for racial justice made us unite against two diseases, [tid]: educational changes caused by the pandemic and other related social issues, [tid]: online learning during difficult times, [tid]: fighting crisis: a student perspective, [tid]: the destruction of soil rooted with culture, [tid]: a demand for change, [tid]: education through experience in and beyond the pandemics, [tid]: the pandemic diaries, [tid]: all for one and 4 for $4, [tid]: tiktok activism, [tid]: why digital learning may be the best option for next year, [tid]: my 2020 teen experience, [tid]: living between two pandemics, [tid]: journaling during isolation: the gold standard of coronavirus, [tid]: sailing through uncertainty, [tid]: what i wish my teachers knew, [tid]: youthing in pandemic while black, [tid]: the pain inflicted by indifference, [tid]: education during the pandemic, [tid]: the good, the bad, and the year 2020, [tid]: racism fueled pandemic, [tid]: coronavirus: my experience during the pandemic, [tid]: the desensitization of a doomed generation, [tid]: a philadelphia war-zone, [tid]: the attack of the covid monster, [tid]: back-to-school: covid-19 edition, [tid]: the unexpected war, [tid]: learning outside of the classroom, [tid]: why we should learn about college financial aid in school: a student perspective, [tid]: flying the plane as we go: building the future through a haze, [tid]: my covid experience in the age of technology, [tid]: we, i, and they, [tid]: learning your a, b, cs during a pandemic, [tid]: quarantine: a musical, [tid]: what it’s like being a high school student in 2020, [tid]: everything happens for a reason, [tid]: blacks live matter – a sobering and empowering reality among my peers, [tid]: the mental health of a junior during covid-19 outbreaks, [tid]: a year of change, [tid]: covid-19 and school, [tid]: the virtues and vices of virtual learning, [tid]: college decisions and the year 2020: a virtual rollercoaster, [tid]: quarantine thoughts, [tid]: quarantine through generation z, [tid]: attending online school during a pandemic.

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MY COVID-19 Story: how young people overcome the covid-19 crisis

As part of UNESCO’s initiative “MY COVID-19 Story”,  young people have been invited to tell their stories and experiences: how they feel, how they act, what makes them feel worried and what future they envision, how the crisis has affected their lives, the challenges they face, new opportunities being explored, and their hopes for the future. This campaign was launched in April as part of UNESCO’s response to the COVID-19 pandemic. It aims to give the floor to young people worldwide, share their views and amplify their voices. While the world grapples with the challenges of the COVID-19 pandemic, many young people are taking on new roles, demonstrating leadership in their countries and communities, and sharing creative ideas and solutions. To this day, UNESCO has already received more than 150 written testimonials.

Self-isolation can be a difficult time… However, many young people worldwide decided to tackle this with productivity and positivity. Monty (17), a secondary school student from the United Kingdom, is developing new digital skills and has created his own mini radio station. Lockdown helped Öykü (25), a young filmmaker from Turkey, to concentrate on her creative projects. And for Joseph (30), a teacher from Nigeria, this time is a way to open up to lots of learning opportunities through webinars.

The crisis has changed not only the daily routine, but also perceptions of everyday life. For some young people rethinking the value of time and common moral principles appears to be key. 

“The biggest lesson for me is understanding … [the value of] time. During these last months I made more use of my time than in a past year.” - shares young tech entrepreneur Barbara (21), from Russia. Ravikumar (24), a civil engineer from India, believes  “This crisis makes us socialize more than ever. We are eating together, sharing our thoughts and playing together which happened rarely within my family before.”

Beyond the crisis

After massive upheavals in the lives of many people, the future for young people seems to be both a promising perspective to seize some new emerging opportunities, and a time filled with uncertainty about the crisis consequences and the future world order.

“It is giving us an opportunity to look into how we need to better support our vulnerable populations, in terms of food and educational resources”, says Anusha (19), from the United States of America. For Mahmoud (22), from Egypt, the COVID-19 crisis is a call to action: “After the pandemic, I will put a lot of efforts into helping people who have been affected by COVID-19. I am planning to improve their health by providing sports sessions, highlighting the importance of a healthy lifestyle.”

The COVID-19 pandemic brings uncertainty and instability to young people across the world, making them feel worried about this new reality they’re living in and presenting several new challenges every day, as they find themselves at the front line of the crisis. That is why, more than ever, we need to put the spotlight on young women and men and let their voice be heard! 

Be part of the campaign!

Join the  “MY COVID-19 Story” campaign! Tell us your story!

We will share it on  UNESCO’s social media channels  (Twitter, Facebook, and Instagram), our  website,  and through our  networks  across the world. 

You can also share your testimonials by recording your own creative video! How? Sign up and create your video here:  https://zg8t9.app.goo.gl/Zw2i . 

• More information on the campaign

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• SDG: SDG 3 - Ensure healthy lives and promote well-being for all at all ages
• SDG: SDG 4 - Ensure inclusive and equitable quality education and promote lifelong learning opportunities for all
• SDG: SDG 10 - Reduce inequality within and among countries
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This article is related to the United Nation’s Sustainable Development Goals .

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Seven short essays about life during the pandemic

The boston book festival's at home community writing project invites area residents to describe their experiences during this unprecedented time..

My alarm sounds at 8:15 a.m. I open my eyes and take a deep breath. I wiggle my toes and move my legs. I do this religiously every morning. Today, marks day 74 of staying at home.

My mornings are filled with reading biblical scripture, meditation, breathing in the scents of a hanging eucalyptus branch in the shower, and making tea before I log into my computer to work. After an hour-and-a-half Zoom meeting, I decided to take a long walk to the post office and grab a fresh bouquet of burnt orange ranunculus flowers. I embrace the warm sun beaming on my face. I feel joy. I feel at peace.

I enter my apartment and excessively wash my hands and face. I pour a glass of iced kombucha. I sit at my table and look at the text message on my phone. My coworker writes that she is thinking of me during this difficult time. She must be referring to the Amy Cooper incident. I learn shortly that she is not.

I Google Minneapolis and see his name: George Floyd. And just like that a simple and beautiful day transitions into a day of sorrow.

Nakia Hill, Boston

It was a wobbly, yet solemn little procession: three masked mourners and a canine. Beginning in Kenmore Square, at David and Sue Horner’s condo, it proceeded up Commonwealth Avenue Mall.

S. Sue Horner died on Good Friday, April 10, in the Year of the Virus. Sue did not die of the virus but her parting was hemmed by it: no gatherings to mark the passing of this splendid human being.

David devised a send-off nevertheless. On April 23rd, accompanied by his daughter and son-in-law, he set out for Old South Church. David led, bearing the urn. His daughter came next, holding her phone aloft, speaker on, through which her brother in Illinois played the bagpipes for the length of the procession, its soaring thrum infusing the Mall. Her husband came last with Melon, their golden retriever.

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I unlocked the empty church and led the procession into the columbarium. David drew the urn from its velvet cover, revealing a golden vessel inset with incandescent tiles. We lifted the urn into the niche, prayed, recited Psalm 23, and shared some words.

It was far too small for the luminous “Dr. Sue”, but what we could manage in the Year of the Virus.

Nancy S. Taylor, Boston

On April 26, 2020, our household was a bustling home for four people. Our two sons, ages 18 and 22, have a lot of energy. We are among the lucky ones. I can work remotely. Our food and shelter are not at risk.

As I write this a week later, it is much quieter here.

On April 27, our older son, an EMT, transported a COVID-19 patient to the ER. He left home to protect my delicate health and became ill with the virus a week later.

On April 29, my husband’s 95-year-old father had a stroke. My husband left immediately to be with his 90-year-old mother near New York City and is now preparing for his father’s discharge from the hospital. Rehab people will come to the house; going to a facility would be too dangerous.

My husband just called me to describe today’s hospital visit. The doctors had warned that although his father had regained the ability to speak, he could only repeat what was said to him.

“It’s me,” said my husband.

“It’s me,” said my father-in-law.

“I love you,” said my husband.

“I love you,” said my father-in-law.

“Sooooooooo much,” said my father-in-law.

Lucia Thompson, Wayland

Would racism exist if we were blind?

I felt his eyes bore into me as I walked through the grocery store. At first, I thought nothing of it. With the angst in the air attributable to COVID, I understood the anxiety-provoking nature of feeling as though your 6-foot bubble had burst. So, I ignored him and maintained my distance. But he persisted, glaring at my face, squinting to see who I was underneath the mask. This time I looked back, when he yelled, in my mother tongue, for me to go back to my country.

In shock, I just laughed. How could he tell what I was under my mask? Or see anything through the sunglasses he was wearing inside? It baffled me. I laughed at the irony that he would use my own language against me, that he knew enough to guess where I was from in some version of culturally competent racism. I laughed because dealing with the truth behind that comment generated a sadness in me that was too much to handle. If not now, then when will we be together?

So I ask again, would racism exist if we were blind?

Faizah Shareef, Boston

My Family is “Out” There

But I am “in” here. Life is different now “in” Assisted Living since the deadly COVID-19 arrived. Now the staff, employees, and all 100 residents have our temperatures taken daily. Everyone else, including my family, is “out” there. People like the hairdresser are really missed — with long straight hair and masks, we don’t even recognize ourselves.

Since mid-March we are in quarantine “in” our rooms with meals served. Activities are practically non-existent. We can sit on the back patio 6 feet apart, wearing masks, do exercises there, chat, and walk nearby. Nothing inside. Hopefully June will improve.

My family is “out” there — somewhere! Most are working from home (or Montana). Hopefully an August wedding will happen, but unfortunately, I may still be “in” here.

From my window I wave to my son “out” there. Recently, when my daughter visited, I opened the window “in” my second-floor room and could see and hear her perfectly “out” there. Next time she will bring a chair so we can have an “in” and “out” conversation all day, or until we run out of words.

Barbara Anderson, Raynham

My boyfriend Marcial lives in Boston, and I live in New York City. We had been doing the long-distance thing pretty successfully until coronavirus hit. In mid-March, I was furloughed from my temp job, Marcial began working remotely, and New York started shutting down. I went to Boston to stay with Marcial.

We are opposites in many ways, but we share a love of food. The kitchen has been the center of quarantine life —and also quarantine problems.

Marcial and I have gone from eating out and cooking/grocery shopping for each other during our periodic visits to cooking/grocery shopping with each other all the time. We’ve argued over things like the proper way to make rice and what greens to buy for salad. Our habits are deeply rooted in our upbringing and individual cultures (Filipino immigrant and American-born Chinese, hence the strong rice opinions).

On top of the mundane issues, we’ve also dealt with a flooded kitchen (resulting in cockroaches) and a mandoline accident leading to an ER visit. Marcial and I have spent quarantine navigating how to handle the unexpected and how to integrate our lifestyles. We’ve been eating well along the way.

Melissa Lee, Waltham

It’s 3 a.m. and my dog Rikki just gave me a worried look. Up again?

“I can’t sleep,” I say. I flick the light, pick up “Non-Zero Probabilities.” But the words lay pinned to the page like swatted flies. I watch new “Killing Eve” episodes, play old Nathaniel Rateliff and The Night Sweats songs. Still night.

We are — what? — 12 agitated weeks into lockdown, and now this. The thing that got me was Chauvin’s sunglasses. Perched nonchalantly on his head, undisturbed, as if he were at a backyard BBQ. Or anywhere other than kneeling on George Floyd’s neck, on his life. And Floyd was a father, as we all now know, having seen his daughter Gianna on Stephen Jackson’s shoulders saying “Daddy changed the world.”

Precious child. I pray, safeguard her.

Rikki has her own bed. But she won’t leave me. A Goddess of Protection. She does that thing dogs do, hovers increasingly closely the more agitated I get. “I’m losing it,” I say. I know. And like those weighted gravity blankets meant to encourage sleep, she drapes her 70 pounds over me, covering my restless heart with safety.

As if daybreak, or a prayer, could bring peace today.

Kirstan Barnett, Watertown

Until June 30, send your essay (200 words or less) about life during COVID-19 via bostonbookfest.org . Some essays will be published on the festival’s blog and some will appear in The Boston Globe.

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Essays reveal experiences during pandemic, unrest.

Field study students share their thoughts 

Members of Advanced Field Study, a select group of Social Ecology students who are chosen from a pool of applicants to participate in a year-long field study experience and course, had their internships and traditional college experience cut short this year. During our final quarter of the year together, during which we met weekly for two hours via Zoom, we discussed their reactions as the world fell apart around them. First came the pandemic and social distancing, then came the death of George Floyd and the response of the Black Lives Matter movement, both of which were imprinted on the lives of these students. This year was anything but dull, instead full of raw emotion and painful realizations of the fragility of the human condition and the extent to which we need one another. This seemed like the perfect opportunity for our students to chronicle their experiences — the good and the bad, the lessons learned, and ways in which they were forever changed by the events of the past four months. I invited all of my students to write an essay describing the ways in which these times had impacted their learning and their lives during or after their time at UCI. These are their voices. — Jessica Borelli , associate professor of psychological science

Becoming Socially Distant Through Technology: The Tech Contagion

The current state of affairs put the world on pause, but this pause gave me time to reflect on troubling matters. Time that so many others like me probably also desperately needed to heal without even knowing it. Sometimes it takes one’s world falling apart for the most beautiful mosaic to be built up from the broken pieces of wreckage. 

As the school year was coming to a close and summer was edging around the corner, I began reflecting on how people will spend their summer breaks if the country remains in its current state throughout the sunny season. Aside from living in the sunny beach state of California where people love their vitamin D and social festivities, I think some of the most damaging effects Covid-19 will have on us all has more to do with social distancing policies than with any inconveniences we now face due to the added precautions, despite how devastating it may feel that Disneyland is closed to all the local annual passholders or that the beaches may not be filled with sun-kissed California girls this summer. During this unprecedented time, I don’t think we should allow the rare opportunity we now have to be able to watch in real time how the effects of social distancing can impact our mental health. Before the pandemic, many of us were already engaging in a form of social distancing. Perhaps not the exact same way we are now practicing, but the technology that we have developed over recent years has led to a dramatic decline in our social contact and skills in general. 

The debate over whether we should remain quarantined during this time is not an argument I am trying to pursue. Instead, I am trying to encourage us to view this event as a unique time to study how social distancing can affect people’s mental health over a long period of time and with dramatic results due to the magnitude of the current issue. Although Covid-19 is new and unfamiliar to everyone, the isolation and separation we now face is not. For many, this type of behavior has already been a lifestyle choice for a long time. However, the current situation we all now face has allowed us to gain a more personal insight on how that experience feels due to the current circumstances. Mental illness continues to remain a prevalent problem throughout the world and for that reason could be considered a pandemic of a sort in and of itself long before the Covid-19 outbreak. 

One parallel that can be made between our current restrictions and mental illness reminds me in particular of hikikomori culture. Hikikomori is a phenomenon that originated in Japan but that has since spread internationally, now prevalent in many parts of the world, including the United States. Hikikomori is not a mental disorder but rather can appear as a symptom of a disorder. People engaging in hikikomori remain confined in their houses and often their rooms for an extended period of time, often over the course of many years. This action of voluntary confinement is an extreme form of withdrawal from society and self-isolation. Hikikomori affects a large percent of people in Japan yearly and the problem continues to become more widespread with increasing occurrences being reported around the world each year. While we know this problem has continued to increase, the exact number of people practicing hikikomori is unknown because there is a large amount of stigma surrounding the phenomenon that inhibits people from seeking help. This phenomenon cannot be written off as culturally defined because it is spreading to many parts of the world. With the technology we now have, and mental health issues on the rise and expected to increase even more so after feeling the effects of the current pandemic, I think we will definitely see a rise in the number of people engaging in this social isolation, especially with the increase in legitimate fears we now face that appear to justify the previously considered irrational fears many have associated with social gatherings. We now have the perfect sample of people to provide answers about how this form of isolation can affect people over time. 

Likewise, with the advancements we have made to technology not only is it now possible to survive without ever leaving the confines of your own home, but it also makes it possible for us to “fulfill” many of our social interaction needs. It’s very unfortunate, but in addition to the success we have gained through our advancements we have also experienced a great loss. With new technology, I am afraid that we no longer engage with others the way we once did. Although some may say the advancements are for the best, I wonder, at what cost? It is now commonplace to see a phone on the table during a business meeting or first date. Even worse is how many will feel inclined to check their phone during important or meaningful interactions they are having with people face to face. While our technology has become smarter, we have become dumber when it comes to social etiquette. As we all now constantly carry a mini computer with us everywhere we go, we have in essence replaced our best friends. We push others away subconsciously as we reach for our phones during conversations. We no longer remember phone numbers because we have them all saved in our phones. We find comfort in looking down at our phones during those moments of free time we have in public places before our meetings begin. These same moments were once the perfect time to make friends, filled with interactive banter. We now prefer to stare at other people on our phones for hours on end, and often live a sedentary lifestyle instead of going out and interacting with others ourselves. 

