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Navigating PPE and Mental Health: A Call for Empathy in Healthcare

Concentric Health Alliance • May 16, 2024
A female doctor is stretching her arms in an office to boost her mental health

The Human Experience in the ER 

During the pandemic, the emergency room becomes a battleground where the clash between health protocols and individual stress unfolds. Picture this: a woman, gripped by chest pains and struggling to breathe, hesitates at the entrance, debating whether to enter with a mask, a symbol of protection to medical staff, but a symbol of lack of control and constraint to her. Her dilemma seems dramatic to some and complex to her as a woman diagnosed with panic disorder.   


The patient reluctantly wears her mask as the nurse takes her back to the exam room. Unbeknownst to her, the nurse she encounters bears her own burdens— her head aching from hours of PPE use without breaks, navigating her own anxieties, and striving to safeguard both patients and loved ones at home. In this charged atmosphere, perspectives clash, each carrying a weight of concerns. 


This battle between personal choice and mandated safety measures is one that many patients and healthcare workers fight daily. Not to mention that the constant strain and stress can lead to compassion fatigue from both parties at a time when mental health support is needed more than ever.  

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A woman is wearing a blue face mask on her face.

Perspective of Patients/Consumers 

For many, wearing PPE in private settings allows an escape route when a break is needed. However, the stakes are higher in the rigid confines of a medical setting. When discomfort begins, the ability to seek relief can feel urgent. The ability to find an area to remove the PPE and take a moment is not always possible. 


The pressure to comply with protocols can amplify distress, especially for those prone to panic attacks or grappling with underlying health conditions. 

Understanding Panic Attacks and Emotional Distress

Panic attacks, with their sudden and intense onslaught of anxiety, can render individuals feeling trapped, breathless, and out of control. The act of wearing PPE can exacerbate these symptoms, particularly for those with pre-existing anxiety disorders or medical conditions affecting airflow. For some, past traumas further complicate the challenges individuals face. 


It is not a secret that mental health issues carry a lot of stigmas which is why many people dodge certain conversations, but the need to have this conversation is even more paramount. Why? Simply put, mental health care is not just for those with a mental illness. 


If we take an even deeper look at mental health before the disease outbreak of COVID-19, the United States was already facing a widespread epidemic of loneliness. So, the immense need for peer support and mental health support was always there. If anything, COVID added to the emotional distress many people were already feeling. Loneliness was already a public health concern.


Studies also suggest that around 45% of adults in the US reported feeling lonely even before the pandemic. That was before the huge need for social distancing as a form of disease control.  So, although people were taking action to be physically healthy, it also took a major toll on their mental health.  


Fortune highlights a study stating that those who suffer from loneliness go under so much stress that it can equate to the same health risks as someone who smokes 15 cigarettes a day. So how do we fix it? Well, in reality, mental health services are not always available, and the treatment is not one size fits all.  


But we can hold compassion and empathy for everyone during our day-to-day life to encourage a more welcoming environment, which will build a much healthier and better future.  

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A man wearing a face mask is sitting on the floor looking out of a window.

The Perspective of Medical Staff and Their Mental Health

The role of several medical professionals is rooted in the patient experience, but behind the veil of professionalism, healthcare professionals wrestle with their own set of challenges. Extended hours in PPE can induce physical discomfort, exacerbate existing trauma, and fuel mental health struggles.


In addition, the loss of nonverbal communication can foster isolation among colleagues.  Healthcare providers are people too, so even in the clinical and sterile medical environment, social support is cherished.  

Prioritize Mental Health and A Supportive Environment 

Considering these challenges, proactive measures are imperative. From advocating for well-fitting PPE to fostering a culture of open dialogue, there are steps we can take to mitigate the toll on mental health. Regular breaks, accommodation for individual needs, and fostering human connections are vital in safeguarding the well-being of both patients and providers. 

Two nurses wearing face masks are looking at each other.

A Path Forward Through Compassion

While pandemics may eventually diminish, their impact remains through our collective psyche. As we navigate the uncertain terrain ahead, let empathy be our guiding beacon. Let us recognize the multifaceted impact of PPE on mental health and create policies that accommodate the diverse needs of individuals.


Some of these patients may choose to wait too long for much-needed care to avoid the discomfort that is felt mentally if handled without empathy in these situations. For in the delicate balance between safety and compassion lies the essence of healing. 


As we strive for resilience, let us answer the call to empathy, not only for the challenges of today but also for the unknowns of tomorrow. 


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