Covid 19 and PBSP

Juliet is moving some of her PBSP groups online.  Some will meet face to face.  Here are the things Juliet is doing to protect the space

ONLINE GROUP

  • This will be done using Zoom Webinar. 
  • In Zoom webinars there are panelists (who are fully visible to all) and attendees (who are hidden, silent observers).  This allows those who do not have a direct role in the structure to be invisible. 
  • Group members who will be clients in structures will be asked to gather a selection of items in advance, such as cushions, pillows, scarves, and other objects that could be used to enrich the bodily sense of having ideal parents.  For example, bean bags are useful for recreating the feeling of a hand being placed on a shoulder.
  • The sequence of structures will be decided in advance.
  • Juliet will use two screens, one of which will be used for placeholders and any holes in roles work.
  • The day will start with a check in where everyone is visible. 
  • Then Juliet will turn the other participants into invisible ‘attendees’, leaving only Juliet, the client and the placeholder screen showing.
  • When the client wants to enrole someone, we will call their name, then Juliet will change them into a panelist, so that they can be seen by everyone.  This will allow roles to be ‘voiced’ by group members.   
  • That person will be asked to rename themselves on zoom – to the role they are taking – for example instead of the name showing being ‘Mary Smith’, it will now show as ‘Ideal Mother’.
  • During sharing, after the structure, the client will be asked to turn away from the screen, or close their eyes, so that they can hear the sharing but they do not feel as if  it is directed to them.
  • To make the experience as cohesive as possible, group members are  asked to treat the sessions as they would treat in-person sessions
                          do not multi task     
                          let us know if you are going to be late or leave early
                             

JULIET’S PLANS RE SAFEGUARDING THE SPACE FOR PBSP GROUPS THAT MEET FACE TO FACE ARE: 

1) To use an ear thermometer at the start of each day.  If anyone has a temperature they will be asked to isolate themselves. The ear thermometer has disposable ear pieces that can be thrown away after each person

2) To provide hand gel in the room

3) To offer clear face visors to those who want them

4) To use a ‘fogger’ between sessions with a fragrance free non toxic disinfectant that is effective against covid 19 within 5 minutes.  (to see the kind of thing look at this page and click on the video http://welshgatehouse.com/ showing what we use in the holiday let we have in south wales.  (The one I bring to the workshop will be smaller).  The data sheet for the disinfectant I use is here Covisan product info   and here to Safety data sheet

5) To ask people to bring their own blankets & cushions to snuggle into.

6) To ask people to bring their own tissues.

7) Windows and doors will be kept open as far as possible, so people should bring warm clothes.

8) Anyone who wants to can wear a mask and gloves.  Juliet bought one of these at the start of lockdown, which feels very safe because there is a complete seal
https://www.toolstation.com/gvs-p3r-half-mask-respirator/p42614

9) THE MOST IMPORTANT THING is if you have any symptoms – even mild ones- (see list below) or are living with or have been near anyone who has symptoms, then please do not come to the workshop

10) If you are able to self isolate before the workshop that would be good – if everyone is able to do that it would be ideal!

11)  One thing which isn’t much discussed is that saliva of someone with an active infection (which could be asymptomatic or pre-symptomatic) contains high amounts of virus.  So, when catering for groups, there should be no mixing whatsoever of eating utensils.  Thus at pesso groups I suggest that people wash up their own eating and drinking utensils and keep them in a sealed plastic bag in between meals

12) A PBSP client has found a prick blood test that I intend to start using. This is a  blood antibody test.  This will tell you if you have had Covid, but it is not 100% accurate as many mild disease sufferers don’t develop an immune response (see below).  These tests are optional and will cost in the region of £15. https://www.apacor.com/products/carestart-covid-19-igm-igg/
Usefulness of a positive result
People shown to have antibodies to SARS-CoV-2 can be reasonably assumed to have had the illness – with many of these people having had it mostly asymptomatically.  It will offer reassurance to those who have antibodies, who will know that they are pretty immune to reinfection at the moment.  N.B. With Covid we have no idea if this immunity will last weeks, months or years.  But it should last the length of the workshop!  
Usefulness of a negative result
Recent hospital communications received by a doctor, stated that up to 20% of people with a negative result may in fact have had the virus.   The doctor who told me about this was sceptical at first, but having researched it has discovered that some people can launch a mainly T-cell based immune response to Covid and get better that way.  T-cells are in the second line of defence whereas antibodies are the third step.  This is also borne out by the fact some colleagues who had positive swabs confirming active Covid-19, and symptoms to match, have subsequently tested negative on the antibody test. 

SYMPTOMS
The main symptoms of coronavirus are:
1) a high temperature – this means you feel hot to touch on your chest or back (you do not need to measure your temperature)
2) a new, continuous cough – this means coughing a lot for more than an hour, or 3 or more coughing episodes in 24 hours (if you usually have a cough, it may be worse than usual)
3) a loss or change to your sense of smell or taste – this means you’ve noticed you cannot smell or taste anything, or things smell or taste different to normal

The six clusters of COVID 19 symptoms that people often have are as follows:
1 (‘flu-like’ with no fever): Headache, loss of smell, muscle pains, cough, sore throat, chest pain, no fever.
2 (‘flu-like’ with fever): Headache, loss of smell, cough, sore throat, hoarseness, fever, loss of appetite.
3 (gastrointestinal): Headache, loss of smell, loss of appetite, diarrhea, sore throat, chest pain, no cough.
4 (severe level one, fatigue): Headache, loss of smell, cough, fever, hoarseness, chest pain, fatigue.
5 (severe level two, confusion): Headache, loss of smell, loss of appetite, cough, fever, hoarseness, sore throat, chest pain, fatigue, confusion, muscle pain.
6 (severe level three, abdominal and respiratory): Headache, loss of smell, loss of appetite, cough, fever, hoarseness, sore throat, chest pain, fatigue, confusion, muscle pain, shortness of breath, diarrhea, abdominal pain.