Sount East Sydney Local Health District and St George Hospital, Gray St, Kogarah, NSW, 2217, Australia.
Sydney Health Ethics, University of Sydney, Sydney, Australia.
J Bioeth Inq. 2020 Dec;17(4):793-796. doi: 10.1007/s11673-020-10046-3. Epub 2020 Nov 9.
As is often the case in clinical ethics, the discourse in COVID-19 has focused primarily on difficult and controversial decision-making junctures such as how to decide who gets access to intensive care resources if demand outstrips supply. However, the lived experience of COVID-19 raises less controversial but arguably more profound moral questions around what it means to look after each other through the course of the pandemic and how this translates in care for the dying. This piece explores the interface between the pandemic, ethics, and the role of palliative care. We argue that the ethical discourse should be broader, and that the principles that underly the discipline of palliative care provide a solid ethical foundation for the care of all patients through the coronavirus pandemic.
在临床伦理学中，这种情况经常发生，COVID-19 的讨论主要集中在困难和有争议的决策时刻，例如如果需求超过供应，如何决定谁可以获得重症监护资源。然而，COVID-19 的实际经历引发了一些争议较小但可以说更深刻的道德问题，即如何在大流行期间相互照顾，以及这如何转化为对临终患者的护理。本文探讨了大流行、伦理学和姑息治疗作用之间的接口。我们认为，伦理话语应该更广泛，姑息治疗学科所依据的原则为所有患者在冠状病毒大流行期间的护理提供了坚实的伦理基础。
