A Review of the Medical Ethics Surrounding COVID-19 Lockdowns in Personal Care Homes and the Impacts on Those Living with Dementia: Ethics, COVID and Personal Care Homes
Notice bibliographique
Résumé
The impacts of the COVID-19 pandemic on personal care homes has played out daily in the media headlines across the country.Although Manitoba seemed to avoid the worst of this early on in the pandemic, recently the province has seen a disturbing surge in overall case levels (Government of Manitoba, 2020).This rise in COVID-19 cases in Manitoba has forced personal care homes to once again lockdown and restrict not only all visitor access but also limit social interaction among the residents themselves.When looking at this situation broadly, locking down all personal care homes seems to be like the obvious decision to make.Residents in personal care homes represent one of our most vulnerable populations and the virus has been shown to spread quickly with serious medical impacts to this group.Significant virus spread in these personal care homes could easily overwhelm our healthcare system and lead to unnecessary deaths.Clearly the decision to lockdown the personal care homes can be readily justified as a means of protecting not only this vulnerable group but also supporting the larger community who either provide healthcare or are requiring healthcare for other non-COVID-19 related reasons.While the above is true, the decision to do this is far from being straight forward.The impacts of these lockdowns are far reaching and go way beyond just the containment of the virus.There is a fine balance between maintaining the emotional and mental wellbeing of an individual living with dementia and managing the physical health of the greater population.To better understand the complexity of this decision, it is important to have an understanding of what living with dementia means.Dementia is a neurocognitive disorder in which an individual experiences a decline from a prior cognitive level (Shwartz, 2018).In Canada, there are over 500,000 people currently living with dementia and approximately 25,000 people are diagnosed with dementia every year (Alzheimer Society of Canada, 2020).Considering that approximately 37 million people live in Canada, the number of people living with dementia represents a significant proportion of the population (Statistics Canada, 2020).Those with dementia tend to have a progressive decline in their ability to carry out the activities of daily living, engage in social functioning, or elicit adequate decision making (Shwartz, 2018).While individuals with dementia may have difficulty carrying out these everyday tasks, it is important to acknowledge that many of them still have values, preferences and beliefs that should be
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Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,001 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».