Hernandez Jarelys, Lubrano di Ciccone Barbara, Thirlwell Sarah, Booth-Jones Margaret, Aslam Sadaf, Greene John
Department of Internal Medicine, Division of Infectious Diseases and International Medicine.
Department of Internal Medicine, Division of Hospice and Palliative Medicine, University of South Florida, Morsani College of Medicine, Tampa.
Qual Res Med Healthc. 2021 Mar 24;5(1):9690. doi: 10.4081/qrmh.2021.9690. eCollection 2021 Mar 25.
The COVID-19 pandemic presented myriad of unprecedented and daunting ethical dilemmas to healthcare workers, patients, their families, and the public health. Here we present a case of a 42-years-old Hispanic female with underlying hematological malignancy that developed severe SARS-COV-2 infection amidst the pandemic. This case illustrates some remarkable ethical dilemmas during pandemic times, including the lack of advanced directive planning, the repercussions of restricting family visits, and what ethics in crisis and moral injury entails. Identifying the ethical challenges emerging from the pandemic will assist physicians and other providers in making proper decisions and maintaining the best standard of care.
新冠疫情给医护人员、患者及其家属以及公共卫生带来了无数前所未有的严峻伦理困境。在此，我们呈现一例42岁的西班牙裔女性病例，该患者患有潜在血液系统恶性肿瘤，在疫情期间感染了严重的新冠病毒。这个案例说明了疫情期间一些显著的伦理困境，包括缺乏预先指示规划、限制家属探视的影响，以及危机中的伦理和道德伤害意味着什么。识别疫情中出现的伦理挑战将有助于医生和其他医疗服务提供者做出恰当决策并维持最佳护理标准。