These are just a few among many issues the advances to technology led to long ago. We have forgotten how to practice proper tech-etiquette and we have been inadvertently practicing social distancing long before it was ever required. Now is a perfect time for us to look at the society we have become and how we incurred a different kind of pandemic long before the one we currently face. With time, as the social distancing regulations begin to lift, people may possibly begin to appreciate life and connecting with others more than they did before as a result of the unique experience we have shared in together while apart.

Maybe the world needed a time-out to remember how to appreciate what it had but forgot to experience. Life is to be lived through experience, not to be used as a pastime to observe and compare oneself with others. I’ll leave you with a simple reminder: never forget to take care and love more because in a world where life is often unpredictable and ever changing, one cannot risk taking time or loved ones for granted. With that, I bid you farewell, fellow comrades, like all else, this too shall pass, now go live your best life!

Privilege in a Pandemic 

Covid-19 has impacted millions of Americans who have been out of work for weeks, thus creating a financial burden. Without a job and the certainty of knowing when one will return to work, paying rent and utilities has been a problem for many. With unemployment on the rise, relying on unemployment benefits has become a necessity for millions of people. According to the Washington Post , unemployment rose to 14.7% in April which is considered to be the worst since the Great Depression. 

Those who are not worried about the financial aspect or the thought never crossed their minds have privilege. Merriam Webster defines privilege as “a right or immunity granted as a peculiar benefit, advantage, or favor.” Privilege can have a negative connotation. What you choose to do with your privilege is what matters. Talking about privilege can bring discomfort, but the discomfort it brings can also carry the benefit of drawing awareness to one’s privilege, which can lead the person to take steps to help others. 

I am a first-generation college student who recently transferred to a four-year university. When schools began to close, and students had to leave their on-campus housing, many lost their jobs.I was able to stay on campus because I live in an apartment. I am fortunate to still have a job, although the hours are minimal. My parents help pay for school expenses, including housing, tuition, and food. I do not have to worry about paying rent or how to pay for food because my parents are financially stable to help me. However, there are millions of college students who are not financially stable or do not have the support system I have. Here, I have the privilege and, thus, I am the one who can offer help to others. I may not have millions in funding, but volunteering for centers who need help is where I am able to help. Those who live in California can volunteer through Californians For All  or at food banks, shelter facilities, making calls to seniors, etc. 

I was not aware of my privilege during these times until I started reading more articles about how millions of people cannot afford to pay their rent, and landlords are starting to send notices of violations. Rather than feel guilty and be passive about it, I chose to put my privilege into a sense of purpose: Donating to nonprofits helping those affected by COVID-19, continuing to support local businesses, and supporting businesses who are donating profits to those affected by COVID-19.

My World is Burning 

As I write this, my friends are double checking our medical supplies and making plans to buy water and snacks to pass out at the next protest we are attending. We write down the number for the local bailout fund on our arms and pray that we’re lucky enough not to have to use it should things get ugly. We are part of a pivotal event, the kind of movement that will forever have a place in history. Yet, during this revolution, I have papers to write and grades to worry about, as I’m in the midst of finals. 

My professors have offered empty platitudes. They condemn the violence and acknowledge the stress and pain that so many of us are feeling, especially the additional weight that this carries for students of color. I appreciate their show of solidarity, but it feels meaningless when it is accompanied by requests to complete research reports and finalize presentations. Our world is on fire. Literally. On my social media feeds, I scroll through image after image of burning buildings and police cars in flames. How can I be asked to focus on school when my community is under siege? When police are continuing to murder black people, adding additional names to the ever growing list of their victims. Breonna Taylor. Ahmaud Arbery. George Floyd. David Mcatee. And, now, Rayshard Brooks. 

It already felt like the world was being asked of us when the pandemic started and classes continued. High academic expectations were maintained even when students now faced the challenges of being locked down, often trapped in small spaces with family or roommates. Now we are faced with another public health crisis in the form of police violence and once again it seems like educational faculty are turning a blind eye to the impact that this has on the students. I cannot study for exams when I am busy brushing up on my basic first-aid training, taking notes on the best techniques to stop heavy bleeding and treat chemical burns because at the end of the day, if these protests turn south, I will be entering a warzone. Even when things remain peaceful, there is an ugliness that bubbles just below the surface. When beginning the trek home, I have had armed members of the National Guard follow me and my friends. While kneeling in silence, I have watched police officers cock their weapons and laugh, pointing out targets in the crowd. I have been emailing my professors asking for extensions, trying to explain that if something is turned in late, it could be the result of me being detained or injured. I don’t want to be penalized for trying to do what I wholeheartedly believe is right. 

I have spent my life studying and will continue to study these institutions that have been so instrumental in the oppression and marginalization of black and indigenous communities. Yet, now that I have the opportunity to be on the frontlines actively fighting for the change our country so desperately needs, I feel that this study is more of a hindrance than a help to the cause. Writing papers and reading books can only take me so far and I implore that professors everywhere recognize that requesting their students split their time and energy between finals and justice is an impossible ask.

Opportunity to Serve

Since the start of the most drastic change of our lives, I have had the privilege of helping feed more than 200 different families in the Santa Ana area and even some neighboring cities. It has been an immense pleasure seeing the sheer joy and happiness of families as they come to pick up their box of food from our site, as well as a $50 gift card to Northgate, a grocery store in Santa Ana. Along with donating food and helping feed families, the team at the office, including myself, have dedicated this time to offering psychosocial and mental health check-ups for the families we serve. 

Every day I go into the office I start my day by gathering files of our families we served between the months of January, February, and March and calling them to check on how they are doing financially, mentally, and how they have been affected by COVID-19. As a side project, I have been putting together Excel spreadsheets of all these families’ struggles and finding a way to turn their situation into a success story to share with our board at PY-OCBF and to the community partners who make all of our efforts possible. One of the things that has really touched me while working with these families is how much of an impact this nonprofit organization truly has on family’s lives. I have spoken with many families who I just call to check up on and it turns into an hour call sharing about how much of a change they have seen in their child who went through our program. Further, they go on to discuss that because of our program, their children have a different perspective on the drugs they were using before and the group of friends they were hanging out with. Of course, the situation is different right now as everyone is being told to stay at home; however, there are those handful of kids who still go out without asking for permission, increasing the likelihood they might contract this disease and pass it to the rest of the family. We are working diligently to provide support for these parents and offering advice to talk to their kids in order to have a serious conversation with their kids so that they feel heard and validated. 

Although the novel Coronavirus has impacted the lives of millions of people not just on a national level, but on a global level, I feel that in my current position, it has opened doors for me that would have otherwise not presented themselves. Fortunately, I have been offered a full-time position at the Project Youth Orange County Bar Foundation post-graduation that I have committed to already. This invitation came to me because the organization received a huge grant for COVID-19 relief to offer to their staff and since I was already part-time, they thought I would be a good fit to join the team once mid-June comes around. I was very excited and pleased to be recognized for the work I have done at the office in front of all staff. I am immensely grateful for this opportunity. I will work even harder to provide for the community and to continue changing the lives of adolescents, who have steered off the path of success. I will use my time as a full-time employee to polish my resume, not forgetting that the main purpose of my moving to Irvine was to become a scholar and continue the education that my parents couldn’t attain. I will still be looking for ways to get internships with other fields within criminology. One specific interest that I have had since being an intern and a part-time employee in this organization is the work of the Orange County Coroner’s Office. I don’t exactly know what enticed me to find it appealing as many would say that it is an awful job in nature since it relates to death and seeing people in their worst state possible. However, I feel that the only way for me to truly know if I want to pursue such a career in forensic science will be to just dive into it and see where it takes me. 

I can, without a doubt, say that the Coronavirus has impacted me in a way unlike many others, and for that I am extremely grateful. As I continue working, I can also state that many people are becoming more and more hopeful as time progresses. With people now beginning to say Stage Two of this stay-at-home order is about to allow retailers and other companies to begin doing curbside delivery, many families can now see some light at the end of the tunnel.

Let’s Do Better

This time of the year is meant to be a time of celebration; however, it has been difficult to feel proud or excited for many of us when it has become a time of collective mourning and sorrow, especially for the Black community. There has been an endless amount of pain, rage, and helplessness that has been felt throughout our nation because of the growing list of Black lives we have lost to violence and brutality.

To honor the lives that we have lost, George Floyd, Tony McDade, Breonna Taylor, Ahmaud Arbery, Eric Garner, Oscar Grant, Michael Brown, Trayon Martin, and all of the other Black lives that have been taken away, may they Rest in Power.

Throughout my college experience, I have become more exposed to the various identities and the upbringings of others, which led to my own self-reflection on my own privileged and marginalized identities. I identify as Colombian, German, and Mexican; however navigating life as a mixed race, I have never been able to identify or have one culture more salient than the other. I am visibly white-passing and do not hold any strong ties with any of my ethnic identities, which used to bring me feelings of guilt and frustration, for I would question whether or not I could be an advocate for certain communities, and whether or not I could claim the identity of a woman of color. In the process of understanding my positionality, I began to wonder what space I belonged in, where I could speak up, and where I should take a step back for others to speak. I found myself in a constant theme of questioning what is my narrative and slowly began to realize that I could not base it off lone identities and that I have had the privilege to move through life without my identities defining who I am. Those initial feelings of guilt and confusion transformed into growth, acceptance, and empowerment.

This journey has driven me to educate myself more about the social inequalities and injustices that people face and to focus on what I can do for those around me. It has motivated me to be more culturally responsive and competent, so that I am able to best advocate for those around me. Through the various roles I have worked in, I have been able to listen to a variety of communities’ narratives and experiences, which has allowed me to extend my empathy to these communities while also pushing me to continue educating myself on how I can best serve and empower them. By immersing myself amongst different communities, I have been given the honor of hearing others’ stories and experiences, which has inspired me to commit myself to support and empower others.

I share my story of navigating through my privileged and marginalized identities in hopes that it encourages others to explore their own identities. This journey is not an easy one, and it is an ongoing learning process that will come with various mistakes. I have learned that with facing our privileges comes feelings of guilt, discomfort, and at times, complacency. It is very easy to become ignorant when we are not affected by different issues, but I challenge those who read this to embrace the discomfort. With these emotions, I have found it important to reflect on the source of discomfort and guilt, for although they are a part of the process, in taking the steps to become more aware of the systemic inequalities around us, understanding the source of discomfort can better inform us on how we perpetuate these systemic inequalities. If we choose to embrace ignorance, we refuse to acknowledge the systems that impact marginalized communities and refuse to honestly and openly hear cries for help. If we choose our own comfort over the lives of those being affected every day, we can never truly honor, serve, or support these communities.

I challenge any non-Black person, including myself, to stop remaining complacent when injustices are committed. We need to consistently recognize and acknowledge how the Black community is disproportionately affected in every injustice experienced and call out anti-Blackness in every role, community, and space we share. We need to keep ourselves and others accountable when we make mistakes or fall back into patterns of complacency or ignorance. We need to continue educating ourselves instead of relying on the emotional labor of the Black community to continuously educate us on the history of their oppressions. We need to collectively uplift and empower one another to heal and rise against injustice. We need to remember that allyship ends when action ends.

To the Black community, you are strong. You deserve to be here. The recent events are emotionally, mentally, and physically exhausting, and the need for rest to take care of your mental, physical, and emotional well-being are at an all time high. If you are able, take the time to regain your energy, feel every emotion, and remind yourself of the power you have inside of you. You are not alone.

The Virus That Makes You Forget

Following Jan. 1 of 2020 many of my classmates and I continued to like, share, and forward the same meme. The meme included any image but held the same phrase: I can see 2020. For many of us, 2020 was a beacon of hope. For the Class of 2020, this meant walking on stage in front of our families. Graduation meant becoming an adult, finding a job, or going to graduate school. No matter what we were doing in our post-grad life, we were the new rising stars ready to take on the world with a positive outlook no matter what the future held. We felt that we had a deal with the universe that we were about to be noticed for our hard work, our hardships, and our perseverance.

Then March 17 of 2020 came to pass with California Gov. Newman ordering us to stay at home, which we all did. However, little did we all know that the world we once had open to us would only be forgotten when we closed our front doors.

Life became immediately uncertain and for many of us, that meant graduation and our post-graduation plans including housing, careers, education, food, and basic standards of living were revoked! We became the forgotten — a place from which many of us had attempted to rise by attending university. The goals that we were told we could set and the plans that we were allowed to make — these were crushed before our eyes.

Eighty days before graduation, in the first several weeks of quarantine, I fell extremely ill; both unfortunately and luckily, I was isolated. All of my roommates had moved out of the student apartments leaving me with limited resources, unable to go to the stores to pick up medicine or food, and with insufficient health coverage to afford a doctor until my throat was too swollen to drink water. For nearly three weeks, I was stuck in bed, I was unable to apply to job deadlines, reach out to family, and have contact with the outside world. I was forgotten.

Forty-five days before graduation, I had clawed my way out of illness and was catching up on an honors thesis about media depictions of sexual exploitation within the American political system, when I was relayed the news that democratic presidential candidate Joe Biden was accused of sexual assault. However, when reporting this news to close friends who had been devastated and upset by similar claims against past politicians, they all were too tired and numb from the quarantine to care. Just as I had written hours before reading the initial story, history was repeating, and it was not only I who COVID-19 had forgotten, but now survivors of violence.

After this revelation, I realize the silencing factor that COVID-19 has. Not only does it have the power to terminate the voices of our older generations, but it has the power to silence and make us forget the voices of every generation. Maybe this is why social media usage has gone up, why we see people creating new social media accounts, posting more, attempting to reach out to long lost friends. We do not want to be silenced, moreover, we cannot be silenced. Silence means that we have been forgotten and being forgotten is where injustice and uncertainty occurs. By using social media, pressing like on a post, or even sending a hate message, means that someone cares and is watching what you are doing. If there is no interaction, I am stuck in the land of indifference.

This is a place that I, and many others, now reside, captured and uncertain. In 2020, my plan was to graduate Cum Laude, dean's honor list, with three honors programs, three majors, and with research and job experience that stretched over six years. I would then go into my first year of graduate school, attempting a dual Juris Doctorate. I would be spending my time experimenting with new concepts, new experiences, and new relationships. My life would then be spent giving a microphone to survivors of domestic violence and sex crimes. However, now the plan is wiped clean, instead I sit still bound to graduate in 30 days with no home to stay, no place to work, and no future education to come back to. I would say I am overly qualified, but pandemic makes me lost in a series of names and masked faces.

Welcome to My Cage: The Pandemic and PTSD

When I read the campuswide email notifying students of the World Health Organization’s declaration of the coronavirus pandemic, I was sitting on my couch practicing a research presentation I was going to give a few hours later. For a few minutes, I sat there motionless, trying to digest the meaning of the words as though they were from a language other than my own, familiar sounds strung together in way that was wholly unintelligible to me. I tried but failed to make sense of how this could affect my life. After the initial shock had worn off, I mobilized quickly, snapping into an autopilot mode of being I knew all too well. I began making mental checklists, sharing the email with my friends and family, half of my brain wondering if I should make a trip to the grocery store to stockpile supplies and the other half wondering how I was supposed take final exams in the midst of so much uncertainty. The most chilling realization was knowing I had to wait powerlessly as the fate of the world unfolded, frozen with anxiety as I figured out my place in it all.

These feelings of powerlessness and isolation are familiar bedfellows for me. Early October of 2015, shortly after beginning my first year at UCI, I was diagnosed with Post-traumatic Stress Disorder. Despite having had years of psychological treatment for my condition, including Cognitive Behavior Therapy and Eye Movement Desensitization and Retraining, the flashbacks, paranoia, and nightmares still emerge unwarranted. People have referred to the pandemic as a collective trauma. For me, the pandemic has not only been a collective trauma, it has also been the reemergence of a personal trauma. The news of the pandemic and the implications it has for daily life triggered a reemergence of symptoms that were ultimately ignited by the overwhelming sense of helplessness that lies in waiting, as I suddenly find myself navigating yet another situation beyond my control. Food security, safety, and my sense of self have all been shaken by COVID-19.

