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    Area of Science:

    • Medical Ethics
    • Palliative Care
    • Pandemic Response

    Background:

    • The Covid-19 pandemic introduced unprecedented challenges in healthcare settings.
    • Healthcare practitioners are experiencing novel forms of moral distress.
    • Hospital policies, such as visitation restrictions, significantly impacted patient and family care.

    Purpose of the Study:

    • To explore the moral distress experienced by a pediatric palliative care physician.
    • To examine the impact of strict hospital visitation policies on families during the Covid-19 pandemic.
    • To reflect on the ethical challenges of end-of-life care during a public health crisis.

    Main Methods:

    • Narrative reflection by a pediatric palliative care physician.
    • Qualitative exploration of a specific clinical scenario.
    • Analysis of ethical dilemmas arising from pandemic-related policies.

    Main Results:

    • A strict hospital visitation policy created moral distress for healthcare providers.
    • The policy prevented two parents from being present with their dying child.
    • This situation highlights the conflict between public health measures and family-centered care.

    Conclusions:

    • Pandemic-related hospital policies can exacerbate moral distress in healthcare.
    • End-of-life care requires sensitive consideration of family presence and support.
    • Ethical frameworks must adapt to address novel challenges in clinical practice during crises.