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COVID-19 患者的精神能力评估:急诊入院和 CARD 方法。

Mental Capacity Assessments for COVID-19 Patients: Emergency Admissions and the CARD Approach.

机构信息

Sydney Law School, University of Sydney, NSW, 2006, Australia.

Monash Bioethics Centre, Monash University, Clayton, VIC, 3800, Australia.

出版信息

J Bioeth Inq. 2020 Dec;17(4):803-808. doi: 10.1007/s11673-020-10055-2. Epub 2020 Nov 9.

Abstract

The doctrine of consent (or informed consent, as it is called in North America) is built upon presumptions of mental capacity. Those presumptions must be tested according to legal rules that may be difficult to apply to COVID-19 patients during emergency presentations. We examine the principles of mental capacity and make recommendations on how to assess the capacity of COVID-19 patients to consent to emergency medical treatment. We term this the CARD approach (Comprehend, Appreciate, Reason, and Decide).

摘要

同意原则(或在北美称为知情同意)建立在心理能力的假设之上。这些假设必须根据法律规则进行测试,而这些法律规则在紧急情况下可能难以适用于 COVID-19 患者。我们检查了心理能力的原则,并就如何评估 COVID-19 患者同意紧急医疗的能力提出了建议。我们将其称为 CARD 方法(理解、评估、推理和决策)。

相似文献

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Consent and refusal of treatment.治疗的同意与拒绝。
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Informed consent in the emergency department.急诊科的知情同意
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The contours of informed consent.知情同意的要点
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本文引用的文献

1
Implications of COVID-19 for an ageing population.2019冠状病毒病对老年人口的影响。
Med J Aust. 2020 Oct;213(8):342-344.e1. doi: 10.5694/mja2.50785. Epub 2020 Sep 18.
2
Clinical presentation and management of COVID-19.新型冠状病毒肺炎的临床表现和管理。
Med J Aust. 2020 Aug;213(3):134-139. doi: 10.5694/mja2.50698. Epub 2020 Jul 17.
3
Valid consent to medical treatment.对医疗的有效同意。
J Med Ethics. 2020 Jun 23. doi: 10.1136/medethics-2020-106287.
4
Capacity in the time of Coronavirus.新冠病毒时期的能力。
Int J Law Psychiatry. 2020 May-Jun;70:101560. doi: 10.1016/j.ijlp.2020.101560. Epub 2020 Apr 11.

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