The first few weeks after UCI transitioned into remote learning and the governor issued the stay-at-home order, I hardly got any sleep. My body was cycling through hypervigilance and derealization, and my sleep was interrupted by intrusive nightmares oscillating between flashbacks and frightening snippets from current events. Any coping methods I had developed through hard-won efforts over the past few years — leaving my apartment for a change of scenery, hanging out with friends, going to the gym — were suddenly made inaccessible to me due to the stay-at-home orders, closures of non-essential businesses, and many of my friends breaking their campus leases to move back to their family homes. So for me, learning to cope during COVID-19 quarantine means learning to function with my re-emerging PTSD symptoms and without my go-to tools. I must navigate my illness in a rapidly evolving world, one where some of my internalized fears, such as running out of food and living in an unsafe world, are made progressively more external by the minute and broadcasted on every news platform; fears that I could no longer escape, being confined in the tight constraints of my studio apartment’s walls. I cannot shake the devastating effects of sacrifice that I experience as all sense of control has been stripped away from me.

However, amidst my mental anguish, I have realized something important—experiencing these same PTSD symptoms during a global pandemic feels markedly different than it did years ago. Part of it might be the passage of time and the growth in my mindset, but there is something else that feels very different. Currently, there is widespread solidarity and support for all of us facing the chaos of COVID-19, whether they are on the frontlines of the fight against the illness or they are self-isolating due to new rules, restrictions, and risks. This was in stark contrast to what it was like to have a mental disorder. The unity we all experience as a result of COVID-19 is one I could not have predicted. I am not the only student heartbroken over a cancelled graduation, I am not the only student who is struggling to adapt to remote learning, and I am not the only person in this world who has to make sacrifices.

Between observations I’ve made on social media and conversations with my friends and classmates, this time we are all enduring great pain and stress as we attempt to adapt to life’s challenges. As a Peer Assistant for an Education class, I have heard from many students of their heartache over the remote learning model, how difficult it is to study in a non-academic environment, and how unmotivated they have become this quarter. This is definitely something I can relate to; as of late, it has been exceptionally difficult to find motivation and put forth the effort for even simple activities as a lack of energy compounds the issue and hinders basic needs. However, the willingness of people to open up about their distress during the pandemic is unlike the self-imposed social isolation of many people who experience mental illness regularly. Something this pandemic has taught me is that I want to live in a world where mental illness receives more support and isn’t so taboo and controversial. Why is it that we are able to talk about our pain, stress, and mental illness now, but aren’t able to talk about it outside of a global pandemic? People should be able to talk about these hardships and ask for help, much like during these circumstances.

It has been nearly three months since the coronavirus crisis was declared a pandemic. I still have many bad days that I endure where my symptoms can be overwhelming. But somehow, during my good days — and some days, merely good moments — I can appreciate the resilience I have acquired over the years and the common ground I share with others who live through similar circumstances. For veterans of trauma and mental illness, this isn’t the first time we are experiencing pain in an extreme and disastrous way. This is, however, the first time we are experiencing it with the rest of the world. This strange new feeling of solidarity as I read and hear about the experiences of other people provides some small comfort as I fight my way out of bed each day. As we fight to survive this pandemic, I hope to hold onto this feeling of togetherness and acceptance of pain, so that it will always be okay for people to share their struggles. We don’t know what the world will look like days, months, or years from now, but I hope that we can cultivate such a culture to make life much easier for people coping with mental illness.

A Somatic Pandemonium in Quarantine

I remember hearing that our brains create the color magenta all on their own. 

When I was younger I used to run out of my third-grade class because my teacher was allergic to the mold and sometimes would vomit in the trash can. My dad used to tell me that I used to always have to have something in my hands, later translating itself into the form of a hair tie around my wrist.

Sometimes, I think about the girl who used to walk on her tippy toes. medial and lateral nerves never planted, never grounded. We were the same in this way. My ability to be firmly planted anywhere was also withered. 

Was it from all the times I panicked? Or from the time I ran away and I blistered the soles of my feet 'til they were black from the summer pavement? Emetophobia. 

I felt it in the shower, dressing itself from the crown of my head down to the soles of my feet, noting the feeling onto my white board in an attempt to solidify it’s permanence.

As I breathed in the chemical blue transpiring from the Expo marker, everything was more defined. I laid down and when I looked up at the starlet lamp I had finally felt centered. Still. No longer fleeting. The grooves in the lamps glass forming a spiral of what felt to me like an artificial landscape of transcendental sparks. 

She’s back now, magenta, though I never knew she left or even ever was. Somehow still subconsciously always known. I had been searching for her in the tremors.

I can see her now in the daphnes, the golden rays from the sun reflecting off of the bark on the trees and the red light that glowed brighter, suddenly the town around me was warmer. A melting of hues and sharpened saturation that was apparent and reminded of the smell of oranges.

I threw up all of the carrots I ate just before. The trauma that my body kept as a memory of things that may or may not go wrong and the times that I couldn't keep my legs from running. Revelations bring memories bringing anxieties from fear and panic released from my body as if to say “NO LONGER!” 

I close my eyes now and my mind's eye is, too, more vivid than ever before. My inner eyelids lit up with orange undertones no longer a solid black, neurons firing, fire. Not the kind that burns you but the kind that can light up a dull space. Like the wick of a tea-lit candle. Magenta doesn’t exist. It is perception. A construct made of light waves, blue and red.

Demolition. Reconstruction. I walk down the street into this new world wearing my new mask, somatic senses tingling and I think to myself “Houston, I think we’ve just hit equilibrium.”

How COVID-19 Changed My Senior Year

During the last two weeks of Winter quarter, I watched the emails pour in. Spring quarter would be online, facilities were closing, and everyone was recommended to return home to their families, if possible. I resolved to myself that I would not move back home; I wanted to stay in my apartment, near my boyfriend, near my friends, and in the one place I had my own space. However, as the COVID-19 pandemic worsened, things continued to change quickly. Soon I learned my roommate/best friend would be cancelling her lease and moving back up to Northern California. We had made plans for my final quarter at UCI, as I would be graduating in June while she had another year, but all of the sudden, that dream was gone. In one whirlwind of a day, we tried to cram in as much of our plans as we could before she left the next day for good. There are still so many things – like hiking, going to museums, and showing her around my hometown – we never got to cross off our list.

Then, my boyfriend decided he would also be moving home, three hours away. Most of my sorority sisters were moving home, too. I realized if I stayed at school, I would be completely alone. My mom had been encouraging me to move home anyway, but I was reluctant to return to a house I wasn’t completely comfortable in. As the pandemic became more serious, gentle encouragement quickly turned into demands. I had to cancel my lease and move home.

I moved back in with my parents at the end of Spring Break; I never got to say goodbye to most of my friends, many of whom I’ll likely never see again – as long as the virus doesn’t change things, I’m supposed to move to New York over the summer to begin a PhD program in Criminal Justice. Just like that, my time at UCI had come to a close. No lasts to savor; instead I had piles of things to regret. In place of a final quarter filled with memorable lasts, such as the senior banquet or my sorority’s senior preference night, I’m left with a laundry list of things I missed out on. I didn’t get to look around the campus one last time like I had planned; I never got to take my graduation pictures in front of the UC Irvine sign. Commencement had already been cancelled. The lights had turned off in the theatre before the movie was over. I never got to find out how the movie ended.

Transitioning to a remote learning system wasn’t too bad, but I found that some professors weren’t adjusting their courses to the difficulties many students were facing. It turned out to be difficult to stay motivated, especially for classes that are pre-recorded and don’t have any face-to-face interaction. It’s hard to make myself care; I’m in my last few weeks ever at UCI, but it feels like I’m already in summer. School isn’t real, my classes aren’t real. I still put in the effort, but I feel like I’m not getting much out of my classes.

The things I had been looking forward to this quarter are gone; there will be no Undergraduate Research Symposium, where I was supposed to present two projects. My amazing internship with the US Postal Inspection Service is over prematurely and I never got to properly say goodbye to anyone I met there. I won’t receive recognition for the various awards and honors I worked so hard to achieve.

And I’m one of the lucky ones! I feel guilty for feeling bad about my situation, when I know there are others who have it much, much worse. I am like that quintessential spoiled child, complaining while there are essential workers working tirelessly, people with health concerns constantly fearing for their safety, and people dying every day. Yet knowing that doesn't help me from feeling I was robbed of my senior experience, something I worked very hard to achieve. I know it’s not nearly as important as what many others are going through. But nevertheless, this is my situation. I was supposed to be enjoying this final quarter with my friends and preparing to move on, not be stuck at home, grappling with my mental health and hiding out in my room to get some alone time from a family I don’t always get along with. And while I know it’s more difficult out there for many others, it’s still difficult for me.

The thing that stresses me out most is the uncertainty. Uncertainty for the future – how long will this pandemic last? How many more people have to suffer before things go back to “normal” – whatever that is? How long until I can see my friends and family again? And what does this mean for my academic future? Who knows what will happen between now and then? All that’s left to do is wait and hope that everything will work out for the best.

Looking back over my last few months at UCI, I wish I knew at the time that I was experiencing my lasts; it feels like I took so much for granted. If there is one thing this has all made me realize, it’s that nothing is certain. Everything we expect, everything we take for granted – none of it is a given. Hold on to what you have while you have it, and take the time to appreciate the wonderful things in life, because you never know when it will be gone.

Physical Distancing

Thirty days have never felt so long. April has been the longest month of the year. I have been through more in these past three months than in the past three years. The COVID-19 outbreak has had a huge impact on both physical and social well-being of a lot of Americans, including me. Stress has been governing the lives of so many civilians, in particular students and workers. In addition to causing a lack of motivation in my life, quarantine has also brought a wave of anxiety.

My life changed the moment the Centers of Disease Control and Prevention and the government announced social distancing. My busy daily schedule, running from class to class and meeting to meeting, morphed into identical days, consisting of hour after hour behind a cold computer monitor. Human interaction and touch improve trust, reduce fear and increases physical well-being. Imagine the effects of removing the human touch and interaction from midst of society. Humans are profoundly social creatures. I cannot function without interacting and connecting with other people. Even daily acquaintances have an impact on me that is only noticeable once removed. As a result, the COVID-19 outbreak has had an extreme impact on me beyond direct symptoms and consequences of contracting the virus itself.

It was not until later that month, when out of sheer boredom I was scrolling through my call logs and I realized that I had called my grandmother more than ever. This made me realize that quarantine had created some positive impacts on my social interactions as well. This period of time has created an opportunity to check up on and connect with family and peers more often than we were able to. Even though we might be connecting solely through a screen, we are not missing out on being socially connected. Quarantine has taught me to value and prioritize social connection, and to recognize that we can find this type of connection not only through in-person gatherings, but also through deep heart to heart connections. Right now, my weekly Zoom meetings with my long-time friends are the most important events in my week. In fact, I have taken advantage of the opportunity to reconnect with many of my old friends and have actually had more meaningful conversations with them than before the isolation.

This situation is far from ideal. From my perspective, touch and in-person interaction is essential; however, we must overcome all difficulties that life throws at us with the best we are provided with. Therefore, perhaps we should take this time to re-align our motives by engaging in things that are of importance to us. I learned how to dig deep and find appreciation for all the small talks, gatherings, and face-to-face interactions. I have also realized that friendships are not only built on the foundation of physical presence but rather on meaningful conversations you get to have, even if they are through a cold computer monitor. My realization came from having more time on my hands and noticing the shift in conversations I was having with those around me. After all, maybe this isolation isn’t “social distancing”, but rather “physical distancing” until we meet again.

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How COVID-19 pandemic changed my life

Table of Contents

Introduction

The COVID-19 pandemic is one of the biggest challenges that our world has ever faced. People around the globe were affected in some way by this terrible disease, whether personally or not. Amid the COVID-19 pandemic, many people felt isolated and in a state of panic. They often found themselves lacking a sense of community, confidence, and trust. The health systems in many countries were able to successfully prevent and treat people with COVID-19-related diseases while providing early intervention services to those who may not be fully aware that they are infected (Rume & Islam, 2020). Personally, this pandemic has brought numerous changes and challenges to my life. The COVID-19 pandemic affected my social, academic, and economic lifestyle positively and negatively.

Social and Academic Changes

One of the changes brought by the pandemic was economic changes that occurred very drastically (Haleem, Javaid, & Vaishya, 2020). During the pandemic, food prices started to rise, affecting the amount of money my parents could spend on goods and services. We had to reduce the food we bought as our budgets were stretched. My family also had to eliminate unhealthy food bought in bulk, such as crisps and chocolate bars. Furthermore, the pandemic made us more aware of the importance of keeping our homes clean, especially regarding cooking food. Lastly, it also made us more aware of how we talked to other people when they were ill and stayed home with them rather than being out and getting on with other things.

Furthermore, COVID-19 had a significant effect on my academic life. Immediately, measures to curb the pandemic were announced, such as closing all learning institutions in the country; my school life changed. The change began when our school implemented the online education system to ensure that we continued with our education during the lockdown period. At first, this affected me negatively because when learning was not happening in a formal environment, I struggled academically since I was not getting the face-to-face interaction with the teachers I needed. Furthermore, forcing us to attend online caused my classmates and me to feel disconnected from the knowledge being taught because we were unable to have peer participation in class. However, as the pandemic subsided, we grew accustomed to this learning mode. We realized the effects on our performance and learning satisfaction were positive, as it seemed to promote emotional and behavioral changes necessary to function in a virtual world. Students who participated in e-learning during the pandemic developed more ownership of the course requirement, increased their emotional intelligence and self-awareness, improved their communication skills, and learned to work together as a community.

If there is an area that the pandemic affected was the mental health of my family and myself. The COVID-19 pandemic caused increased anxiety, depression, and other mental health concerns that were difficult for my family and me to manage alone. Our ability to learn social resilience skills, such as self-management, was tested numerous times. One of the most visible challenges we faced was social isolation and loneliness. The multiple lockdowns made it difficult to interact with my friends and family, leading to loneliness. The changes in communication exacerbated the problem as interactions moved from face-to-face to online communication using social media and text messages. Furthermore, having family members and loved ones separated from us due to distance, unavailability of phones, and the internet created a situation of fear among us, as we did not know whether they were all right. Moreover, some people within my circle found it more challenging to communicate with friends, family, and co-workers due to poor communication skills. This was mainly attributed to anxiety or a higher risk of spreading the disease. It was also related to a poor understanding of creating and maintaining relationships during this period.

Positive Changes

In addition, this pandemic has brought some positive changes with it. First, it had been a significant catalyst for strengthening relationships and neighborhood ties. It has encouraged a sense of community because family members, neighbors, friends, and community members within my area were all working together to help each other out. Before the pandemic, everybody focused on their business, the children going to school while the older people went to work. There was not enough time to bond with each other. Well, the pandemic changed that, something that has continued until now that everything is returning to normal. In our home, it strengthened the relationship between myself and my siblings and parents. This is because we started spending more time together as a family, which enhanced our sense of understanding of ourselves.

The pandemic has been a challenging time for many people. I can confidently state that it was a significant and potentially unprecedented change in our daily life. By changing how we do things and relate with our family and friends, the pandemic has shaped our future life experiences and shown that during crises, we can come together and make a difference in each other’s lives. Therefore, I embrace wholesomely the changes brought by the COVID-19 pandemic in my life.

• Haleem, A., Javaid, M., & Vaishya, R. (2020). Effects of COVID-19 pandemic in daily life.  Current medicine research and practice ,  10 (2), 78.
• Rume, T., & Islam, S. D. U. (2020). Environmental effects of COVID-19 pandemic and potential strategies of sustainability.  Heliyon ,  6 (9), e04965.
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12 Ideas for Writing Through the Pandemic With The New York Times

A dozen writing projects — including journals, poems, comics and more — for students to try at home.

By Natalie Proulx

The coronavirus has transformed life as we know it. Schools are closed, we’re confined to our homes and the future feels very uncertain. Why write at a time like this?

For one, we are living through history. Future historians may look back on the journals, essays and art that ordinary people are creating now to tell the story of life during the coronavirus.

But writing can also be deeply therapeutic. It can be a way to express our fears, hopes and joys. It can help us make sense of the world and our place in it.

Plus, even though school buildings are shuttered, that doesn’t mean learning has stopped. Writing can help us reflect on what’s happening in our lives and form new ideas.

We want to help inspire your writing about the coronavirus while you learn from home. Below, we offer 12 projects for students, all based on pieces from The New York Times, including personal narrative essays, editorials, comic strips and podcasts. Each project features a Times text and prompts to inspire your writing, as well as related resources from The Learning Network to help you develop your craft. Some also offer opportunities to get your work published in The Times, on The Learning Network or elsewhere.

We know this list isn’t nearly complete. If you have ideas for other pandemic-related writing projects, please suggest them in the comments.

In the meantime, happy writing!

Journaling is well-known as a therapeutic practice , a tool for helping you organize your thoughts and vent your emotions, especially in anxiety-ridden times. But keeping a diary has an added benefit during a pandemic: It may help educate future generations.

