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Background Stroke survivors are a population at increased risk of experiencing loneliness, thus exploring the effect of lockdown measures on stroke survivors is of paramount importance. We explored the personal experiences of loneliness among stroke survivors during lockdown in the COVID-19 pandemic and the lessons that can be learned from these experiences. Methods Seventeen stroke survivors from across the United Kingdom (10 females, 7 males; 45-83years old; M age =63.47) participated in semi-structured interviews. Reflexive thematic analysis was employed in the interpretation of the data. Results Three overarching themes were constructed: (1) hidden struggles, isolated lives; (2) divergent experiences and adaptations; and (3) rebuilding after lockdown. These themes explore survivors' experiences of loneliness generally after stroke and how this loneliness was assuaged with online video conferencing and other technological solutions. They also chronicle how these feelings changed during lockdown and survivors' feelings regarding society returning to 'normal' and the associated apprehension and anxiety this brings. Conclusions We recommend a focus on improving understanding of the challenges faced after stroke to reduce stigma, increase empathy and promote inclusive attitudes within society, alongside better pandemic preparedness through engagement with hybrid support solutions.
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COVID-19 , Solidão , Isolamento Social , Humanos , Solidão/psicologia , Feminino , Masculino , Idoso , COVID-19/psicologia , COVID-19/epidemiologia , Pessoa de Meia-Idade , Idoso de 80 Anos ou mais , Reino Unido/epidemiologia , Isolamento Social/psicologia , Acidente Vascular Cerebral/psicologia , Acidente Vascular Cerebral/epidemiologia , Sobreviventes/psicologia , SARS-CoV-2 , Quarentena/psicologia , Pessoas com Deficiência/psicologia , Pesquisa QualitativaRESUMO
Social determinants of health (SDH), such as social isolation and loneliness, are often more frequently experienced in brain injury survivors. The paper explores the personal experiences of loneliness among brain injury survivors during lockdown to negate health inequalities and improve rehabilitation for this population in the future. Twenty-four brain injury survivors participated in semi-structured interviews and questionnaires relating to loneliness, resilience and wellbeing. Three themes (the experience of loneliness, loneliness during the pandemic and loneliness after the pandemic) explored survivors' experiences of loneliness generally post-brain injury, but also chronicle how these feelings developed in lockdown and survivors' feelings regarding society returning to 'normal'. Future interventions should focus on reframing survivors' beliefs regarding societal expectations and minimise the pressure they experience to keep up with their peers physically and emotionally. Additionally, we recommend creating accessible peer support options for all brain injury survivors as an important step for alleviating loneliness.
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Lesões Encefálicas , Determinantes Sociais da Saúde , Humanos , Solidão/psicologia , Isolamento Social , Emoções , Lesões Encefálicas/psicologia , Lesões Encefálicas/reabilitaçãoRESUMO
This article discusses the impact of Covid-19 on medical and healthcare education, and the challenges that now face students, educational providers and the wider NHS.
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Educação Médica/normas , Pessoal de Saúde/educação , Estudantes de Medicina , COVID-19/epidemiologia , Humanos , Programas Nacionais de Saúde , Reino Unido/epidemiologiaRESUMO
This article considers the recent calls to provide doctors with immunity from medical negligence claims arising out of the Covid-19 pandemic. It provides a critical analysis as to the conditions that would need to be considered for such a policy as well as exploring the wider ramifications.