COVID-19 vaccination in nursing homes: considerations on freedom to make decisions and legal protection measures

IF 0.4 Q4 GERONTOLOGY
P. Delbon, E. Buzzi, F. Maghin, A. Bianchetti, A. Conti
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引用次数: 0

Abstract

In the most vulnerable people, especially among the elderly, the COVID-19 pandemic has brought to light complex ethical issues such as consent to receive health care, the relationship between risks and benefits of therapies, the choices to be made during the most serious phases of the disease and family relationships have been made ex-treme and heavily emphasized by the pandemic. The article analyzes the ethical and legal aspects of the problem of reconciling respect for the individual’s right to make their own decisions and the need to protect the most vulnerable and fragile sections of the population (the dilemma between the principle of charity and respect for autonomy), with all the related communication, procedural and legal problems relating to Informed Consent. The exceptional circumstances of the pandemic have prompted law-makers to tackle the complex and long-neglected issue of the consent of vulnerable, generally elderly, individuals. In many contexts, from home to hospital to nursing home, patient in-volvement in decision making, the role of the family, and procedures for defining competencies above and beyond diagnostic categories, continue to be largely left behind. part in the hands of the health care workers or team. The methods chosen to obtain consent to vaccina-tion, together with the provisions of the Law of 22 December 2017 on the role of the trustee, pave the way for more appropriate operating methods for daily clinical practice in the field. © by Società Italiana di Gerontologia e Geriatria (SIGG).
疗养院COVID-19疫苗接种:对决策自由和法律保护措施的考虑
在最脆弱的人群中,特别是在老年人中,2019冠状病毒病大流行暴露了复杂的伦理问题,如接受医疗保健的同意、治疗的风险与益处之间的关系、在疾病最严重阶段要做出的选择,以及家庭关系,这些问题都因大流行而变得极端和严重。这篇文章分析了伦理和法律方面的问题,调和尊重个人的权利作出自己的决定和需要保护人口中最脆弱和最脆弱的部分(慈善原则和尊重自治之间的困境),所有相关的沟通,程序和法律问题与知情同意。这种流行病的特殊情况促使立法者解决长期被忽视的复杂问题,即弱势群体(通常是老年人)的同意。在许多情况下,从家庭到医院到养老院,病人参与决策、家庭的作用以及确定诊断类别以外的能力的程序,在很大程度上仍然被抛在后面。部分在卫生保健工作者或团队手中。所选择的获得疫苗接种同意的方法,以及2017年12月22日关于受托人作用的法律的规定,为现场日常临床实践中更合适的操作方法铺平了道路。©意大利老年医学协会(SIGG)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
0.70
自引率
0.00%
发文量
31
期刊介绍: The Journal of Gerontology and Geriatrics (JGG) is the official journal of the Italian Society of Gerontology and Geriatrics (SIGG), which will be an international, interdisciplinary, peer-reviewed journal concerning frontiers and advances in the field of aging. The aim of the journal is to provide a forum for original research papers, reviews, clinical case reports, and commentaries on the most relevant areas pertaining to aging. JGG publishes relevant articles covering the full range of disciplines pertaining to aging. Appropriate areas include (but are not limited to) Physiology and Pathology of Aging, Biogerontology, Epidemiology, Clinical Geriatrics, Pharmacology, Ethics, Psychology, Sociology and Geriatric Nursing.
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