In “ The Quarantine Diaries ,” Amelia Nierenberg spoke to Ady, an 8-year-old in the Bay Area who is keeping a diary. Ms. Nierenberg writes:

As the coronavirus continues to spread and confine people largely to their homes, many are filling pages with their experiences of living through a pandemic. Their diaries are told in words and pictures: pantry inventories, window views, questions about the future, concerns about the present. Taken together, the pages tell the story of an anxious, claustrophobic world on pause. “You can say anything you want, no matter what, and nobody can judge you,” Ady said in a phone interview earlier this month, speaking about her diary. “No one says, ‘scaredy-cat.’” When future historians look to write the story of life during coronavirus, these first-person accounts may prove useful. “Diaries and correspondences are a gold standard,” said Jane Kamensky, a professor of American History at Harvard University and the faculty director of the Schlesinger Library at the Radcliffe Institute. “They’re among the best evidence we have of people’s inner worlds.”

You can keep your own journal, recording your thoughts, questions, concerns and experiences of living through the coronavirus pandemic.

Not sure what to write about? Read the rest of Ms. Nierenberg’s article to find out what others around the world are recording. If you need more inspiration, here are a few writing prompts to get you started:

How has the virus disrupted your daily life? What are you missing? School, sports, competitions, extracurricular activities, social plans, vacations or anything else?

What effect has this crisis had on your own mental and emotional health?

What changes, big or small, are you noticing in the world around you?

For more ideas, see our writing prompts . We post a new one every school day, many of them now related to life during the coronavirus.

You can write in your journal every day or as often as you like. And if writing isn’t working for you right now, try a visual, audio or video diary instead.

2. Personal Narrative

As you write in your journal, you’ll probably find that your life during the pandemic is full of stories, whether serious or funny, angry or sad. If you’re so inspired, try writing about one of your experiences in a personal narrative essay.

Here’s how Mary Laura Philpott begins her essay, “ This Togetherness Is Temporary, ” about being quarantined with her teenage children:

Get this: A couple of months ago, I quit my job in order to be home more. Go ahead and laugh at the timing. I know. At the time, it was hitting me that my daughter starts high school in the fall, and my son will be a senior. Increasingly they were spending their time away from me at school, with friends, and in the many time-intensive activities that make up teenage lives. I could feel the clock ticking, and I wanted to spend the minutes I could — the minutes they were willing to give me, anyway — with them, instead of sitting in front of a computer at night and on weekends in order to juggle a job as a bookseller, a part-time gig as a television host, and a book deadline. I wanted more of them while they were still living in my house. Now here we are, all together, every day. You’re supposed to be careful what you wish for, but come on. None of us saw this coming.

Personal narratives are short, powerful stories about meaningful life experiences, big or small. Read the rest of Ms. Philpott’s essay to see how she balances telling the story of a specific moment in time and reflecting on what it all means in the larger context of her life.

To help you identify the moments that have been particularly meaningful, difficult, comical or strange during this pandemic, try responding to one of our writing prompts related to the coronavirus:

Holidays and Birthdays Are Moments to Come Together. How Are You Adapting During the Pandemic?

Has Your School Switched to Remote Learning? How Is It Going So Far?

Is the Coronavirus Pandemic Bringing Your Extended Family Closer Together?

How Is the Coronavirus Outbreak Affecting Your Life?

Another option? Use any of the images in our Picture Prompt series to inspire you to write about a memory from your life.

Related Resource: Writing Curriculum | Unit 1: Teach Narrative Writing With The New York Times

People have long turned to creative expression in times of crisis. During the coronavirus pandemic, artists are continuing to illustrate , play music , dance , perform — and write poetry .

That’s what Dr. Elizabeth Mitchell, an emergency room doctor in Boston, did after a long shift treating coronavirus patients. Called “ The Apocalypse ,” her poem begins like this:

This is the apocalypse A daffodil has poked its head up from the dirt and opened sunny arms to bluer skies yet I am filled with dark and anxious dread as theaters close as travel ends and grocery stores display their empty rows where toilet paper liquid bleach and bags of flour stood in upright ranks.

Read the rest of Dr. Mitchell’s poem and note the lines, images and metaphors that speak to you. Then, tap into your creative side by writing a poem inspired by your own experience of the pandemic.

Need inspiration? Try writing a poem in response to one of our Picture Prompts . Or, you can create a found poem using an article from The Times’s coronavirus outbreak coverage . If you have access to the print paper, try making a blackout poem instead.

Related Resources: 24 Ways to Teach and Learn About Poetry With The New York Times Reader Idea | How the Found Poem Can Inspire Teachers and Students Alike

4. Letter to the Editor

Have you been keeping up with the news about the coronavirus? What is your reaction to it?

Make your voice heard by writing a letter to the editor about a recent Times article, editorial, column or Opinion essay related to the pandemic. You can find articles in The Times’s free coronavirus coverage or The Learning Network’s coronavirus resources for students . And, if you’re a high school student, your school can get you free digital access to The New York Times from now until July 6.

To see examples, read the letters written by young people in response to recent headlines in “ How the Young Deal With the Coronavirus .” Here’s what Addie Muller from San Jose, Calif., had to say about the Opinion essay “ I’m 26. Coronavirus Sent Me to the Hospital ”:

As a high school student and a part of Generation Z, I’ve been less concerned about getting Covid-19 and more concerned about spreading it to more vulnerable populations. While I’ve been staying at home and sheltering in place (as was ordered for the state of California), many of my friends haven’t been doing the same. I know people who continue going to restaurants and have been treating the change in education as an extended spring break and excuse to spend more time with friends. I fear for my grandparents and parents, but this article showed me that we should also fear for ourselves. I appreciated seeing this article because many younger people seem to feel invincible. The fact that a healthy 26-year-old can be hospitalized means that we are all capable of getting the virus ourselves and spreading it to others. I hope that Ms. Lowenstein continues spreading her story and that she makes a full recovery soon.

As you read, note some of the defining features of a letter to the editor and what made these good enough to publish. For more advice, see these tips from Thomas Feyer, the letters editor at The Times, about how to write a compelling letter. They include:

Write briefly and to the point.

Be prepared to back up your facts with evidence.

Write about something off the beaten path.

Publishing Opportunity: When you’re ready, submit your letter to The New York Times.

5. Editorial

Maybe you have more to say than you can fit in a 150-word letter to the editor. If that’s the case, try writing an editorial about something you have a strong opinion about related to the coronavirus. What have you seen that has made you upset? Proud? Appreciative? Scared?

In “ Surviving Coronavirus as a Broke College Student ,” Sydney Goins, a senior English major at the University of Georgia, writes about the limited options for students whose colleges are now closed. Her essay begins:

College was supposed to be my ticket to financial security. My parents were the first ones to go to college in their family. My grandpa said to my mom, “You need to go to college, so you don’t have to depend on a man for money.” This same mentality was passed on to me as well. I had enough money to last until May— $1,625 to be exact — until the coronavirus ruined my finances. My mom works in human resources. My dad is a project manager for a mattress company. I worked part time at the university’s most popular dining hall and lived in a cramped house with three other students. I don’t have a car. I either walked or biked a mile to attend class. I have student debt and started paying the accrued interest last month. I was making it work until the coronavirus shut down my college town. At first, spring break was extended by two weeks with the assumption that campus would open again in late March, but a few hours after that email, all 26 colleges in the University System of Georgia canceled in-person classes and closed integral parts of campus.

Read the rest of Ms. Goins’s essay. What is her argument? How does she support it? How is it relevant to her life and the world?

Then, choose a topic related to the pandemic that you care about and write an editorial that asserts an opinion and backs it up with solid reasoning and evidence.

Not sure where to start? Try responding to some of our recent argumentative writing prompts and see what comes up for you. Here are a few we’ve asked students so far:

Should Schools Change How They Grade Students During the Pandemic?

What Role Should Celebrities Have During the Coronavirus Crisis?

Is It Immoral to Increase the Price of Goods During a Crisis?

Or, consider essential questions about the pandemic and what they tell us about our world today: What weaknesses is the coronavirus exposing in our society? How can we best help our communities right now? What lessons can we learn from this crisis? See more here.

As an alternative to a written essay, you might try creating a video Op-Ed instead, like Katherine Oung’s “ Coronavirus Racism Infected My High School. ”

Publishing Opportunity: Submit your final essay to our Student Editorial Contest , open to middle school and high school students ages 10-19, until April 21. Please be sure to read all the rules and guidelines before submitting.

Related Resource: An Argumentative-Writing Unit for Students Doing Remote Learning

Are games, television, music, books, art or movies providing you with a much-needed distraction during the pandemic? What has been working for you that you would recommend to others? Or, what would you caution others to stay away from right now?

Share your opinions by writing a review of a piece of art or culture for other teenagers who are stuck at home. You might suggest TV shows, novels, podcasts, video games, recipes or anything else. Or, try something made especially for the coronavirus era, like a virtual architecture tour , concert or safari .

As a mentor text, read Laura Cappelle’s review of French theater companies that have rushed to put content online during the coronavirus outbreak, noting how she tailors her commentary to our current reality:

The 17th-century philosopher Blaise Pascal once wrote: “The sole cause of people’s unhappiness is that they do not know how to stay quietly in their rooms.” Yet at a time when much of the world has been forced to hunker down, French theater-makers are fighting to fill the void by making noise online.

She continues:

Under the circumstances, it would be churlish to complain about artists’ desire to connect with audiences in some fashion. Theater, which depends on crowds gathering to watch performers at close quarters, is experiencing significant loss and upheaval, with many stagings either delayed indefinitely or canceled outright. But a sampling of stopgap offerings often left me underwhelmed.

To get inspired you might start by responding to our related Student Opinion prompt with your recommendations. Then turn one of them into a formal review.

Related Resource: Writing Curriculum | Unit 2: Analyzing Arts, Criticizing Culture: Writing Reviews With The New York Times

7. How-to Guide

Being stuck at home with nowhere to go is the perfect time to learn a new skill. What are you an expert at that you can you teach someone?

The Times has created several guides that walk readers through how to do something step-by-step, for example, this eight-step tutorial on how to make a face mask . Read through the guide, noting how the author breaks down each step into an easily digestible action, as well as how the illustrations support comprehension.

Then, create your own how-to guide for something you could teach someone to do during the pandemic. Maybe it’s a recipe you’ve perfected, a solo sport you’ve been practicing, or a FaceTime tutorial for someone who’s never video chatted before.

Whatever you choose, make sure to write clearly so anyone anywhere could try out this new skill. As an added challenge, include an illustration, photo, or audio or video clip with each step to support the reader’s understanding.

Related Resource: Writing Curriculum | Unit 4: Informational Writing

8. 36 Hours Column

For nearly two decades, The Times has published a weekly 36 Hours column , giving readers suggestions for how to spend a weekend in cities all over the globe.

While traveling for fun is not an option now, the Travel section decided to create a special reader-generated column of how to spend a weekend in the midst of a global pandemic. The result? “ 36 Hours in … Wherever You Are .” Here’s how readers suggest spending a Sunday morning:

8 a.m. Changing routines Make small discoveries. To stretch my legs during the lockdown, I’ve been walking around the block every day, and I’ve started to notice details that I’d never seen before. Like the fake, painted window on the building across the road, or the old candle holders that were once used as part of the street lighting. When the quarantine ends, I hope we don’t forget to appreciate what’s been on a doorstep all along. — Camilla Capasso, Modena, Italy 10:30 a.m. Use your hands Undertake the easiest and most fulfilling origami project of your life by folding 12 pieces of paper and building this lovely star . Modular origami has been my absolute favorite occupational therapy since I was a restless child: the process is enthralling and soothing. — Laila Dib, Berlin, Germany 12 p.m. Be isolated, together Check on neighbors on your block or floor with an email, text or phone call, or leave a card with your name and contact information. Are they OK? Do they need something from the store? Help with an errand? Food? Can you bring them a hot dish or home-baked bread? This simple act — done carefully and from a safe distance — palpably reduces our sense of fear and isolation. I’ve seen the faces of some neighbors for the first time. Now they wave. — Jim Carrier, Burlington, Vt.

Read the entire article. As you read, consider: How would this be different if it were written by teenagers for teenagers?

Then, create your own 36 Hours itinerary for teenagers stuck at home during the pandemic with ideas for how to spend the weekend wherever they are.

The 36 Hours editors suggest thinking “within the spirit of travel, even if many of us are housebound.” For example: an album or a song playlist; a book or movie that transports you; a particular recipe you love; or a clever way to virtually connect with family and friends. See more suggestions here .

Related Resources: Reader Idea | 36 Hours in Your Hometown 36 Hours in Learning: Creating Travel Itineraries Across the Curriculum

9. Photo Essay

Daily life looks very different now. Unusual scenes are playing out in homes, parks, grocery stores and streets across the country.

In “ New York Was Not Designed for Emptiness ,” New York Times photographers document what life in New York City looks like amid the pandemic. It begins:

The lights are still on in Times Square. Billboards blink and storefronts shine in neon. If only there were an audience for this spectacle. But the thoroughfares have been abandoned. The energy that once crackled along the concrete has eased. The throngs of tourists, the briskly striding commuters, the honking drivers have mostly skittered away. In their place is a wistful awareness that plays across all five boroughs: Look how eerie our brilliant landscape has become. Look how it no longer bustles. This is not the New York City anyone signed up for.

Read the rest of the essay and view the photos. As you read, note the photos or lines in the text that grab your attention most. Why do they stand out to you?

What does the pandemic look like where you live? Create your own photo essay, accompanied by a written piece, that illustrates your life now. In your essay, consider how you can communicate a particular theme or message about life during the pandemic through both your photos and words, like in the article you read.

Publishing Opportunity: The International Center of Photography is collecting a virtual archive of images related to the coronavirus pandemic. Learn how to submit yours here.

10. Comic Strip

Sometimes, words alone just won’t do. Visual mediums, like comics, have the advantage of being able to express emotion, reveal inner monologues, and explain complex subjects in ways that words on their own seldom can.

If anything proves this point, it is the Opinion section’s ongoing visual diary, “ Art in Isolation .” Scroll through this collection to see clever and poignant illustrations about life in these uncertain times. Read the comic “ Finding Connection When Home Alone ” by Gracey Zhang from this collection. As you read, note what stands out to you about the writing and illustrations. What lessons could they have for your own piece?

Then, create your own comic strip, modeled after the one you read, that explores some aspect of life during the pandemic. You can sketch and color your comic with paper and pen, or use an online tool like MakeBeliefsComix.com .

Need inspiration? If you’re keeping a quarantine journal, as we suggested above, you might create a graphic story based on a week of your life, or just a small part of it — like the meals you ate, the video games you played, or the conversations you had with friends over text. For more ideas, check out our writing prompts related to the coronavirus.

Related Resource: From Superheroes to Syrian Refugees: Teaching Comics and Graphic Novels With Resources From The New York Times

11. Podcast

Modern Love Podcast: In the Midst of the Coronavirus Pandemic, People Share Their Love Stories

Are you listening to any podcasts to help you get through the pandemic? Are they keeping you up-to-date on the news? Offering advice? Or just helping you escape from it all?

Create your own five-minute podcast segment that responds to the coronavirus in some way.

To get an idea of the different genres and formats your podcast could take, listen to one or more of these five-minute clips from three New York Times podcast episodes related to the coronavirus:

“ The Daily | Voices of the Pandemic ” (1:15-6:50)

“ Still Processing | A Pod From Both Our Houses ” (0:00-4:50)

“ Modern Love | In the Midst of the Coronavirus Pandemic, People Share Their Love Stories ” (1:30-6:30)

Use these as models for your own podcast. Consider the different narrative techniques they use to relate an experience of the pandemic — interviews, nonfiction storytelling and conversation — as well as how they create an engaging listening experience.

Need ideas for what to talk about? You might try translating any of the writing projects above into podcast form. Or turn to our coronavirus-related writing prompts for inspiration.

Publishing Opportunity: Submit your finished five-minute podcast to our Student Podcast Contest , which is open through May 19. Please read all the rules and guidelines before submitting.

Related Resource: Project Audio: Teaching Students How to Produce Their Own Podcasts

12. Revise and Edit

“It doesn’t matter how good you think you are as a writer — the first words you put on the page are a first draft,” Harry Guinness writes in “ How to Edit Your Own Writing .”

Editing your work may seem like something you do quickly — checking for spelling mistakes just before you turn in your essay — but Mr. Guinness argues it’s a project in its own right:

The time you put into editing, reworking and refining turns your first draft into a second — and then into a third and, if you keep at it, eventually something great. The biggest mistake you can make as a writer is to assume that what you wrote the first time through was good enough.

