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Best interests versus resource allocation

Could Covid-19 cloud decision-making for the cognitively impaired

Bibliographic Data

ID21515116
AuthorsJanet A Parsons (0000-0002-1050-6051, At Bristol, corresponding author), Harleen Kaur Johal (0000-0002-8665-8932, University of Bristol)
Year2020
Volume46
Issue7
Pages447-450
Publication date2020-07-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueJournal of Medical Ethics (JOURNAL)
Journal identifiersISSN: 0306-6800 • E-ISSN: 1473-4257
PublisherBMJ (PUBLISHER • GB)
DOI10.1136/medethics-2020-106323
PMID32376717
OpenAlexW3023125385
LanguageEN
Citations received7
References cited5

The COVID-19 pandemic is putting the NHS under unprecedented pressure, requiring clinicians to make uncomfortable decisions they would not ordinarily face. These decisions revolve primarily around intensive care and whether a patient should undergo invasive ventilation. Certain vulnerable populations have featured in the media as falling victim to an increasingly utilitarian response to the pandemic—primarily those of advanced years or with serious existing health conditions. Another vulnerable population potentially at risk is those who lack the capacity to make their own care decisions. Owing to the pandemic, there are increased practical and normative challenges to following the requirements of the Mental Capacity Act 2005. Both capacity assessments and best interests decisions may prove more difficult in the current situation. This may create a more paternalistic situation in decisions about the care of the cognitively impaired which is at risk of taking on a utilitarian focus. We look to these issues and consider whether there is a risk of patients who lack capacity to make their own care decisions being short-changed

Business · Disease · Environmental health · Health care · Health care rationing · Normative · Pandemic · Paternalism · Political science · Population · Public relations · Resource allocation · Computer Science · Ethics in medical practice · Healthcare Decision-Making and Restraints · Law · Medicine · Palliative Care and End-of-Life Issues · Psychology

  • Covid-19 pandemic and future global catastrophic risks as a challenge for health-care ethics

    Open Access•Konrad Szocik, Rakhat Abylkasymova•International Journal of Human…•2021

  • Covid‐19 and the Mental Capacity Act in care homes

    Open Access•Margot Kuylen, Aaron Wyllie et al.•Health & Social Care in the…•2022

  • Pandemic medical ethics

    Jennifer Blumenthal‐Barby, Jennifer Blumenthal-Barby et al.•Journal of Medical Ethics•2020

  • Lockdown-Related Disparities Experienced by People with Disabilities during the First Wave of the Covid-19 Pandemic

    Open Access•Tiago S Jesus, Sutanuka Bhattacharjya et al.•International Journal of…•2021

  • Health Risks and Consequences of a Covid-19 Infection for People with Disabilities

    Open Access•Sureshkumar Kamalakannan, Sutanuka Bhattacharjya et al.•International Journal of…•2021

  • Covid-19 current controversies

    Open Access•Jennifer Blumenthal‐Barby, Jennifer Blumenthal-Barby•Journal of Medical Ethics•2020

  • Fair allocation of resources in the moral dilemma of triage

    Open Access•P Kessler, Ivar Krumpal•Frontiers in Sociology•2025

  • Fair Allocation of Scarce Medical Resources in the Time of Covid-19

    Ezekiel J Emanuel, Ezekiel Emanuel et al.•New England Journal of Medicine•2020

  • ICU triage in an impending crisis

    Dominic Wilkinson•Journal of Medical Ethics•2020

  • Capacity in the time of Coronavirus

    Open Access•Alex Ruck Keene•International Journal of Law and…•2020

  • Nonverbal Communication Between Patients and Medical Practitioners

    Open Access•Howard S Friedman•Journal of Social Issues•1979

Unique citing works7
Citations per year1,17
Citation span2020 - 2025 (6)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 4

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