Ethical Concerns with COVID-19 Triage Protocols

2020 ◽  
Vol 45 (5) ◽  
pp. 5-6 ◽  
Author(s):  
NCBC Ethicists ◽  
Keyword(s):  
Health Care ◽  
Religious Belief ◽  
Critically Ill Patients ◽  
Medical Condition ◽  
Do Not Resuscitate ◽  
Moral Issues ◽  
Ethical Concerns ◽  
The Family ◽  
Catholic Health Care ◽  
History Of

As one of the primary resources for Catholics concerned about moral issues in health care, the ethicists of The National Catholic Bioethics Center have received many questions regarding triage protocols in place during the COVID-19 pandemic. Many protocols emphasize utilitarian principles that are incompatible with a principled approach to Catholic health care. Others expressly discourage appeals to ethical principles that are religious in nature or connected to systems of religious belief. This exclusion is arbitrary given the long history of Catholic health care. The ethicists also have concerns about patient priority scores that include disqualifying criteria based on age, disability, or medical condition. These criteria constitute unjust forms of discrimination. Finally, the withdrawal of care should occur only after consultation with the family, and in no case should physicians unilaterally assign do-not-resuscitate status to critically ill patients with COVID-19.

Kabuki Actors Study

2001 ◽  
Vol 16 (3) ◽  
pp. 94-98
Author(s):  
Marc Brodsky
Keyword(s):  
Health Care ◽  
Health Status ◽  
Medical Condition ◽  
Pain Severity ◽  
Health Issues ◽  
Medical Problems ◽  
Medical Practitioners ◽  
Starting Point ◽  
History Of

The Kabuki Actors Study set out to explore the health status of Kabuki actors, their performance-related medical problems, and the nature and extent of their health care. Two hundred sixteen Kabuki performers voluntarily completed an anonymous three-page survey addressing their health issues. Thirty-eight percent of the actors reported a history of at least one significant medical condition, and 88% of them identified at least one musculoskeletal or nonmusculoskeletal problem associated with performance. Sixty-nine percent of the performers had visited a physician over the preceding year, and 30% of them had consulted nonphysician medical practitioners. Kabuki actors, the Kabuki management, and physicians can use the findings of this study as a starting point to investigate why these injuries occur and how to prevent and treat them. Pain severity scales or other measurable outcomes of therapy can be used to compare the efficacies of physician and nonphysician treatments.

scholarly journals Postpartum Depression Among Women With Previous Infertility in Health Care Centers of Hamadan in 2018

2020 ◽  
Vol 7 (2) ◽  
pp. 103-108
Author(s):  
Nasrin Matinnia ◽  
Saeid Yazdi-Ravandi
Keyword(s):  
Health Care ◽  
Marital Satisfaction ◽  
Postpartum Depression ◽  
Health Care Providers ◽  
Significant Relationship ◽  
Care Providers ◽  
The Family ◽  
History Of ◽  
Health Care Centers

Background: Childbirth is one of the essential goals of the family, so that infertility can cause many problems for the family. Therefore, the aims of the current study were the frequency of postpartum depression and evaluate the relationship between postpartum depression, socio-demographic factors, and quality of marital satisfaction in postpartum women with a history of infertility referring to health centers in Hamadan. Methods: This study was a cross-sectional study. The study population consisted of all primiparous women with a history of infertility referring to Hamadan health care centers in 2018, of which 240 randomly selected according to the inclusion criteria for one year. Subjects assessed by demographic and clinical information checklist, Edinburgh Postnatal Depression Scale (EPDS), and marital relationship quality scale (Revised Dyadic Adjustment Scale; RDAS). All statistical calculations performed by busing chi-square with SPSS-17. Results: 152 out of 240 participants (63.3%) had a degree of depression, of which 57 (23.7%) had mild depression, 63 (26.3%) had moderate depression, and 32 (13.3%) had severe depression. According to the result of the study, marital satisfaction in 23.3% (56), 37.1% (89), and 39.6% (95) were excellent, moderate, and low, respectively — the quality of marital relationships associated significantly with and postpartum depression (χ2=19.3, P<0.001). The results of the study showed that there was a significant relationship between age, occupation, educational level, duration of infertility, and depression (P<0.05), but there was no significant relationship between ethnicity, insurance, and depression (P<0.05). Conclusion: Regarding the results obtained in this study and comparison with existing studies, the infertility problem can cause mental and psychological disorders in women. It seems that marital satisfaction and its relationship with different factors and the proper interventions by health care providers are necessary to prevent postpartum depression in these women.

A Brief History of Catholic Bioethics

2016 ◽  
Vol 41 (7) ◽  
pp. 3-4
Author(s):  
Louise A. Mitchell ◽  
Keyword(s):  
United States ◽  
Health Care ◽  
Health Care Services ◽  
The United States ◽  
Good Samaritan ◽  
Care Services ◽  
Catholic Health Care ◽  
History Of ◽  
Catholic Hospital ◽  
The Church

The foundations of modern Catholic bioethics were laid with the teachings of Christ, especially in the example He set as the Divine Physician and through the parable of the Good Samaritan. The Church thus cared for the sick and built hospitals for two thousand years before adopting a definite bioethical focus. Equally important for Catholic bioethics, especially in clinical practice, was the development of the Ethical and Religious Directives for Catholic Health Care Services. They are based on the Ethical and Religious Directives for Catholic Hospitals, which were first published by the Catholic Hospital Association in 1948, revised in 1955, and revised and adopted by the United States Catholic Conference in 1971. Secular bioethics split from theology and metaphysics in favor of the rationalism and humanism which developed out of Enlightenment thought, whereas Catholic bioethics continued its own development, keeping both its theological and its metaphysical roots.