Read the rest of the article for a step-by-step guide to editing your own work. Then, revise one of the pieces you have written, following Mr. Guinness’s advice.

Publishing Opportunity: When you feel like your piece is “something great,” consider submitting it to one of the publishing opportunities we’ve suggested above. Or, see our list of 70-plus places that publish teenage writing and art to find more.

Natalie Proulx joined The Learning Network as a staff editor in 2017 after working as an English language arts teacher and curriculum writer. More about Natalie Proulx

8 Lessons We Can Learn From the COVID-19 Pandemic

BY KATHY KATELLA May 14, 2021

Note: Information in this article was accurate at the time of original publication. Because information about COVID-19 changes rapidly, we encourage you to visit the websites of the Centers for Disease Control & Prevention (CDC), World Health Organization (WHO), and your state and local government for the latest information.

The COVID-19 pandemic changed life as we know it—and it may have changed us individually as well, from our morning routines to our life goals and priorities. Many say the world has changed forever. But this coming year, if the vaccines drive down infections and variants are kept at bay, life could return to some form of normal. At that point, what will we glean from the past year? Are there silver linings or lessons learned?

“Humanity's memory is short, and what is not ever-present fades quickly,” says Manisha Juthani, MD , a Yale Medicine infectious diseases specialist. The bubonic plague, for example, ravaged Europe in the Middle Ages—resurfacing again and again—but once it was under control, people started to forget about it, she says. “So, I would say one major lesson from a public health or infectious disease perspective is that it’s important to remember and recognize our history. This is a period we must remember.”

We asked our Yale Medicine experts to weigh in on what they think are lessons worth remembering, including those that might help us survive a future virus or nurture a resilience that could help with life in general.

Lesson 1: Masks are useful tools

What happened: The Centers for Disease Control and Prevention (CDC) relaxed its masking guidance for those who have been fully vaccinated. But when the pandemic began, it necessitated a global effort to ensure that everyone practiced behaviors to keep themselves healthy and safe—and keep others healthy as well. This included the widespread wearing of masks indoors and outside.

What we’ve learned: Not everyone practiced preventive measures such as mask wearing, maintaining a 6-foot distance, and washing hands frequently. But, Dr. Juthani says, “I do think many people have learned a whole lot about respiratory pathogens and viruses, and how they spread from one person to another, and that sort of old-school common sense—you know, if you don’t feel well—whether it’s COVID-19 or not—you don’t go to the party. You stay home.”

Masks are a case in point. They are a key COVID-19 prevention strategy because they provide a barrier that can keep respiratory droplets from spreading. Mask-wearing became more common across East Asia after the 2003 SARS outbreak in that part of the world. “There are many East Asian cultures where the practice is still that if you have a cold or a runny nose, you put on a mask,” Dr. Juthani says.

She hopes attitudes in the U.S. will shift in that direction after COVID-19. “I have heard from a number of people who are amazed that we've had no flu this year—and they know masks are one of the reasons,” she says. “They’ve told me, ‘When the winter comes around, if I'm going out to the grocery store, I may just put on a mask.’”

Lesson 2: Telehealth might become the new normal

What happened: Doctors and patients who have used telehealth (technology that allows them to conduct medical care remotely), found it can work well for certain appointments, ranging from cardiology check-ups to therapy for a mental health condition. Many patients who needed a medical test have also discovered it may be possible to substitute a home version.

What we’ve learned: While there are still problems for which you need to see a doctor in person, the pandemic introduced a new urgency to what had been a gradual switchover to platforms like Zoom for remote patient visits. 

More doctors also encouraged patients to track their blood pressure at home , and to use at-home equipment for such purposes as diagnosing sleep apnea and even testing for colon cancer . Doctors also can fine-tune cochlear implants remotely .

“It happened very quickly,” says Sharon Stoll, DO, a neurologist. One group that has benefitted is patients who live far away, sometimes in other parts of the country—or even the world, she says. “I always like to see my patients at least twice a year. Now, we can see each other in person once a year, and if issues come up, we can schedule a telehealth visit in-between,” Dr. Stoll says. “This way I may hear about an issue before it becomes a problem, because my patients have easier access to me, and I have easier access to them.”

Meanwhile, insurers are becoming more likely to cover telehealth, Dr. Stoll adds. “That is a silver lining that will hopefully continue.”

Lesson 3: Vaccines are powerful tools

What happened: Given the recent positive results from vaccine trials, once again vaccines are proving to be powerful for preventing disease.

What we’ve learned: Vaccines really are worth getting, says Dr. Stoll, who had COVID-19 and experienced lingering symptoms, including chronic headaches . “I have lots of conversations—and sometimes arguments—with people about vaccines,” she says. Some don’t like the idea of side effects. “I had vaccine side effects and I’ve had COVID-19 side effects, and I say nothing compares to the actual illness. Unfortunately, I speak from experience.”

Dr. Juthani hopes the COVID-19 vaccine spotlight will motivate people to keep up with all of their vaccines, including childhood and adult vaccines for such diseases as measles , chicken pox, shingles , and other viruses. She says people have told her they got the flu vaccine this year after skipping it in previous years. (The CDC has reported distributing an exceptionally high number of doses this past season.)  

But, she cautions that a vaccine is not a magic bullet—and points out that scientists can’t always produce one that works. “As advanced as science is, there have been multiple failed efforts to develop a vaccine against the HIV virus,” she says. “This time, we were lucky that we were able build on the strengths that we've learned from many other vaccine development strategies to develop multiple vaccines for COVID-19 .” 

Lesson 4: Everyone is not treated equally, especially in a pandemic

What happened: COVID-19 magnified disparities that have long been an issue for a variety of people.

What we’ve learned: Racial and ethnic minority groups especially have had disproportionately higher rates of hospitalization for COVID-19 than non-Hispanic white people in every age group, and many other groups faced higher levels of risk or stress. These groups ranged from working mothers who also have primary responsibility for children, to people who have essential jobs, to those who live in rural areas where there is less access to health care.

“One thing that has been recognized is that when people were told to work from home, you needed to have a job that you could do in your house on a computer,” says Dr. Juthani. “Many people who were well off were able do that, but they still needed to have food, which requires grocery store workers and truck drivers. Nursing home residents still needed certified nursing assistants coming to work every day to care for them and to bathe them.”  

As far as racial inequities, Dr. Juthani cites President Biden’s appointment of Yale Medicine’s Marcella Nunez-Smith, MD, MHS , as inaugural chair of a federal COVID-19 Health Equity Task Force. “Hopefully the new focus is a first step,” Dr. Juthani says.

Lesson 5: We need to take mental health seriously

What happened: There was a rise in reported mental health problems that have been described as “a second pandemic,” highlighting mental health as an issue that needs to be addressed.

What we’ve learned: Arman Fesharaki-Zadeh, MD, PhD , a behavioral neurologist and neuropsychiatrist, believes the number of mental health disorders that were on the rise before the pandemic is surging as people grapple with such matters as juggling work and childcare, job loss, isolation, and losing a loved one to COVID-19.

The CDC reports that the percentage of adults who reported symptoms of anxiety of depression in the past 7 days increased from 36.4 to 41.5 % from August 2020 to February 2021. Other reports show that having COVID-19 may contribute, too, with its lingering or long COVID symptoms, which can include “foggy mind,” anxiety , depression, and post-traumatic stress disorder .

 “We’re seeing these problems in our clinical setting very, very often,” Dr. Fesharaki-Zadeh says. “By virtue of necessity, we can no longer ignore this. We're seeing these folks, and we have to take them seriously.”

Lesson 6: We have the capacity for resilience

What happened: While everyone’s situation is different­­ (and some people have experienced tremendous difficulties), many have seen that it’s possible to be resilient in a crisis.

What we’ve learned: People have practiced self-care in a multitude of ways during the pandemic as they were forced to adjust to new work schedules, change their gym routines, and cut back on socializing. Many started seeking out new strategies to counter the stress.

“I absolutely believe in the concept of resilience, because we have this effective reservoir inherent in all of us—be it the product of evolution, or our ancestors going through catastrophes, including wars, famines, and plagues,” Dr. Fesharaki-Zadeh says. “I think inherently, we have the means to deal with crisis. The fact that you and I are speaking right now is the result of our ancestors surviving hardship. I think resilience is part of our psyche. It's part of our DNA, essentially.”

Dr. Fesharaki-Zadeh believes that even small changes are highly effective tools for creating resilience. The changes he suggests may sound like the same old advice: exercise more, eat healthy food, cut back on alcohol, start a meditation practice, keep up with friends and family. “But this is evidence-based advice—there has been research behind every one of these measures,” he says.

But we have to also be practical, he notes. “If you feel overwhelmed by doing too many things, you can set a modest goal with one new habit—it could be getting organized around your sleep. Once you’ve succeeded, move on to another one. Then you’re building momentum.”

Lesson 7: Community is essential—and technology is too

What happened: People who were part of a community during the pandemic realized the importance of human connection, and those who didn’t have that kind of support realized they need it.

What we’ve learned: Many of us have become aware of how much we need other people—many have managed to maintain their social connections, even if they had to use technology to keep in touch, Dr. Juthani says. “There's no doubt that it's not enough, but even that type of community has helped people.”

Even people who aren’t necessarily friends or family are important. Dr. Juthani recalled how she encouraged her mail carrier to sign up for the vaccine, soon learning that the woman’s mother and husband hadn’t gotten it either. “They are all vaccinated now,” Dr. Juthani says. “So, even by word of mouth, community is a way to make things happen.”

It’s important to note that some people are naturally introverted and may have enjoyed having more solitude when they were forced to stay at home—and they should feel comfortable with that, Dr. Fesharaki-Zadeh says. “I think one has to keep temperamental tendencies like this in mind.”

But loneliness has been found to suppress the immune system and be a precursor to some diseases, he adds. “Even for introverted folks, the smallest circle is preferable to no circle at all,” he says.

Lesson 8: Sometimes you need a dose of humility

What happened: Scientists and nonscientists alike learned that a virus can be more powerful than they are. This was evident in the way knowledge about the virus changed over time in the past year as scientific investigation of it evolved.

What we’ve learned: “As infectious disease doctors, we were resident experts at the beginning of the pandemic because we understand pathogens in general, and based on what we’ve seen in the past, we might say there are certain things that are likely to be true,” Dr. Juthani says. “But we’ve seen that we have to take these pathogens seriously. We know that COVID-19 is not the flu. All these strokes and clots, and the loss of smell and taste that have gone on for months are things that we could have never known or predicted. So, you have to have respect for the unknown and respect science, but also try to give scientists the benefit of the doubt,” she says.

“We have been doing the best we can with the knowledge we have, in the time that we have it,” Dr. Juthani says. “I think most of us have had to have the humility to sometimes say, ‘I don't know. We're learning as we go.’"

Information provided in Yale Medicine articles is for general informational purposes only. No content in the articles should ever be used as a substitute for medical advice from your doctor or other qualified clinician. Always seek the individual advice of your health care provider with any questions you have regarding a medical condition.

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My experience with covid-19, fighting infection, coping with quarantine and why vaccines matter.

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I believe that getting vaccinated will improve my chances of not getting infected again and will help protect my beloved family Maher Ghafari

Aleppo, Syria, 22 August 2021 - Today I got my second dose of the COVID-19 vaccine because we are all responsible for fighting this pandemic. I believe that getting vaccinated will improve my chances of not getting infected again and will help protect my beloved family, colleagues at the office and friends.

Last year, both my wife and I got infected with COVID-19. Although we did not panic, we felt rather alert and had consciously been prepared for such a scenario. On the first few days, symptoms included the loss of taste and smell as well as muscle pain, which we used pain relief medications to reduce. Thankfully we did not have any respiratory symptoms.

We were taken aback when we first got the test results. Being unable to predict potential deterioration to our health was also worrisome. There was an incessant flow of information about the virus, and the more we saw what came on the media outlets and digital platforms, the more confused we became. Thus, we decided only to go to reliable sources for information. We did not feel alone during the whole time because of the support we received from our family and colleagues daily via video calls, chat applications and mobile phone messages.

We feared developing respiratory symptoms that could complicate our medical situation and that we might not be able to protect Laura, our four-year-old daughter. As the pain and fatigue started to subside after the first few days, we were reassured that it was unlikely that we develop respiratory symptoms. The challenge now became how to cope with self-isolation and quarantine for at least 15 days while we focus on getting better.

It was important to explain to our little Laura that there will be no more hugging or kissing. She cried at first and wondered whether that meant we had stopped loving her. Laura, 4

It was important to explain to our little Laura that there will be no more hugging or kissing. She cried at first and wondered whether that meant we had stopped loving her. But as we explained that it was something temporary, which we had to do because we loved her so much, she was okay.

Being quarantined at home for about 20 days affected our daily routine and forced us to find new ways of doing things. When I felt ready to work, I had to attend all my meetings remotely, via the internet or phone. It was difficult to explain to Laura that I was working and that being home did not mean I can spend all my time with her. For her, it felt like we were on a constant weekend but none of us could go out. I let her join during some of my video meetings to help her grasp the idea of working from home.

We learnt how to take advantage of our time in quarantine to strengthen the relationship among our small family, away from the internet and mobile phones. We came up with new games for Laura. Her favourite was dressing up as a doctor to treat us. She would even excitedly deliver awareness messages about COVID-19 and its preventive measures to us. A while after, we learned that she explains to her friends at the nursery what she had memorized about the pandemic, its prevention and our time in quarantine.

As a water, sanitation and hygiene (WASH) officer with UNICEF in Aleppo field office, I work on ensuring that people in need are provided with life-saving assistance as well as longer-term durable WASH support. The COVID-19 pandemic came posing a major risk to the health and hygiene of whole communities in such a short time. In Aleppo, since June last year, we had to focus on supporting the most vulnerable people, especially those displaced in camps, by increasing the daily water delivery and thus enabling the promotion of handwashing and hygiene practices. In addition, UNICEF provided remote awareness sessions about the pandemic and its preventive measures, using speakerphones on mobile vehicles to avoid the crowding of people in the camps.

Also, preparing for the reopening of schools, last year, following a period of interruption caused by the first wave of COVID-19 spread and restrictions, was a real challenge. We needed to launch a huge campaign among WASH sector partners to rehabilitate water, sanitation and hygiene facilities in schools, ensuring the functionality of handwashing facilities. We also provided infection prevention control and sanitization supplies to students alongside a hygiene awareness campaign.

*Maher Ghafari is a water, sanitation and hygiene officer working with UNICEF in Aleppo, Syria.

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Nurse experience during the COVID-19 pandemic

Results of a two-question survey of nurses at one hospital identified 5 clear themes related to nurses' experiences during the pandemic and 7 areas for improvement, providing potential strategies for nurse leaders.

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During the COVID-19 pandemic, nurses have been the provider with the most prolonged face-to-face contact with patients and associated exposure to patient suffering and viral transmission. 1 Nurses have experienced practice changes, fear for themselves and their families, and moral distress from the inability to provide optimal care. 2 - 4 Throughout this time, it has been important for nurse leaders to provide the needed support to nurses.

Leadership embodies three areas: leading the self, leading others, and leading the organization. 5 During the pandemic, leaders have been responsible for decisions affecting both patients and staff. One important role of a nurse leader is understanding the needs of nursing staff. 6 Balancing the needs of the staff and patients while considering quality metrics, data, and finances has been a challenge during the pandemic. Providing staff support fosters a positive workplace culture that results in increased patient satisfaction and staff well-being. 7 With the exhaustion of resources, nurse leaders need to use the wisdom of clinical nurses in decision-making to preserve trusting relationships. During a crisis, decision-making tends to be more authoritarian, and the goals of person-centered care are difficult to maintain. 8 Social media and the sensationalism of the pandemic have added to the crisis and called for nurse leaders to understand the needs of clinical nurses. 9

The 2020 WHO report “State of the World's Nursing 2020” stresses the importance of leadership to quality care and safety. Nurse leaders have been scrutinized during the COVID-19 pandemic, with a call for leaders to be visible and active participants in the decisions that shape the healthcare system's response. 8 , 10 Studies early in the COVID-19 pandemic documented the workplace as a source of stress for nurses and emphasized the importance of leader support. 4 , 11 , 12 Although many issues were present before the pandemic, the stress that the pandemic has put on the healthcare system has affected nurses dramatically. As part of a continuous improvement process at one hospital system, staff survey responses were solicited to help leaders be responsive to the nurses. This article discusses the results of that survey and the implications for nurse leaders.

