Drastic changes in the practice of end-of-life care during the

Journal of critical care · Feb 2022

Drastic changes in the practice of end-of-life care during the COVID-19 pandemic.

This article discusses drastic changes in the practice of end-of-life care during the COVID-19 pandemic. It reviews the ethical dilemmas of individual autonomy versus societal justice, human beneficence versus public health non-maleficence that arose during the pandemic due to prolonged, high acutity,= critical illness in the setting of a highly contageous respiratory virus, protective personal equipment shortages,m crisis standards of care to distribute scarce medical resources, and changes in interactions between treating clinicians, patients, and visitors. The lessons learned during the pandemic response will directly inform and impact the appraoch to future pandemic events.

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- Talia K Ben-Jacob and PetersonLars-Kristofer NLNAssistant Professor of Medicine & Emergency Medicine, Cooper Medical School of Rowan University, One Cooper Plaza, Camden, NJ 08103, United States of America; Division of Critical Care, Departments of Medicine, Emergency Medicine.
- Associate Professor of Anesthesiology, Cooper Medical School of Rowan University, One Cooper Plaza, Camden, NJ 08103, United States of America; Division Head, Division of Critical Care, Department of Anesthesiology, Cooper University Hospital, One Cooper Plaza, Camden, NJ 08103, United States of America. Electronic address: ben-jacob-talia@cooperhealth.edu.
- J Crit Care. 2022 Feb 1; 67: 195197195-197.
AbstractThis article discusses drastic changes in the practice of end-of-life care during the COVID-19 pandemic. It reviews the ethical dilemmas of individual autonomy versus societal justice, human beneficence versus public health non-maleficence that arose during the pandemic due to prolonged, high acutity,= critical illness in the setting of a highly contageous respiratory virus, protective personal equipment shortages,m crisis standards of care to distribute scarce medical resources, and changes in interactions between treating clinicians, patients, and visitors. The lessons learned during the pandemic response will directly inform and impact the appraoch to future pandemic events.Copyright © 2021 Elsevier Inc. All rights reserved.

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Drastic changes in the practice of end-of-life care during the COVID-19 pandemic.

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