For mental health nurse, Ruby Hare, an ordinary shift once involved taking patients out to the cinema, arranging family visits and supporting them with personal hygiene.
The 31-year-old treats patients at a south Manchester care home, with schizophrenia, bipolar, depression, psychosis and other serious mental disorders.
Since the outbreak of coronavirus, Ruby and her colleagues have been forced to adapt the way they provide care, in a way they've never done before.
And it's having a devastating impact on her patients.
Where emotional support used to exist in the form of linking arms, or holding hands, Ruby must now try to maintain a safe distance - at all costs.
Masks and gloves are crucial to the safety of staff and patients, but these protective measures can be terrifying for those already suffering with paranoia and intrusive thoughts.
Many residents lack the capacity to understand coronavirus and its dangers, meaning staff face incredible difficulty in controlling social distancing.
This remains a constant concern for Ruby and her staff, who currently have one patient with a COVID-19 diagnosis, and another isolating with symptoms of the disease.
Others are required to isolate for twelve weeks due to additional physical illnesses such as cancer, COPD, asthma and liver problems.
With PPE in short supply, staff having to isolate, and much of the national support being directed to the frontline NHS, Ruby worries the care sector is being left behind.
"Before coronavirus, we would put on daily activities like going shopping or to the cinema, or museums," Ruby said.
"We would have families coming to visit regularly, we had music afternoons and would interact with them physically, sometimes linking arms while walking.
"Our job is to support them with personal care, which can result in close contact, and it is nearly impossible to impose a constant two metre distance and do our daily tasks."
Many of the patients inside the care home are detained under the mental health act, meaning it's difficult for them to understand social distancing measures, Ruby says.
"We try our best to explain to residents that they need to be isolating for twelve weeks but they want to just carry on walking round the home like normal," she said.
"One resident likes to sit and watch a film with staff but its hard as he should be isolating his bedroom, and we need to keep our distance.
"We now have to do physical observations on a daily basis to check for a temperature, but around 80 to 90pc of patients refuse for us to do this.
"Every time we speak to our residents now we are wearing a mask or gloves and it is terrifying for them.
"Our cleaners are trying to do a deep clean every day but a lot of the residents will not let them come in their room.
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"Some don't even want to wash their hands. We are stuck."
One of Ruby's residents tested positive for coronavirus last week, just months after recovering from cancer.
"It's been really difficult as we've got to do everything we can to make sure he is isolating in his bedroom," Ruby said.
"He has a tracheotomy so having the correct protective equipment is vital to be able to treat him.
"We might not be on the NHS front line but we still have massive risk factors."
“We have a lot of people here with long term health problems and if they get COVID-19 they are going to be in serious trouble," Ruby added.
"A lot of them won't comply with treatment or won't necessarily accept oxygen or medication so it's like a catch 22 situation."
Another resident was admitted to Accident and Emergency last week but was sent home without a test, so staff have been left in limbo.
"The PPE situation is worrying," Ruby said.
"The stock here has got a bit better but it's taken a good couple of weeks, and now it seems to be running out again.
"The NHS is being prioritised but how are we meant to stop it spreading in the community without adequate protection.
"We are mental health nurses but we are expected to do what hospital nurses are doing at the same time, but without the equipment or a sterile environment."
Ruby says the fear of catching coronavirus, or passing it on to patients or family members, is a constant worry for health care workers.
"Staff are terrified and it makes for a very intense environment," she said.
"It is a struggle at the moment. One of our nurses and a couple of carers are having to isolate for 12 weeks.
"And at the same time staff their own problems - I have my own mental health issues so I understand first hand how hard it is for my residents.
"But everyone is chipping in - one of the nurse's mum managed to get us some face guards, and the managers have bought food shopping for those on minimum wage.
"The staff have been brilliant and everyone is working so hard to make sure residents can video call their friends and family.
"We are doing our best to keep them safe and happy."
Care home infections and deaths from COVID-19 are not included in the official figures released by the Government, adding to the consensus among some care workers that the sector have been "forgotten."
"I understand we need to protect the NHS but a the same time, that is all that is being talked about," Ruby said.
"There are so many carers and nurses at care homes across Manchester who are facing incredible struggles at the moment.
"Our GP is supporting us as best they can but government guidance is changing all the time, and I don't have any confidence in it.
"NHS staff receive special shopping hours and free food but what about us?
"We are trying so hard to keep a brave face but we feel we have been forgotten about."