In a case study of nursing leadership during the COVID-19 pandemic, Quinn and colleagues concluded the core of effective leadership is the ability to communicate with compassion and a willingness to serve. 13 Recommendations for leaders during the pandemic have included using communication that's truthful, mindful, and relevant to practice. 14 Rosa and colleagues recommended that leaders round regularly and include nurses in decisions, and Markey and colleagues encouraged nurse leaders to maintain ethical vigilance and find ways to empower, support, and enable nurses to apply ethical standards. 15 , 16

Across countries and methods, researchers have documented the effects of pandemics on nurses. A review of studies on the psychological effects on clinicians working during viral outbreaks that included 59 studies from SARS, COVID-19, MERS, Ebola, H1N1, and influenza A virus subtype H7N9 indicated that staff members who had contact with infected patients had more acute and posttraumatic stress and psychological distress. 17 Clear communication, access to proper personal protective equipment (PPE), adequate rest, and practical and psychological support were associated with reduced morbidity. 17

Since the start of the COVID-19 pandemic, research from across the world has consistently documented how the pandemic has negatively impacted nurses. One study of 325 nurses in the Philippines found that 37% had dysfunctional levels of anxiety. 18 A survey of nurses in 42 hospitals across China found that 9.4% of the nurses had depressive symptoms, 8.1% reported clinically significant anxiety, 6.5% had suicidal ideation, and 42.7% had somatic symptoms. 19 A study of 705 nurses in Turkey found the average stress score indicated high perceived stress, burnout, and moderate depression. 20 A survey of 3,676 nurses in Canada found that 47% experienced PTSD, 38% anxiety, 41% depression, and 60% high emotional exhaustion. 12 In the US, similar experiences have been documented. In a survey that included 974 physicians, advanced practice providers, residents/fellows, and nurses in New York in April 2020, 57% experienced acute stress, 48% depression, and 33% had anxiety symptoms. 21 Another study of 22 nurses interviewed in May and June of 2020 found the major theme of an emotional roller coaster, with nurses experiencing a range of intense emotions, including fear, anger, and exhaustion. 22 In a survey of critical care nurses in the US with 285 responses collected from October 2020 through January 2021, participants reported a variety of negative physical and emotional symptoms. 3

This quality improvement project aimed to understand the experiences of nurses working at one hospital system during the COVID-19 pandemic using fundamentals from the relationship-based care (RBC) model and a qualitative approach. The RBC model provides both the philosophical foundation and practical infrastructure for the hospital system, which includes seven hospitals (rural and nonrural), physicians' offices, urgent care, and home care. 23 RBC culture has the patient and family at the core and is committed to three key relationships—self, colleagues/coworkers, and patients/families—and six dimensions essential to the implementation of RBC, which include leadership, teamwork, professional nursing practice, patient-care delivery, resource-driven practice, and outcomes measurement.

A qualitative design was used to document nurses' experiences from their perspectives during the pandemic. The project was ruled exempt by both the university and hospital Institutional Review Boards. Nurses were asked to respond to two open-ended questions about their experiences during the pandemic: 1. What has it been like to be a nurse at (agency) during the COVID-19 pandemic? 2. What might be more helpful or useful to nurses at (agency) during the pandemic?

A total of 1,632 nurses were asked to participate by the hospital's Nursing Research Council, and 476 completed both sections of the instrument for a response rate of 29%.

Data collection

The survey was distributed via email and was available for 2 weeks in February 2021. After data were collected, responses were transferred to a word processing program and a team of researchers (two nursing faculty members and four members from the agency serving in various educational and clinical roles) completed content analysis.

Thematic analyses

Question one: Nurse experience . First-level coding was completed using the organization's RBC model. Professional practice and care delivery were combined into one code, and outcomes included nurse and patient outcomes. Both physical and staffing resources were considered, and leadership included aspects of communication and management. Two faculty members independently completed first-level coding, identifying meaning units (sentence fragments) and creating coding rules. The practice partners then reviewed the meaning units with associated codes to determine if the statements fit the codes from a contextual perspective and the use of the RBC model in practice. Following review by the practice partners, researchers reached an agreement regarding first-level coding.

In second-level coding, investigators used the five coded sections to identify subcategories. The initial codes of outcomes and leadership had the most responses and subcategories. Again, faculty investigators identified subcategories and verified the categories and meaning units with agency investigators.

In the next step, the subcategories were collapsed to create themes. This was accomplished by the entire investigative team in a virtual meeting. As a final step, the group used the themes to back-code to the meaning units and identified exemplars for the themes. All researchers reached an agreement on the back-coding for the exemplars.

Question two: Strategies for improvement . Following completion of the analysis of the first open-ended question, investigators used the same method for the second open-ended question.

Question one . The concepts from the RBC model were used to identify the subcategories and themes. Researchers derived five themes from the data: 1. Different (polarized) perceptions of leadership/communication with varied connection to levels of leadership; 2. Balance of meeting patient and nurse needs and managing exhaustion; 3. Rapid practice changes and doing things differently, which varied with unit and role; 4. Increase in need/change of resources (PPE, staffing) requiring teamwork; and 5. Emotional experience (stressful/scary). Table ​ Table1 1 includes the first-level codes from the RBC Model, subcategories, and themes with exemplar meaning units from the interviews.

Question two . Seven strategy areas were identified from the data related to the question about what would be more helpful to nurses: 1. Nurses' input/presence in decision-making; 2. Adequacy of preparedness and training (education, PPE, staffing); 3. Support of staff physically (breaks, better treatment when sick, mental health days) and emotionally (empathy, compassion from leadership, employee health, debriefing, stress reduction); 4. Visibility of management (focus on support, empathy, appreciation); 5. Consistent, accessible, relevant, prompt communication (vary depending on recipient); 6. Response to changes needed relating to COVID-19 practice demands (different staffing models, appropriate staff, different definitions of productivity); and 7. Compensation (paid time off [PTO], hazard pay). See Table ​ Table2 2 for improvement areas and exemplar meaning units for the second question.

Theme one: Differing perceptions of leadership . Leadership support is important during a pandemic. In a study of 451 RNs in five hospitals in China, Zhao and colleagues found that inclusive leadership had an inverse relationship with psychological distress. 24 For the hospital described in this article, the leadership strategies in place included frequent communication by various means, but the staff wanted leadership to be “more present,” preferably face-to-face and during times when they could have more contact with a diverse group of nurses (nights, weekends). Although this organization had several methods for communicating, some nurses desired more concise communication. The nurses surveyed recommended using regular parts of care provision, such as pop-ups on the electronic health record (EHR) or daily huddles for communication.

Staffing was another issue related to this theme. Although the agency was using alternative staffing models, survey respondents suggested more staff involvement and clarification of staffing ratios. In a study of nurse managers during the COVID-19 pandemic in the US, White found that leadership challenges included providing a different kind of support, revamping their approach, and addressing staff resistance and fears. 25 In a study of primary health nurses during the COVID-19 pandemic in Australia, Halcomb and colleagues found that the nurses needed high-level communication support. Involving staff in decisions and problem-solving could be helpful to bridge these challenges for leadership. 26 A study in the US found that nurses perceived inadequate leadership support and inequity within the healthcare team. 3

Theme two: Balance of meeting patient and nurse needs and managing exhaustion . The agency described in this article used numerous support strategies including employee assistance for childcare and stress reduction programs. Suggestions for improvements included team-building activities across the agency; those provided were often confined to specific units. For example, one unit that was chosen to be a COVID unit in one of the hospitals used a creative approach. They renamed their unit the “COVID Cove” and decorated in a beach theme that was welcoming to both staff and patients. Other suggestions included using a variety of support strategies and focusing on interprofessional team building. There was some confusion about how available PTO could be used. Help with scripting and enforcement limitations on visitation policies were suggested. Because exhaustion was amplified by fear, participants indicated that strategies to deal with fear were also important. Balancing the needs of the patient and the nurse led to exhaustion. Similarly, in a qualitative study of healthcare providers across China, Liu and colleagues found that providers were challenged by working in a new context and reported exhaustion related to heavy workloads and protective gear. 27 A study in the US also documented emotional and physical exhaustion. 22

Theme three: Rapid practice changes and doing things differently, varying with role and unit . There were many practice changes related to the novelty and complexity of caring for patients with COVID-19, including the use of PPE, new medications and interventions, expanded roles for nurses, working more closely with other professions, and changes in visitor rules. This was similar to results from a study in Canada where nurses found challenges providing good care in response to practice changes and tensions from juggling patient care with other responsibilities. 4 Although the organization offered resources in a variety of formats for addressing these challenges, participants were overwhelmed by all that had to be learned. It's important to explain policies and why they're changing. In addition, streamlining education and communication is essential. Specific and accurate information is needed, but it has to be presented in a concise, accessible way.

In an integrated review of qualitative studies of nurses' experiences working in hospital settings during a respiratory pandemic, Fernandez-Castillo and colleagues found one theme was that healthcare providers were challenged by working in a new context with heavy workloads and feeling powerless to handle the patients' conditions. 28

Theme four: Increase in need/change of resources (PPE, staffing) requiring teamwork . The need for and change in resources was also challenging. The organization used an internal labor pool, and a large manufacturing company in the community provided an increased supply of basic resources. However, it's valuable to investigate creative staffing models and to use available resources in innovative ways. Also, education on PPE is necessary. In a study of pediatric nurses during the COVID-19 pandemic, Zheng found that having adequate PPE predicted less anxiety and depression. 29 Leng and colleagues found that for nurses working during the pandemic in China, major sources of stress were concerns about PPE shortage and use. 30 A study of nurses in Canada found that higher ratings of emotional distress were associated with negative ratings of workplace relations, organizational support and preparedness, workplace safety, and access to supplies. 12

Theme five: Emotional experience (stressful/scary) . The emotional experiences of the nurses in this study were described as “stressful” and “scary.” Although there were resources available, it's crucial to make sure that nurses are aware of these resources. Spiritual care services, which could have been helpful to both patients and staff, weren't available during the beginning of the pandemic. Suggestions included the use of support groups during surges at the hospital but also continually thereafter. Many nurses had high levels of uncertainty, especially related to not knowing if or when they'd be caring for patients with COVID-19 and where they'd be working. Finding opportunities for everyone to contribute however they can is important, along with supporting nurses working in all areas, not only those working in acute care or with patients with COVID-19.

Similar emotional experiences related to COVID-19 have been reported by nurses from many countries. In a systematic review of qualitative studies of nurses' experiences working in hospitals during a respiratory pandemic in Spain, Fernandez and colleagues found fear and frustration were common in critical care nurses and led to emotional lability. 31 These nurses required support both during and after the pandemic due to the physical and emotional impact. Halcomb and colleagues found that nurses in Australia identified concern for their mental health during and following the pandemic. 26 Ardebili, in a qualitative study of healthcare providers in Iran, found that mental health deteriorated in stages as the pandemic unfolded. 32 In the US, several studies have documented the emotional distress experienced by nurses. 3 , 12 , 22

Question two: Improvement strategies . Improvement strategies were derived from responses to the second question. Participants referred to many strategies already in place, but data from the study provide additional strategies for improvement. Recommendations were made to develop strategies for decision-making, support, visibility of leaders, and communication. It's also important to design strategies that are user-friendly and efficient. It was clear that the nurses responding to the survey had ideas for how things could be improved and how they could be included in decision-making for improvement strategies. Table ​ Table3 3 identifies areas for improvement, noting the strategies that were already in place and possible strategies to implement as derived from the study.

Implications for nurse leaders

Perceptions of leadership differed based on the nurse's role, suggesting a “one size fits all” approach may not be effective, and leaders should identify the needs of specific groups. However, regardless of the group, participants emphasized the importance of communication that was timely, focused for specific groups, and easily accessible. Nurse leaders had to make many decisions, and survey respondents suggested input and presence of staff in decision-making. Another recommendation was to balance the needs of nurses and patients using various support strategies, including increased visibility of leadership and additional resources, such as staff and education. At this agency, leaders have focused on communicating face-to-face when appropriate and including information relevant to specific groups.

Rapid practice changes required nurses to do things differently, so it was critical to ensure that nurses had the knowledge and skills to care for patients. When asked to provide care on units or for patients they weren't familiar with, nurses needed resources, including education and emotional support. The complexity of providing care for patients with COVID-19 calls for efficient and effective education. As the pandemic has progressed, the agency has developed methods of providing needed information and education, including regular updates using various communication methods.

The provision of resources was vital and included PPE, needed equipment, and adequate staffing to care for patients. Nurse leaders can facilitate the ease with which these resources are accessed and implement creative staffing models that work with the strengths of nurses and units.

The emotional experience of nurses was a dominant theme. Nurse leaders need to recognize the emotional toll on nurses working during the pandemic. Nurse leaders should educate themselves on trauma and make resources available to nurses, such as support groups, time off, and child-care assistance. Provision 5 of the ANA Code of Ethics emphasizes the responsibility of promoting the health and safety of self. 33 In addition to providing staff members with opportunities for self-care, nurse leaders need to practice self-care as well. A study that included nurses in management roles found that one of the many challenges they experienced during the pandemic was providing support for everyone on their team while trying to strengthen their role. 25

Improving nurse experience

Findings from this study provide direction for nurse leaders and are consistent with other studies conducted during previous pandemics and during the COVID-19 pandemic. Stress is prevalent and is related to the work of caring for patients with COVID-19 and nurses' concerns for their own health and the health of their family members. This patient population requires complex care with frequent protocol changes, resulting in mental and physical stress on caregivers. Findings from this study provide suggestions from nurses working at the point of care. This study delineated the importance of leadership support related to both communication and developing relationships with staff. The amount of physical and psychological energy it takes to care for patients was also evident, along with the complexities of providing care when navigating changing knowledge and needs. The need for resources, both physical and from colleagues, was also evident. Overall, the emotional experience of providing care was apparent and described as stressful and scary. Nurse involvement in improving communication and providing support, team building, and education is important to enhance the experience of nurses and promote quality care. Based on the findings of this study, the organization has made changes to improve communication and provide more opportunities for nurses to be involved in making decisions.

INSTRUCTIONS Nurse experience during the COVID-19 pandemic: Implications for nurse leaders

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Discrimination Experiences Shape Most Asian Americans’ Lives

4. asian americans and discrimination during the covid-19 pandemic, table of contents.

• Key findings from the survey
• Most Asian Americans have been treated as foreigners in some way, no matter where they were born
• Most Asian Americans have been subjected to ‘model minority’ stereotypes, but many haven’t heard of the term
• Experiences with other daily and race-based discrimination incidents
• In their own words: Key findings from qualitative research on Asian Americans and discrimination experiences
• Discrimination in interpersonal encounters with strangers
• Racial discrimination at security checkpoints
• Encounters with police because of race or ethnicity
• Racial discrimination in the workplace
• Quality of service in restaurants and stores
• Discrimination in neighborhoods
• Experiences with name mispronunciation
• Discrimination experiences of being treated as foreigners
• In their own words: How Asian Americans would react if their friend was told to ‘go back to their home country’
• Awareness of the term ‘model minority’
• Views of the term ‘model minority’
• How knowledge of Asian American history impacts awareness and views of the ‘model minority’ label
• Most Asian Americans have experienced ‘model minority’ stereotypes
• In their own words: Asian Americans’ experiences with the ‘model minority’ stereotype
• Asian adults who personally know an Asian person who has been threatened or attacked since COVID-19
• In their own words: Asian Americans’ experiences with discrimination during the COVID-19 pandemic
• Experiences with talking about racial discrimination while growing up
• Is enough attention being paid to anti-Asian racism in the U.S.?
• Acknowledgments
• Sample design
• Data collection
• Weighting and variance estimation
• Methodology: 2021 focus groups of Asian Americans
• Appendix: Supplemental tables

Following the coronavirus outbreak, reports of discrimination and violence toward Asian Americans increased. A previous Pew Research Center survey of English-speaking Asian adults showed that as of 2021, one-third said they feared someone might threaten or physically attack them. English-speaking Asian adults in 2022 were also more likely than other racial or ethnic groups to say they had changed their daily routines due to concerns they might be threatened or attacked. 19

In this new 2022-23 survey, Asian adults were asked if they personally know another Asian person in the U.S. who had been attacked since the pandemic began.

About one-third of Asian adults (32%) say they personally know an Asian person in the U.S. who has been threatened or attacked because of their race or ethnicity since the COVID-19 pandemic began in 2020.

Whether Asian adults know someone with this experience varies across Asian ethnic origin groups:

• About four-in-ten Chinese adults (39%) say they personally know another Asian person who has been threatened or attacked since the coronavirus outbreak. Similar shares of Korean adults (35%) and those who belong to less populous Asian origin groups (39%) – those categorized as “other” in this report – say the same.
• About three-in-ten Vietnamese (31%), Japanese (28%) and Filipino (28%) Americans and about two-in-ten Indian adults (21%) say they know another Asian person in the U.S. who has been the victim of a racially motivated threat or attack. 

