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Paediatric Palliative Care during the COVID-19 Pandemic: A Malaysian Perspective
Lee Ai Chong1, Erwin J Khoo2, Azanna Ahmad Kamar1
1University Malaya Medical Center, Kuala Lumpur, Malaysia.
Insights
The COVID-19 pandemic in Malaysia highlighted ethical challenges in medicine, particularly balancing public health with individual rights. Palliative care became crucial for mitigating suffering and ensuring equitable resource distribution for all patients.
Area of Science:
- Medical Ethics
- Public Health
- Palliative Care
Background:
- Malaysia reported its first COVID-19 cases in January 2020, coinciding with a global health emergency declaration.
- The pandemic created significant ethical dilemmas in medical practice, impacting patient care and resource allocation.
- A core conflict emerged between public health mandates and individual patient rights.
Purpose of the Study:
- To explore the ethical perspectives and challenges of palliative care during the COVID-19 pandemic in Malaysia.
- To highlight the increased need for palliative care accessibility amidst a global health crisis.
Main Methods:
- This study presents a perspective on palliative care ethics during the COVID-19 pandemic in Malaysia.
- It involves analyzing the ethical tensions and practical challenges faced by clinicians.
Main Results:
- The pandemic underscored the critical role of palliative care in addressing suffering.
- Equitable distribution of healthcare resources for both COVID-19 and non-COVID-19 patients presented ongoing ethical hurdles.
- There is an increased awareness and urgency to ensure palliative care reaches all patients in need.
Conclusions:
- The COVID-19 crisis intensified ethical considerations in Malaysian healthcare, particularly concerning resource allocation and patient rights.
- Palliative care is essential for mitigating suffering and requires focused attention to ensure equitable access during pandemics.
Abstract:
Malaysia had its first four patients with COVID-19 on 25 January 2020. In the same week, the World Health Organization declared it as a public health emergency of international concern. The pandemic has since challenged the ethics and practice of medicine. There is palpable tension from the conflict of interest between public health initiatives and individual's rights. Ensuring equitable care and distribution of health resources for patients with and without COVID-19 is a recurring ethical challenge for clinicians. Palliative care aims to mitigate suffering caused by a life-limiting illness, and this crisis has led to the awareness and urgency to ensure it reaches all who needs it. We share here the palliative care perspectives and ethical challenges during the COVID-19 pandemic in Malaysia.
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