The Views of Younger- and Older-Generation Chinese Descendants in Indonesia Regarding the Selection of Auspicious Dates

2020 ◽  
Vol 14 (1) ◽  
pp. 115-131
Author(s):  
Yi Ying ◽  
Fiona Garcia ◽  
Zefanya Novianti
Keyword(s):  
Religious Belief ◽  
Dominant Factor ◽  
Next Generation ◽  
Chinese Community ◽  
The Family ◽  
Chinese Descent ◽  
History Of ◽  
Younger Generation ◽  
Selection Of

Abstract The research in this report is a first effort at understanding the differences among Chinese descendants in Indonesia concerning their views on the tradition of selecting an auspicious date. The study is based on interviews with twenty people of the older and twenty people of the younger generation of Chinese descent in Glodok Chinatown in Jakarta. The interviews reveal that the dominant factor that influences the views of the older generation is their life’s experience with this tradition, whereas for the younger generation the existence of the tradition within the family is dominant. The dominant factor that causes respondents to not believe in this tradition is their religious belief. The study also reveals that a lack of understanding of the background and history of selecting auspicious dates in the Chinese community is a major cause for the older as well as the younger generation to be reluctant to transmit this tradition to the next generation.

scholarly journals Prevalence and correlates of generalized anxiety disorder among elderly people in primary health care

2020 ◽  
Vol 69 (2) ◽  
pp. 126-130
Author(s):  
Caroline Menta ◽  
Luísa Weber Bisol ◽  
Eduardo Lopes Nogueira ◽  
Paula Engroff ◽  
Alfredo Cataldo Neto
Keyword(s):  
Health Care ◽  
Anxiety Disorder ◽  
Generalized Anxiety Disorder ◽  
Family Health ◽  
Care Practice ◽  
Generalized Anxiety ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
History Of

ABSTRACT Objective To examine the prevalence of generalized anxiety disorder (GAD) and its associations with sociodemographic and health factors. Methods A cross-sectional study with a population-based sample of 578 individuals aged 60 years or older from the Family Health Strategy (FHS) program of Porto Alegre, RS, Brazil. Home visit screening and general data collection were made by trained Community Health Workers (CHWs). Diagnoses of psychiatric disorders were made by board-certified psychiatrists using the Mini International Neuropsychiatric Interview plus (MINIplus) in the Hospital São Lucas of the Pontifical University of Rio Grande do Sul (PUCRS). Results GAD was found in 9% of the sample (n = 52; CI 95% = 6.9-11.6). The main results of the multivariate analysis show associations between GAD and retirement (PR: 0.43, CI: 0.25-0.76), history of falls (PR: 2.52, CI: 1.42-4.49), cohabitation with four or more people (PR: 1.80, CI: 1.04-3.13), having more than one hospitalization in the last year (PR: 2.53, CI: 1.17-5.48) and self-perception of health as regular (PR: 2.75, CI: 1.02-7.47). Retirement in the elderly shows 2.32x less risk of GAD, although confounding factors may have overestimated this finding and underestimated the association with female gender (PR: 1.61, CI: 0.83-3.10). Conclusions We estimate a high prevalence of GAD in this population. Associations were found between GAD and health self-perceived as regular, cohabitation with four or more people, history of falls and more than one hospitalization in the last year. These epidemiological data from the Family Health Strategy are important to develop further strategies for this age group that could improve the health care practice.

The ERDs: Part One – The Social Mission of Catholic Health Care Services

2021 ◽  
pp. 002436392110381
Author(s):  
Christine Sybert
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Human Dignity ◽  
Health Care Services ◽  
Social Mission ◽  
Secular Culture ◽  
Care Services ◽  
The Social ◽  
Catholic Health Care ◽  
History Of

The Ethical and Religious Directives for Catholic Health Care Services (ERDs) exist to guide administrators, providers, and patients regarding the Church’s principles for maintaining human dignity while providing ethical patient care. A brief history of the document itself is presented followed by a discussion of selected portions of Part One of the ERDs, which relate directly to the mission of Catholic healthcare and why this is important as the secular culture becomes increasingly hostile to religious beliefs.

scholarly journals Disclosing Secondary Findings from Pediatric Sequencing to Families: Considering the “Benefit to Families”

2015 ◽  
Vol 43 (3) ◽  
pp. 552-558
Author(s):  
Benjamin S. Wilfond ◽  
Conrad V. Fernandez ◽  
Robert C. Green
Keyword(s):  
Health Care ◽  
Genetic Testing ◽  
Careful Consideration ◽  
Professional Organizations ◽  
Adult Onset ◽  
Secondary Findings ◽  
Risks And Benefits ◽  
Onset Condition ◽  
The Family ◽  
History Of

Should children ever have genetic testing for adultonset conditions? For the last two decades, there have been general recommendations from professional organizations that discourage such testing. Until recently, such testing was only plausible in the context of a family history of a Mendelian condition that might prompt the parents (or an adolescent) to request testing for the adult-onset condition present within the family. In this context there has been a gradual shift in the direction of suggesting parents should have greater discretion to obtain such testing after careful consideration of risks and benefits by the family and the health care provider.

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