Additionally, there are some differences by regional origin groups:

• Overall, similar shares of East and Southeast Asian adults say they know another Asian person who’s been threatened or attacked because of their race or ethnicity (36% and 33%, respectively).
• A somewhat smaller share of South Asian adults say the same (24%).

There are also differences across nativity and immigrant generations:

• U.S.-born Asian adults are more likely than Asian immigrants to say they know another Asian person who has been threatened or attacked during the COVID-19 pandemic  (40% vs. 28%, respectively).
• Among immigrants, those who are 1.5 generation – those who came to the U.S. as children – are more likely than the first generation – those who immigrated as adults – to say they know someone with this experience (37% vs. 25%).
• And among U.S.-born Asian Americans, 44% of second-generation adults say this, compared with 28% of third- or higher-generation Asian adults.

Whether Asian Americans personally know another Asian person who was threatened or attacked because of their race or ethnicity since the beginning of the pandemic also varies across other demographic groups:

• Age: 44% of Asian adults under 30 years old say they know someone who has been threatened or attacked during the pandemic, compared with 18% of those 65 and older.
• Gender: Asian women are somewhat more likely than men to say they know an Asian person in the U.S. who has been threatened or attacked during the COVID-19 pandemic (35% vs. 28%, respectively).
• Party: 36% of Asian Democrats and Democratic leaners say they know another Asian person who has been threatened or attacked because of their race or ethnicity, higher than the share among Republicans and Republican leaners (25%).

Heightened anti-Asian discrimination during the COVID-19 pandemic

These survey findings follow a spike in reports of discrimination against Asian Americans during the COVID-19 pandemic. The number of federally recognized hate crime incidents of anti-Asian bias increased from 158 in 2019 to 279 in 2020 and 746 in 2021, according to hate crime statistics published by the FBI . In 2022, the number of anti-Asian hate crimes decreased for the first time since the coronavirus outbreak, to 499 incidents. Between March 2020 and May 2023, the organization Stop AAPI Hate received more than 11,000 self-reported incidents of anti-Asian bias, the vast majority of which involved harassment, bullying, shunning and other discrimination incidents.

Additionally, previous research found that calling COVID-19 the “Chinese Virus,” “Asian Virus” or other names that attach location or ethnicity to the disease was associated with anti-Asian sentiment in online discourse. Use of these phrases by politicians or other prominent public officials, such as by former President Donald Trump , coincided with greater use among the general public and more frequent instances of bias against Asian Americans.

In the 2021 Pew Research Center focus groups of Asian Americans, participants discussed their experiences of being discriminated against because of their race or ethnicity during the COVID-19 pandemic.

Participants talked about being shamed in both public and private spaces. Some Asian immigrant participants talked about being afraid to speak out because of how it might impact their immigration status:

“I was walking in [the city where I live], and a White old woman was poking me in the face saying, ‘You are disgusting,’ and she was trying to hit me. I ran away crying. … At the time, I was with my boyfriend, but he also just came to the U.S., so we ran away together thinking that if we cause trouble, we could be deported.”

–Immigrant woman of Korean origin in late 20s (translated from Korean)

“[A very close friend of mine] lived at [a] school dormitory, and when the pandemic just happened … his room was directly pasted with the adhesive tape saying things like ‘Chinese virus quarantine.’”

–Immigrant man of Chinese origin in early 30s (translated from Mandarin)

Many participants talked about being targeted because others perceive them as Chinese , regardless of their ethnicity:

“I think the crimes [that happened] against other Asian people can happen to me while going through COVID-19. When I see a White person, I don’t know if their ancestors are Scottish or German, so they will look at me and think the same. It seems that they can’t distinguish between Korean and Chinese and think that we are from Asia and the onset of COVID-19 is our fault. This is something that can happen to all of us. So I think Asian Americans should come together and let people know that we are also human and we have rights. I came to think about Asian Americans that they shouldn’t stay still even if they’re trampled on.”

–Immigrant woman of Korean origin in early 50s (translated from Korean)

“Even when I was just getting on the bus, [people acted] as if I was carrying the virus. People would not sit with me, they would sit a bit far. It was because I look Chinese.”

–Immigrant woman of Bhutanese origin in early 30s (translated from Dzongkha)

Amid these incidents, some participants talked about feeling in community and kinship with other Asian people:

“[When I hear stories about Asian people in the news,] I feel like automatically you just have a sense of connection to someone that’s Asian. … [I]t makes me and my family and everyone else that I know that is Asian super mad and upset that this is happening. [For example,] the subway attacks where there was a mother who got dragged down the stairs for absolutely no reason. It just kind of makes you scared because you are Asian, and I would tell my mom, ‘You’re not going anywhere without me.’ We got pepper spray and all of that. But there is definitely a difference because you just feel a connection with them no matter if you don’t know them.”

–U.S.-born woman of Taiwanese origin in early 20s

“[A]s a result of the pandemic, I think we saw an increase in Asian hate in the media. I think that was one time where I realized as an Asian person, I felt a lot of pain. I felt a lot of fear, I felt a lot of anger and frustration for my community. … I think it was just at that specific moment when I saw the Asian hate, Asian hate crimes, and I realized, ‘Oh, they’re targeting my people.’  I don’t know how to explain it exactly. I never really referred to myself just plainly as an Asian American, but when I saw it in that media and I saw people who looked like me or people who I related with getting hurt and mistreated, I felt anger for that community, for my community.””

–U.S.-born woman of Korean origin in late teens

Some connected discrimination during the pandemic to other times of heightened anti-Asian discrimination . For example, one woman connected anti-Asian discrimination during COVID-19 to the period after Sept. 11:

“[T]he hate crimes I’m reading about now are towards Chinese [people] because of COVID, but I remember after 9/11, that was – I remember the looks that people would give me on the subway but also reading the violent acts committed towards Indians of all types, just the confusion – I mean, I say confusion but I mean really they wanted to attack Muslims, but they didn’t care, they were just looking for a brown person to attack. So there’s always something that happens that then suddenly falls on one community or another.”

–U.S.-born man of Indian origin in late 40s

• Pew Research Center’s American Trends Panel surveys of Asian adults were conducted only in English and are representative of the English-speaking Asian adult population. In 2021, 70% of Asian adults spoke only English or said they speak English “very well,” according to a Pew Research Center analysis of the 2021 American Community Survey. By contrast, the Center’s 2022-23 survey of Asian Americans was conducted in six languages, including Chinese (Simplified and Traditional), English, Hindi, Korean, Tagalog and Vietnamese. ↩

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• Volume 14, Issue 4
• Qualitative interview study of rheumatology patients’ experiences of COVID-19 shielding to explore the physical and psychological impact and identify associated support needs
• Article Text
• Article info
• Citation Tools
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• Article metrics

• http://orcid.org/0000-0001-8145-2305 Christine A Silverthorne 1 , 2 ,
• Bethan Jones 1 , 2 ,
• Mel Brooke 3 ,
• http://orcid.org/0000-0002-4756-663X Laura C Coates 4 ,
• Jen Orme 1 , 2 ,
• Joanna C Robson 1 , 2 ,
• William Tillett 3 , 5 ,
• http://orcid.org/0000-0002-6674-8607 Emma Dures 1 , 2
• 1 Academic Rheumatology, Bristol Royal Infirmary , Bristol , UK
• 2 University of the West of England , Bristol , UK
• 3 Royal United Hospitals , Bath , UK
• 4 Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences , University of Oxford , Oxford , UK
• 5 University of Bath , Bath , UK
• Correspondence to Christine A Silverthorne; chris.silverthorne{at}uwe.ac.uk

Objective Many clinically extremely vulnerable rheumatology patients have only recently ceased shielding from COVID-19, while some continue to minimise in-person contact. The objective of this study was to understand the impact of shielding and associated support needs in patients with rheumatic conditions and to understand how rheumatology teams can meet these needs both currently and in future pandemics.

Design, participants and setting The study was conducted in the Southwest of England using a case-study design. The participants were 15 patients with rheumatic conditions who were advised to shield and/or chose to shield at any time during the COVID-19 pandemic.

Methods Qualitative data collected via telephone and online semi-structured interviews and analysed using reflexive thematic analysis.

Results Fifteen interviews were conducted. Three main themes represent the data:

‘Just shove them over there in the corner’ captures changes in patients’ self-perception. They felt different to most other people, vulnerable and left behind. The initial sense of shock was followed by a sense of loss as changes became long term.

‘A long and lonely road’ captures patients’ psychological isolation due to a perceived lack of understanding and support. This included having to prove their health status and justify their shielding behaviours, which impacted their relationships. At times, they felt abandoned by their healthcare providers.

‘You can’t just flip a switch’ captures the difficulty of getting back to pre-pandemic normal after shielding. Patients did not recognise themselves physically and mentally. They wanted to collaborate with health professionals and identified the need for specific guidance to support their recovery.

Conclusion Patients are dealing with lasting physical and mental effects from shielding and consequences of delayed healthcare. Health professionals need time and resources to ask about patients’ well-being, identify their health needs and refer/signpost to appropriate sources of support.

• QUALITATIVE RESEARCH
• Patient Participation

Data availability statement

All data relevant to the study are included in the article or uploaded as supplementary information.

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See:  http://creativecommons.org/licenses/by-nc/4.0/ .

https://doi.org/10.1136/bmjopen-2023-075871

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STRENGTHS AND LIMITATIONS OF THIS STUDY

The study captured the views of participants as they had recently stopped shielding or were ceasing to shield and so gained an insight into their thoughts and behaviours at this particular point in time.

The study explored participants’ support needs with regards to both their physical and mental health.

Data were collected and analysed by two insider researchers, which may have allowed for a greater rapport with participants, resulting in richer, more detailed data due to their shared experiences, knowledge and understanding.

The research findings were informed by discussions with coauthors with multidisciplinary backgrounds, including medicine, psychology and lived experience of shielding.

Participants were from a limited geographical area (Southwest of England).

Introduction

During the COVID-19 pandemic, approximately 4 million people in the UK were classified as clinically extremely vulnerable (CEV) and advised to ‘shield’. 1 To be considered as CEV, individuals need to have a weakened immune system due to a particular health condition or taking medication that suppresses their immune system and who therefore may have a reduced ability to fight infections and other diseases, including COVID-19. This therefore included patients with rheumatic conditions, at risk of severe harm from the virus due to being immunosuppressed. Shielding required people to strictly isolate for long periods, with shielding advice remaining in place throughout 2020. At various times during 2020 and 2021, people shielding were advised that they should not leave their homes, and to physically distance themselves from others in their household, eat separately and sleep and wash in separate spaces where possible. Additionally, many patients with rheumatic conditions who were not formally identified as CEV took shielding precautions to protect themselves during the pandemic. 2

Existing research has demonstrated that many patients with rheumatic conditions found the process of shielding had a negative impact on their well-being and increased their levels of anxiety and depression, reduced their physical activity and fitness levels, and led to feelings of isolation. 3 4 Research has also indicated that the psychological, social and practical impact of COVID-19 is expected to continue for several years. 5 6 For CEV patients, shielding meant that many of them experienced a continued state of distress on top of the challenges they already faced by living with a health condition. Indeed, CEV patients were found to be significantly more likely to reach the threshold for health anxiety or generalised anxiety than those who were not classed as CEV. 7 Similarly, patients with pre-existing physical health conditions were found to have a larger increase in distress during the first wave of COVID-19 as compared with the general population. 8

In addition, during the height of the pandemic, CEV patients also had to cope with disruptions to the provision of their rheumatology care, partly due to the redeployment of rheumatology health professionals to the COVID-19 front line 9 as well as rheumatology health professional own sickness. 10 This disruption included cancellations and delays to appointments, difficulty accessing medication and a reduction in the monitoring of symptoms, all of which increased the risk of long-term damage, for example, as a consequence of not quickly treating disease flares. 11 Further, high levels of stress and negative changes to diet or physical activity can exacerbate some long-term health conditions. 12

The aim of the current study is to understand the experience and impact of shielding in patients with rheumatic conditions and to explore their support needs. Also, it aims to understand how rheumatology teams can meet these needs both during and after times of isolation, for example, when patients are experiencing health-related setbacks that can occur with rheumatic conditions or should any future pandemics occur.

Study design

A qualitative design was used with data collected using one-to-one, semi-structured, telephone or online interviews. Semi-structured interviews can generate insights into the thoughts and feelings of participants. 13 In the semi-structured format, participants are asked the same core questions, but there is flexibility to probe more deeply and develop new lines of enquiry based on their responses. The core questions in the interviews were based on the study objectives. The interview schedule was designed by the research team (comprising psychology researchers, rheumatology consultants, insider researchers and a patient research partner with lived experience of shielding) and in collaboration with regional rheumatology patient groups. See box 1 for interview schedule.

Interview schedule

Section 1: experience and impact of shielding

Shielding behaviours and practices

Physical and psychological effects

Impact on healthcare and access to healthcare services

Section 2: how shielding experience informed behaviours as restrictions were lifted

Returning to pre-pandemic activities

Thoughts and feelings about what felt safe to do/not do

Section 3: shielding support

Support received during shielding and current support needs

Lessons learnt and support for patients in the future

Sampling and recruitment

This study was conducted in the Southwest of England. Participants were patients with rheumatic conditions who were advised to shield and/or chose to shield at any time during the COVID-19 pandemic. Potential participants were informed about the research and invited to take part via a flyer to the regional branches of relevant rheumatology patient groups including the National Rheumatoid Arthritis Society (NRAS) and the National Axial Spondyloarthritis Society. In addition, social media posts were sent to social media networks related to CEV people to advertise the study. Potential participants who were interested in taking part contacted the lead author for further information and to arrange a telephone or online interview. The concept of ‘information power’ 14 was used to inform the sample size. This is based on the idea that the more information the sample holds relevant to the research, the lower the number of participants needed. In this study, the researchers felt that the study objectives were met after collecting data from 15 participants.

Data collection

Interviews were conducted over the telephone or online via video call. Before the start of the interviews, the participants signed a consent form and provided demographic data (rheumatic condition, disease duration, disease medication, gender, age and ethnicity). The lead author and one other member of the research team conducted the interviews. Both interviewers had shielded during the COVID-19 pandemic and disclosed this to participants. At the time the interviews were conducted, all official government guidance to shield had ended. Interviews were audio recorded, transcribed by a professional transcription service, checked for accuracy against the original audio files and anonymised by changing the names of people and places.

Reflexive thematic analysis was used to analyse the data. 15 The aim of this type of analysis is to identify patterns in the data to describe participants’ views and experiences. This involves becoming familiar with the data, attaching codes to the transcripts to describe the content, generating initial themes, reviewing and developing themes and then refining, defining and naming the themes. It is an iterative process that involves moving between the entire data set and the coded extracts of data. This approach was taken as it is appropriate for research that is not based on pre-existing theory about the phenomena being studied. It was also suitable for highlighting both similarities and differences in the experiences and views of the participants.

The lead author read all 15 transcripts and coded sections of text that related to the research question. Related clusters of coded text formed subthemes, which were grouped together to form a smaller number of higher order themes that described broad elements in the dataset. Two anonymised transcripts were both reviewed independently by two other members of the study team and then discussed to ensure that the findings were informed by multiple viewpoints. 16 The final analysis was based on the integrated interpretations of four team members, including the two researchers who had collected the data and two other team members. The themes and subthemes were also discussed with other team members, including the patient research partner who felt that they reflected their own experience of shielding as well as those expressed in their local patient networks.

Patient and public involvement

The study team, including a patient partner, collaborated with regional rheumatology patient groups in the Southwest of England to develop the research question and study design and to acquire funding. Regional patient groups supported study recruitment by advertising the study to their members. A lay summary of the study findings has been distributed to rheumatology patient groups across the UK via their social media platforms and electronic newsletters, including on the NRAS website (published on 9 March 2023).

A total of 15 interviews were conducted with patients with rheumatic conditions living in the Southwest of England with experience of shielding during the COVID-19 pandemic. Rheumatic conditions included rheumatoid arthritis, psoriatic arthritis, systemic lupus erythematosus, ankylosing spondylitis, axial spondylopathy, osteoarthritis, undifferentiated connective tissue disease, fibromyalgia, Antineutrophil cytoplasmic antibody (ANCA) vasculitis and Sjogren’s syndrome. Treatments included biologic medicines (adalimumab, upadacitinib, abatacept, ixekizumab and rituximab) and non-biologic medicines (methotrexate, hydroxychloroquine, leflunomide, sulfasalazine and mycophenolate) as well as prednisolone, amitriptyline and paracetamol. Thirteen of the participants were taking immunosuppressant medicine and so met the criteria for being CEV, while two participants did not strictly meet the criteria for being CEV but still chose to shield.

