Suspension of Care for Patients With Spasticity During COVID-19 Pandemic: Ethical and Medico-Legal Point of View Starting From an Italian Study
The COVID-19 pandemic has revolutionized the habits of entire communities, having even more profound negative effects on assistance for the chronically ill. The sudden demand for extraordinary resources caught all worldwide countries unprepared, highlighting shortages in provision of care services....
Guardado en:
| Autores principales: | , , , , , , , |
|---|---|
| Formato: | article |
| Lenguaje: | EN |
| Publicado: |
Frontiers Media S.A.
2021
|
| Materias: | |
| Acceso en línea: | https://doaj.org/article/8e04b7e031374539a350f7cbc1cb6c39 |
| Etiquetas: |
Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
|
| id |
oai:doaj.org-article:8e04b7e031374539a350f7cbc1cb6c39 |
|---|---|
| record_format |
dspace |
| spelling |
oai:doaj.org-article:8e04b7e031374539a350f7cbc1cb6c392021-12-01T16:59:01ZSuspension of Care for Patients With Spasticity During COVID-19 Pandemic: Ethical and Medico-Legal Point of View Starting From an Italian Study2296-858X10.3389/fmed.2021.754456https://doaj.org/article/8e04b7e031374539a350f7cbc1cb6c392021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fmed.2021.754456/fullhttps://doaj.org/toc/2296-858XThe COVID-19 pandemic has revolutionized the habits of entire communities, having even more profound negative effects on assistance for the chronically ill. The sudden demand for extraordinary resources caught all worldwide countries unprepared, highlighting shortages in provision of care services. This applies to all patients, affected by COVID-19 or not, as many need continuing access to chronic diseases treatments. Almost all of the energy available has been directed toward care of COVID-19 patients, and almost nothing has been done to continue therapy for patients with spasticity. This study builds on a recent article and discusses its results as a basis for highlighting the ethical dilemmas and unintended consequences of health systems changing their priorities during the pandemic. The above mentioned study has shown increased patient-perceived spasticity during lockdown (72.2%) with reductions in perceived quality of life (70.9%). Telemedicine tools have proved insufficient, with access by only 7.3% of these patients. Despite the health emergency, it cannot be denied that this situation is a violation of these patients' rights and dignity. The healthcare system will also have to bear increased costs in the future to recover the loss of previous therapies benefits, because of their interruption. The real challenge will be to exploit the critical issues emerged during the pandemic, and to resolve the measures needed to take the care to the patient, and not vice versa. This applies particularly to fragile patients, to respect their dignity and right to care.Antonio De DonnoAdriano AcellaCarmelinda AngrisaniGiulia GubinelliGianluca MusciGianluca GraviliChiara CiritellaAndrea SantamatoFrontiers Media S.A.articleCOVID-19chronically illspasticitypatient safetymedico-legal issuestelemedicineMedicine (General)R5-920ENFrontiers in Medicine, Vol 8 (2021) |
| institution |
DOAJ |
| collection |
DOAJ |
| language |
EN |
| topic |
COVID-19 chronically ill spasticity patient safety medico-legal issues telemedicine Medicine (General) R5-920 |
| spellingShingle |
COVID-19 chronically ill spasticity patient safety medico-legal issues telemedicine Medicine (General) R5-920 Antonio De Donno Adriano Acella Carmelinda Angrisani Giulia Gubinelli Gianluca Musci Gianluca Gravili Chiara Ciritella Andrea Santamato Suspension of Care for Patients With Spasticity During COVID-19 Pandemic: Ethical and Medico-Legal Point of View Starting From an Italian Study |
| description |
The COVID-19 pandemic has revolutionized the habits of entire communities, having even more profound negative effects on assistance for the chronically ill. The sudden demand for extraordinary resources caught all worldwide countries unprepared, highlighting shortages in provision of care services. This applies to all patients, affected by COVID-19 or not, as many need continuing access to chronic diseases treatments. Almost all of the energy available has been directed toward care of COVID-19 patients, and almost nothing has been done to continue therapy for patients with spasticity. This study builds on a recent article and discusses its results as a basis for highlighting the ethical dilemmas and unintended consequences of health systems changing their priorities during the pandemic. The above mentioned study has shown increased patient-perceived spasticity during lockdown (72.2%) with reductions in perceived quality of life (70.9%). Telemedicine tools have proved insufficient, with access by only 7.3% of these patients. Despite the health emergency, it cannot be denied that this situation is a violation of these patients' rights and dignity. The healthcare system will also have to bear increased costs in the future to recover the loss of previous therapies benefits, because of their interruption. The real challenge will be to exploit the critical issues emerged during the pandemic, and to resolve the measures needed to take the care to the patient, and not vice versa. This applies particularly to fragile patients, to respect their dignity and right to care. |
| format |
article |
| author |
Antonio De Donno Adriano Acella Carmelinda Angrisani Giulia Gubinelli Gianluca Musci Gianluca Gravili Chiara Ciritella Andrea Santamato |
| author_facet |
Antonio De Donno Adriano Acella Carmelinda Angrisani Giulia Gubinelli Gianluca Musci Gianluca Gravili Chiara Ciritella Andrea Santamato |
| author_sort |
Antonio De Donno |
| title |
Suspension of Care for Patients With Spasticity During COVID-19 Pandemic: Ethical and Medico-Legal Point of View Starting From an Italian Study |
| title_short |
Suspension of Care for Patients With Spasticity During COVID-19 Pandemic: Ethical and Medico-Legal Point of View Starting From an Italian Study |
| title_full |
Suspension of Care for Patients With Spasticity During COVID-19 Pandemic: Ethical and Medico-Legal Point of View Starting From an Italian Study |
| title_fullStr |
Suspension of Care for Patients With Spasticity During COVID-19 Pandemic: Ethical and Medico-Legal Point of View Starting From an Italian Study |
| title_full_unstemmed |
Suspension of Care for Patients With Spasticity During COVID-19 Pandemic: Ethical and Medico-Legal Point of View Starting From an Italian Study |
| title_sort |
suspension of care for patients with spasticity during covid-19 pandemic: ethical and medico-legal point of view starting from an italian study |
| publisher |
Frontiers Media S.A. |
| publishDate |
2021 |
| url |
https://doaj.org/article/8e04b7e031374539a350f7cbc1cb6c39 |
| work_keys_str_mv |
AT antoniodedonno suspensionofcareforpatientswithspasticityduringcovid19pandemicethicalandmedicolegalpointofviewstartingfromanitalianstudy AT adrianoacella suspensionofcareforpatientswithspasticityduringcovid19pandemicethicalandmedicolegalpointofviewstartingfromanitalianstudy AT carmelindaangrisani suspensionofcareforpatientswithspasticityduringcovid19pandemicethicalandmedicolegalpointofviewstartingfromanitalianstudy AT giuliagubinelli suspensionofcareforpatientswithspasticityduringcovid19pandemicethicalandmedicolegalpointofviewstartingfromanitalianstudy AT gianlucamusci suspensionofcareforpatientswithspasticityduringcovid19pandemicethicalandmedicolegalpointofviewstartingfromanitalianstudy AT gianlucagravili suspensionofcareforpatientswithspasticityduringcovid19pandemicethicalandmedicolegalpointofviewstartingfromanitalianstudy AT chiaraciritella suspensionofcareforpatientswithspasticityduringcovid19pandemicethicalandmedicolegalpointofviewstartingfromanitalianstudy AT andreasantamato suspensionofcareforpatientswithspasticityduringcovid19pandemicethicalandmedicolegalpointofviewstartingfromanitalianstudy |
| _version_ |
1718404763711700992 |