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Ethical Principles during Pandemics

This resource outlines ethical principles during pandemics, emphasizing respect for persons, transparency, community good, and stewardship of resources. It details procedural considerations for decision-making authority shifts, community healthcare response, triage fairness, privacy, and staff support.

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Ethical Principles during Pandemics

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  1. Ethical Principles during Pandemics Jeff Kaufhold, MD FACP Oct 2008

  2. Value Statements • Respect for persons • Truth telling, transparency, and openness. • Community good as primary goal • Best estimates of patient survival with low morbidity. • Stewardship of scarce resources • Decision making authority shifts from family to Incident commander or designee. • Fairness.

  3. Procedural Considerations • Community Health care response • Community clinics and resource pooling. • Stay home. • Stock up on provisions. • Declaration of emergency status of operations • Decision Making authority shift. • Reassessment of procedures and implementation guidelines

  4. Procedural Considerations • Admitting patients to facilities • Maximize capacity. Withdrawal for certain patients to free up ICU beds. • Fairness in Triage • Change of presumption of need based, first come first served service. • Pain and palliative care to those not admitted. • Family and public access to facility likely to be restricted.

  5. Procedural Considerations • Privacy and confidentiality try to continue but will need reporting of data to central database to tailor response. • Outpt and home health care – will it continue? • Preventive treatment of essential staff. • Employed and professional staff obligation to provide treatment. • Facility obligation to provide safe environment.

  6. Procedural Considerations • Staff allocation and roles during emergency may change based on demand. (vents on wards once ICU full) • Facility support for staff after wards. (support for PTSD, legal support of staff that followed directives. • Declaration of End of Emergency. Expect at least 8 weeks of disruption.

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