Interviews ranged from 31 to 81 min in length (median: 60 min). Online supplemental table S1 presents participant demographics. Three main themes with subthemes capture the patterns across the data ( table 1 ). The themes and subthemes have been labelled using participants’ own words and are evidenced using data extracts. Additional data extracts are provided in online supplemental tables S2-S4 .

Supplemental material

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Themes and subthemes

Theme: ‘Just shove them over there in the corner’—feeling different to others and left behind

The participants described the effects that being labelled as ‘vulnerable’ had on their lives and how it affected their thoughts, feelings and behaviours. Participants talked about how this label, combined with the experience of shielding, had led in some cases to a sense of exclusion and long-term changes in their lives.

Subtheme: ‘Fast tracked to the more critical’—feelings of vulnerability and a change in self-perception

Participants talked about how being identified as CEV had made them feel vulnerable, often for the first time, and for some this experience had changed how they saw themselves. Many were worried about a COVID-19 infection leaving them with further health complications and some were afraid of dying. Participants felt acutely aware of being different to others who were not classed as CEV and deemed at high risk of adverse outcomes from COVID-19, including feeling less powerful and less important.

‘I suppose what it did was exaggerated my condition…suddenly, I wasn’t just a person with psoriatic arthritis, I was an elderly extremely vulnerable person which is not what I saw myself as before Covid…I suppose it changed my perception of myself as well’ (Interview 14) ‘…the feeling that I was being infantilised and my power, what little power I had as someone with lupus, anyway, was sort of taken away’ (Interview 7)

Subtheme: ‘A real sense of loss’—living with long-term changes

Many participants had still not returned to pre-pandemic activities, including exercise, social activities and attending church. Many expressed sadness and resentment at how others had been able to return to life as normal while they were still living with changes and loss. For some, there were real fears about still being unprotected and not having made sufficient antibodies from the vaccines. Others felt they had lost the ability to mix in social situations or had become accustomed to staying in the home and noticed that they went out far less than they had before.

‘…the impact for me, has been a real sense of loss…and I think it’s ongoing, living with loss. I feel my life has changed, and its definite sadness that comes with that because things just do feel harder’ (Interview 4) ‘…for me, the going into shielding was not such a big step from my normal life but the coming out of shielding has felt much, much harder and the more that life gets back to so-called normal for other people, the more I feel my abnormality’ (Interview 7)

Theme: ‘It’s a long and lonely road’—psychological isolation heightened by a lack of understanding and empathy

Participants talked about how they wished others had shown more understanding and empathy for their situation. They described some of the challenges of living with an often invisible health condition and feeling pressured to tell others about their health status to justify why they were shielding. They also talked about the support they had received from their rheumatology team with some finding greater help than others.

Subtheme: ‘ You have to prove yourself all the time’—having to justify shielding behaviours

Participants often felt they needed to prove themselves to others and justify why they needed to shield. Some felt uncomfortable at disclosing and discussing their rheumatic condition with others, sometimes for the first time. People challenging the participants’ shielding decisions and behaviour strained their relationships, including those with family, friends, employers and their children’s school/nursery.

‘…it’s denying your existence, almost…it’s almost like you have to prove actually this is real, actually there is a concern for my life, and it’s almost like you’re having to prove it, and that’s…well, it’s exhausting…It’s just a battle, it feels like you have to prove yourself all the time, and that’s just exhausting’ (Interview 11) ‘There was this thing that with arthritis it’s not a life-threatening condition and then suddenly it became this really big thing that I started having to tell everyone about which felt quite uncomfortable’ (Interview 15)

Subtheme: ‘Nobody’s checking up on me’—feeling abandoned

The participants had varied experiences of the support they received from their rheumatology teams during their time shielding, with some feeling the specialist nurses offered a valuable source of help. However, others described feeling abandoned and felt they had to manage any healthcare issues for themselves.

‘I feel a little bit abandoned by my team at [hospital]… they must’ve been overloaded but I have felt a bit abandoned’ (Interview 12) ‘I would have appreciated a bit of how are you managing with it? Or how are you coping with it? Or something but there was nothing’ (Interview 11) ‘…what has become much more difficult is the nurse helpline because they’re just so busy.’ (Interview 10)

Theme: ‘You can’t just flip a switch’—the difficulty of getting back to normal after shielding

Participants described the physical and mental impact of shielding, which for many was still an ongoing concern. They talked about how they often felt quite alone in dealing with the negative effects of shielding and how they would have valued receiving more specific guidance and support from rheumatology. They also talked about the benefits of peer support.

Subtheme: ‘I didn’t recognise myself’—the struggle to stay physically and mentally well

Most of the participants had experienced a negative impact on their physical health following shielding, including loss of strength and stamina and a gain in weight. Some had made a conscious decision to continue with exercise and been able to incorporate physical activity into their daily lives while shielding. Participants described how factors such as having access to a garden or safe open space, a supportive partner, owning a dog, not being employed, and having no childcare responsibilities made continuing with exercise easier.

‘…my mobility really deteriorated, and my weight went up a lot’ (Interview 5) ‘…you can’t just flip a switch and overnight go back to where you were before and so, I did find it really difficult and to a certain extent, quite disheartening to see how much I’d lost in the time that I’d been shielding.’ (Interview 8) ‘I struggled there because I wasn’t doing them [physiotherapy exercises] with anybody, so my motivation had hit the floor’ (Interview 6)

Shielding, and ceasing to shield, had a negative impact on the mental health of many participants with some describing how they were still living with a lasting anxiety and with decreased confidence about being back out in the wider world. Participants described their need to have had someone to talk to during shielding and how they had been reluctant to talk to friends and family as they were worried about being seen differently by them, worried that they would be seen as ‘weak’ and ‘less independent.’ Several factors influenced the degree of stress experienced, including the level of support participants received from partners, family, friends and employers.

‘I didn’t want to talk to my friends about it [anxiety], because I didn’t want them to see me as that person…they’ve always seen me as that strong, independent go-getting person, and I didn’t want them to see me as being weak and pathetic’ (Interview 3) '…it’s a psychological thing, it’s the mental impact, that’s what’s gone, I mean my sense of confidence’ (Interview 2) ‘I’m somewhat losing confidence or losing familiarity with being out in the outside world and with that loss of familiarity things just are a bit less normal for me mentally’ (Interview 13)

Subtheme: ‘Work through it together’—the need for a collaborative approach to recovery

Participants expressed how they would have valued, and would still value, receiving specific guidance and support from rheumatology health professionals, including information and guidelines on areas such as diet, exercise and medication, as well as support for their mental health and being asked about how they were coping. Several participants described how they were constantly making risk assessments of what was safe or not safe to do, how stressful this was for them and how they would have valued help with this decision-making.

‘Ideally, they’d ask about your mental health, they’d ask about the whole picture not just your physical joint pains, and they’d talk to you about the impact of Covid, and how you were managing it, and help you work through it together, and not send you things out in the post and then leave you to deal with the aftereffects of that.’ (Interview 11)

Several participants talked about the benefits of being able to talk to others with a rheumatic health condition who were going through similar experiences to themselves. Some had developed an online support network, for example, through Facebook, to help them manage while shielding. However, not everyone was aware of these online support groups, and some expressed a preference for face-to-face, one-to-one or telephone support.

‘I think to have like a peer support group and then a phone line for people and also some one-to-one support would be really good’ (Interview 15)

The participants’ experiences highlighted the benefits of online treatments, for example, physiotherapy, and online classes, for example, yoga and art. This shows the value of continuing to offer flexibility between online and face-to-face sessions. Shielding also enabled some participants to take a break from some of the pre-pandemic pressure of life and they found relief from not having to do all the things they were doing alongside living with a rheumatic condition. For some, it was an opportunity to assess what was most important to them in life.

‘I know some people really struggled with not doing face to face, but I think a lot can be done over the phone, or with something like physio, can be done on Zoom’ (Interview 5) ‘it was quite nice not having all the pressures of having to do all the stuff I was doing.’ (Interview 11)

This study set out to explore the experience and impact of shielding in patients with rheumatic conditions and specifically to understand their support needs both during and after shielding. The study also aimed to identify how rheumatology teams can support patients better in future times of isolation such as health-related setbacks. The findings indicate that for many participants shielding was the first time they had seen themselves as ‘vulnerable’, which for some led to a change in self-perception. Participants said they felt different and often less important than those not shielding and talked about feeling left behind when others returned to their normal lives. Some participants described feeling abandoned by their rheumatology team and how, as a result of shielding, they were living with long-term changes to both their physical and mental health as well as to their work and social activities. Participants also described how shielding had impacted their relationships and how they had felt, and often still felt, the need to justify their shielding behaviours.

The findings are consistent with those found in another study 17 where the self-management abilities of patients with inflammatory arthritis were impacted by shielding and that for the majority of participants their physical activity levels decreased and their diet had got worse. They are also consistent with the findings from a recent systematic review 8 where participants with a pre-existing physical health condition tended to show a larger increase in mental health symptoms (depression, anxiety, well-being) than the general population during the first lockdown in March 2020, and with those from a rapid review of survey data where people with long-term health and care needs experienced a negative effect on their well-being (including increased anxiety and loneliness) during the first wave of COVID-19. 18 The findings are also similar to those of a recent qualitative study in which participants felt that being labelled as vulnerable exposed their disease status more widely than they would have liked and/or classed them as a separate entity of lesser value compared with the rest of the population. 4

Current guidance recommends that health professionals should consider psychological well-being when treating physical symptoms. 19 This study has shown how participants’ need for psychological support was amplified during shielding and yet they often received less psychological support than they had before. Participants indicated they would have valued some reassurance about their shielding behaviours as well as having a clear, supportive point of contact for their concerns about medication, disease flares and symptoms and dealing with depression and anxiety. Studies have shown the need for greater access to mental health support in rheumatology 20–24 and this has proved to be even more critical during and after times of isolation. Rheumatology professionals should be encouraged to ask about their patients’ mental well-being and should feel confident there are appropriate services or referral pathways in place when required. 25 Participants with access to nurse-led rheumatology helplines found these supportive indicating the value of expanding this source of help to all patients.

The study findings that participants often felt abandoned by their rheumatology team are of concern as research indicates that patients are more likely to adhere to treatment and to be satisfied with their care if they feel that health professionals are respectful, interested, supportive and understanding. 26 The redeployment and sickness of rheumatology health professionals during the pandemic meant that inadequate time and resources were available to give this level of support to patients. 10 Abandonment (due to a lack of clear information about levels of risk and changes to care plans) was also a major finding in a recent survey from the Rare Autoimmune Rheumatic Disease Alliance. 27 In another study, previously responsive rheumatology departments were reported to have not responded effectively (or at all) to repeated requests for medical advice and help, which was felt to have contributed to physical deterioration and a sense of abandonment. 11 Patients with rheumatic conditions can experience permanent joint damage if their disease is not optimally managed and unchecked inflammation may also affect other parts of the body, including the heart, eyes, lungs and vascular system. 28 It is important to ensure that the patient–healthcare relationship is not similarly affected by any future periods of patient isolation to mitigate the subsequent risk of deterioration in patient health. This also emphasises the need to address the mental health of the health professionals who were under immense pressure during the pandemic.

Support and understanding from family, friends and employers were mentioned by participants as an important factor in helping them to cope with both shielding and ceasing to shield. This is consistent with other research findings that social support was an influencing factor in the effect of shielding on mental health. 23 The current study also highlighted the specific power of peer support and the benefits of talking to others in a similar situation. Some participants had found online support groups helpful, but others were not aware of them or stated a preference for meeting others face to face, indicating the need for flexibility in support offered. Checking patients’ support needs and sign posting and raising awareness of relevant rheumatology support groups and, where possible, introducing, or re-establishing face-to-face support groups should be a priority for patient care.

Several participants had perceived a lack of respect and empathy from others, including friends, employers, schools and the general public indicating the need for greater awareness of the issues faced by CEV people, including those with hidden disabilities. This was particularly true when coming out of shielding and participants felt that it was difficult for them to go back to normal. It is consistent with other research findings where participants felt like they'd ‘been thrown to the wolves’ and were less valued than ‘healthy’ members of the population. 29 CEV people cannot shield effectively without the understanding and cooperation of those around them, emphasising the need for better policies and legislation relating to CEV people.

This study has found that life has not returned to normal for many participants despite the end of shielding restrictions. This is consistent with the findings of a review into the psychological impact of quarantine which suggested negative psychological effects including depression and stress can be wide-ranging, substantial and detected months or years later. 30 It has highlighted how many still need support to effectively manage their physical and mental health as they cease shielding or continue to shield. The study also indicates the value of providing rheumatology-specific guidelines and sources of information relating to diet, exercise, medication, relaxation skills and employment rights, all of which could be made available online for times of isolation. The study also highlights the importance of providing methods, such as helplines and support groups, to enable people to get advice and talk to others going through similar experiences. Participants’ experiences of vulnerability, changes to self-perception and difficulties in conveying their feelings and behaviours to others indicate an additional need for a psychologically informed approach to help with building self-confidence, developing coping strategies and help with acceptance and communicating about their rheumatic condition. Providing patients with the support they need during times of isolation and ensuring they do not feel forgotten will both help minimise their physical and mental distress at the time and prevent the need for more invasive and costly healthcare and treatments in future, saving both patient distress and National Health Service resources.

Future research should investigate the ongoing physical and mental impact of shielding on patients with rheumatic conditions to ensure they receive appropriate treatment and support. The financial and employment impact could also be studied due to changes in employment, work patterns and job losses either as a consequence of shielding or due to deterioration in health. The impact on patients’ partners and family would also be a beneficial area of future study.

Strengths and limitations

A strength of this study is that it captured the views of participants as they had recently stopped shielding or were ceasing to shield and so gained an insight into their thoughts and behaviours at this particular point in time. It looked at what activities and behaviours participants felt were safe for them to do and explored the support they needed to help with this decision-making, as well as looking at their support needs with regards to their physical and mental health. The data were collected and analysed by two ‘insider researchers’ (ie, the researchers shared group membership with the participants as they also had personal experience of shielding due to being classified as CEV), which may have allowed for a greater rapport with participants, resulting in richer, more detailed data due to their shared experiences, knowledge and understanding. 31 The research findings were informed by discussions with coauthors with multidisciplinary backgrounds, including medicine, psychology and lived experience of shielding, to ensure an all-round perspective was obtained. A further strength of this study is that the participants had a range of rheumatic conditions with a range of disease duration.

A limitation of this study is that there was a lack of ethnic diversity as participants were all from a white ethnic background. In addition, participants were from a limited geographical area (Southwest of England), but the data obtained reflect those found in other similar studies.

Conclusions

Shielding led to some patients feeling ‘forgotten’ and many found it difficult to talk about their experiences and the challenges they faced to other people. Many are still dealing with lasting physical and mental effects both from the experience of shielding and as a consequence of delays to their healthcare and treatment. For many, the COVID-19 pandemic is over, but 3 years on some individuals with rheumatic disease have only recently ceased shielding, while some continue to shield. Health professionals must be given the time and resources to ask about patients’ well-being and support needs and be able to ensure their patients can be signposted and referred to timely and appropriate sources of psychological support. Rheumatology-specific guidelines would benefit patients during any future pandemics. It would also be helpful to involve CEV people in the plans for any future need for them to isolate, whether for health-related setbacks or for a future pandemic.

Ethics statements

Patient consent for publication.

Not applicable.

Ethics approval

The study was approved by the Health and Applied Sciences Faculty Research Ethics Committee of the University of the West of England (reference: HAS.21.12.047). Participants gave informed consent to participate in the study before taking part.

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Supplementary materials

Supplementary data.

This web only file has been produced by the BMJ Publishing Group from an electronic file supplied by the author(s) and has not been edited for content.

• Data supplement 1

X @drlauracoates

Contributors Conception/study design: CAS, BJ, MB and ED. Development of topic guide: all authors. Access to participants/acquisition of data: CAS, BJ, JO and ED. Conducting the interviews: CAS and BJ. Analysis and interpretation of the data: CAS with support from BJ and ED. Project management: ED. Manuscript drafting: CAS. Manuscript revision and approval: all authors. ED, guarantor.

Funding The project was funded by the Bath Institute for Rheumatic Diseases (BIRD).

Competing interests None declared.

Patient and public involvement Patients and/or the public were involved in the design, or conduct, or reporting, or dissemination plans of this research. Refer to the Methods section for further details.

Provenance and peer review Not commissioned; externally peer reviewed.

Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.

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