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Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Rev+Med+Suisse 2020 ; 16 (708): 1790-1795 Nephropedia Template TP
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Questions ethiques soulevees par la prise en charge medicale des adultes en situation de handicap #MMPMID32997448
Dugerdil A; Deriaz J; Hurst-Majno S; Dominice Dao M
Rev Med Suisse 2020[Sep]; 16 (708): 1790-1795 PMID32997448show ga
Medical care of adults with disabilities, especially those with intellectual disabilities, can be ethically difficult. Several questions arise frequently. Can we administer a life-saving treatment that could impact negatively the patient's quality of life when the patient isn't able to give consent? During this Covid-19 period, can the use of chemical or physical restraints be considered as mistreatment, whereas the aim is to protect others? These are situations where the ethical question holds a central role. Although each clinical situation is unique, this article highlights, through four clinical cases, the ethical principles that should guide physicians in their decision-making process.