- Psychosis and COVID-19: is it time to pre-emptively revise advanced directives? (& edit)
Posted by Gerard
on May 23, 2021, 3:08 pm, in reply to "Prison governers' chief says lockdown freedoms need to be extended to inmates"
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"Revised advanced directives might be necessary to indicate preferred treatment choices, given the re-assessment of the risks and benefits of health-care delivery during the pandemic. Decisions regarding hospitalisation, initiating clozapine, receiving long-acting injectables, and electroconvulsive therapy might pose different risk–benefit profiles after the pandemic onset. Additionally, given the increased mortality rates in people with psychosis secondary to COVID-19,4 dynamic revisions in advanced directives should also reflect the decisions regarding COVID-19 treatment—eg, whether to receive the vaccine or not, type of vaccine, and the mode of delivery. Pandemics might come and go but medical ethics principles should stand resolute against mitigated or unmitigated disasters. Dynamic, advanced directives in line with the rapidly evolving pandemic situation will add more value to patients' autonomy." [url=https://www.thelancet.com/journals/lanpsy/article/PIIS2215-0366(21)00119-X/fulltext]https://www.thelancet.com/journals/lanpsy/article/PIIS2215-0366(21)00119-X/fulltext ? Edit; "Clearly our government was not properly prepared for Covid-19. Institutions need to be prepared to run as normally as possible during a pandemic this means prioritising the mental and physical health of the body politic. A triage system only works if physicians are able to correctly prioritise response, any government's first priority must be the welfare of the citizens it governs and the modelling must reflect this." |