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A Catholic Perspective: Triage Principles and Moral Distress in Pandemic Scarcity
Striving to be faithful to the moral core of medicine and to spiritual, moral, and social teaching of the church, Catholic physicians see their role as an extension of the healing ministry of Jesus. When faced with a situation in which a large number of gravely ill people are seeking care, but optim...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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SAGE Publications
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8033489/ https://www.ncbi.nlm.nih.gov/pubmed/33888917 http://dx.doi.org/10.1177/0024363921995714 |
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author | Kenny, Nuala Kotalik, Jaro Herx, Leonie Coelho, Ramona Leiva, Rene |
author_facet | Kenny, Nuala Kotalik, Jaro Herx, Leonie Coelho, Ramona Leiva, Rene |
author_sort | Kenny, Nuala |
collection | PubMed |
description | Striving to be faithful to the moral core of medicine and to spiritual, moral, and social teaching of the church, Catholic physicians see their role as an extension of the healing ministry of Jesus. When faced with a situation in which a large number of gravely ill people are seeking care, but optimal treatment such as ventilation in intensive care unit cannot be offered to all because of scarcity of resources, Catholic physicians recognize the need to consider the common good and to assign a priority to patients for whom such treatments would be most probably lifesaving. Making these evaluations, physicians will use only objective medical criteria regarding the benefits and risks to patients and will be mindful that all persons deserve equal respect for their dignity. Discrimination or prejudicial treatment against patients based on factors such as age, disability, race, gender, quality of life, and possible long-term survival cannot be morally justified. Triage process should incorporate respect for autonomy of both the patient and the professional and opportunity for an appeal of a triage decision. Other principles and values that will affect how a triage protocol is developed and applied are proportionality, equity, reciprocity, solidarity, subsidiarity, and transparency. The current coronavirus pandemic can provide valuable lessons and stimulus for reforms and renewal. SUMMARY: Catholic physicians strive to continue the healing ministry of Jesus Christ and be faithful to the moral core of medicine. In situations such as pandemic, the scarcity of personnel and technological resources create serious challenges and even moral distress. Church teachings on dignity, the common good and protection of the vulnerable help guide decisions based on public medical criteria and shared decision-making. |
format | Online Article Text |
id | pubmed-8033489 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-80334892021-04-21 A Catholic Perspective: Triage Principles and Moral Distress in Pandemic Scarcity Kenny, Nuala Kotalik, Jaro Herx, Leonie Coelho, Ramona Leiva, Rene Linacre Q Essay Striving to be faithful to the moral core of medicine and to spiritual, moral, and social teaching of the church, Catholic physicians see their role as an extension of the healing ministry of Jesus. When faced with a situation in which a large number of gravely ill people are seeking care, but optimal treatment such as ventilation in intensive care unit cannot be offered to all because of scarcity of resources, Catholic physicians recognize the need to consider the common good and to assign a priority to patients for whom such treatments would be most probably lifesaving. Making these evaluations, physicians will use only objective medical criteria regarding the benefits and risks to patients and will be mindful that all persons deserve equal respect for their dignity. Discrimination or prejudicial treatment against patients based on factors such as age, disability, race, gender, quality of life, and possible long-term survival cannot be morally justified. Triage process should incorporate respect for autonomy of both the patient and the professional and opportunity for an appeal of a triage decision. Other principles and values that will affect how a triage protocol is developed and applied are proportionality, equity, reciprocity, solidarity, subsidiarity, and transparency. The current coronavirus pandemic can provide valuable lessons and stimulus for reforms and renewal. SUMMARY: Catholic physicians strive to continue the healing ministry of Jesus Christ and be faithful to the moral core of medicine. In situations such as pandemic, the scarcity of personnel and technological resources create serious challenges and even moral distress. Church teachings on dignity, the common good and protection of the vulnerable help guide decisions based on public medical criteria and shared decision-making. SAGE Publications 2021-03-11 2021-05 /pmc/articles/PMC8033489/ /pubmed/33888917 http://dx.doi.org/10.1177/0024363921995714 Text en © Catholic Medical Association 2021 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Essay Kenny, Nuala Kotalik, Jaro Herx, Leonie Coelho, Ramona Leiva, Rene A Catholic Perspective: Triage Principles and Moral Distress in Pandemic Scarcity |
title | A Catholic Perspective: Triage Principles and Moral Distress
in Pandemic Scarcity |
title_full | A Catholic Perspective: Triage Principles and Moral Distress
in Pandemic Scarcity |
title_fullStr | A Catholic Perspective: Triage Principles and Moral Distress
in Pandemic Scarcity |
title_full_unstemmed | A Catholic Perspective: Triage Principles and Moral Distress
in Pandemic Scarcity |
title_short | A Catholic Perspective: Triage Principles and Moral Distress
in Pandemic Scarcity |
title_sort | catholic perspective: triage principles and moral distress
in pandemic scarcity |
topic | Essay |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8033489/ https://www.ncbi.nlm.nih.gov/pubmed/33888917 http://dx.doi.org/10.1177/0024363921995714 |
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