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["应对脆弱性":新冠疫情时代的伦理与长期护理机构]

["Responding to vulnerability": Ethics and CHSLD in the Age of COVID-19].

作者信息

Doucet H

机构信息

Institut d'études religieuses, université de Montréal, Pavillon Marguerite-d'Youville, 2375, chemin de la Côte Sainte-Catherine, Montréal, Québec H3T 1A8, Canada.

出版信息

Ethique Sante. 2020 Sep;17(3):142-146. doi: 10.1016/j.etiqe.2020.07.003. Epub 2020 Jul 21.

Abstract

The intrusion of the COVID-19 in Quebec witnesses the failure of seniors' residences to adequately protect their residents. The long-standing carelessness of an entire society towards frail elderly people has become clear. The text is divided into two parts. The first part shows that as much as the Quebec hospital, under the direction of the Ministry of Health, was ready to deal with the pandemic, as long-term centres for people with loss of autonomy were not. The second part discusses the type of ethics that guided officials in their decisions. This type of ethics does not seem to me to be consistent with the ethical vision that would be appropriate in long-term care. Ethics should be one that corresponds to the nature of these centres, it should be a response to vulnerability. The conclusion calls for citizen dialogue to arrive at an appropriate response to the situation of these people.

摘要

新冠疫情在魁北克的爆发见证了老年护理机构未能充分保护其居民。整个社会长期以来对体弱老年人的疏忽已暴露无遗。本文分为两部分。第一部分表明,尽管在魁北克卫生部的指导下,魁北克医院已做好应对疫情的准备,但那些为失去自理能力者设立的长期护理中心却并非如此。第二部分讨论了指导官员决策的伦理类型。在我看来,这种伦理类型与长期护理中应有的伦理观念并不一致。伦理应该与这些护理中心的性质相契合,应该是对脆弱性的一种回应。结论呼吁公民进行对话,以便对这些人的处境做出恰当回应。

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