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2020 ; 14
(ä): 100539
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Une approche éthique de la question du confinement des personnes âgées en
contexte de pandémie COVID-19 : la prévention des fragilités face au risque de
vulnérabilité
#MMPMID32835057
Piccoli M
; Tannou T
; Hernandorena I
; Koeberle S
Ethics Med Public Health
2020[Jul]; 14
(ä): 100539
PMID32835057
show ga
COVID-19 pandemic particularly affects older people and exposes them to a higher
risk of mortality. Containment, social distancing and isolation measures have
been implemented to limit viral transmission. While there is a clear rationale
for reducing the contagiousness of the infection through this means, the adverse
consequences of this social isolation, especially for this heterogeneous, aged
and frail people, are difficult to apprehend. In particular, the disruption of
the usual support and care ecosystems at home or in institutions may
paradoxically increase the frailty of these people and lead to adverse events we
wanted to avoid. On the other hand, the risk of a decrease in the older person's
empowerment regarding his or her own health and social life decisions requires
particular vigilance to prevent the risk of societal ageism. Regarding this
population in particular, a possible conflict of values between individual and
collective protection on one hand and respect for autonomy and independence on
the other hand could exist. This article proposes an ethical reflection on the
issue of containment of frail ageing people, based on medical ethics principles,
in order to open up positive approaches of vulnerability that guarantee respect
for the dignity of the person and equity in care access.