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10.1136/medethics-2020-106264

http://scihub22266oqcxt.onion/10.1136/medethics-2020-106264
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suck abstract from ncbi


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pmid32522813      J+Med+Ethics 2020 ; 46 (8): 495-498
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  • Relational ethical approaches to the COVID-19 pandemic #MMPMID32522813
  • Jeffrey DI
  • J Med Ethics 2020[Aug]; 46 (8): 495-498 PMID32522813show ga
  • Key ethical challenges for healthcare workers arising from the COVID-19 pandemic are identified: isolation and social distancing, duty of care and fair access to treatment. The paper argues for a relational approach to ethics which includes solidarity, relational autonomy, duty, equity, trust and reciprocity as core values. The needs of the poor and socially disadvantaged are highlighted. Relational autonomy and solidarity are explored in relation to isolation and social distancing. Reciprocity is discussed with reference to healthcare workers' duty of care and its limits. Priority setting and access to treatment raise ethical issues of utility and equity. Difficult ethical dilemmas around triage, do not resuscitate decisions, and withholding and withdrawing treatment are discussed in the light of recently published guidelines. The paper concludes with the hope for a wider discussion of relational ethics and a glimpse of a future after the pandemic has subsided.
  • |*Ethics, Clinical[MESH]
  • |Betacoronavirus[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/virology[MESH]
  • |Decision Making/*ethics[MESH]
  • |Disaster Planning[MESH]
  • |Health Care Rationing/*ethics[MESH]
  • |Health Equity/*ethics[MESH]
  • |Health Personnel/*ethics[MESH]
  • |Humans[MESH]
  • |Moral Obligations[MESH]
  • |Pandemics/*ethics[MESH]
  • |Pneumonia, Viral/virology[MESH]
  • |Poverty[MESH]
  • |Practice Guidelines as Topic[MESH]
  • |Professional-Patient Relations[MESH]
  • |Resuscitation Orders[MESH]
  • |SARS-CoV-2[MESH]
  • |Social Values[MESH]
  • |Triage/ethics[MESH]
  • |Vulnerable Populations[MESH]


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