These hypothetical case examples are provided to showcase how an ethical framework can be used to structure a decision, even in COVID 19 pandemic.
Please note we are not recommending any particular course of action in specific circumstances. Different people will weigh the Balancing Box differently.
That is to be expected.
Rather the framework is an aid to objectively describing an ethical situation, establishing facts and outcomes of relevance, providing a tool for balancing competing demands and a method for documentation.
This is useful for decision-making, communication, and conflict resolution.
We welcome feedback, suggestion and comments on the use of the framework to help patients, clinicians and families make decisions together.
COVID 19 Hypothetical Case 1
Possible infection, moderate respiratory impairment, isolation capacity available
COVID 19 Hypothetical Case 2
Possible infection, severe respiratory impairment, isolation capacity extremely limited
COVID 19 Hypothetical Case 3
Possible infection, moderate respiratory impairment, patient scared of intubation, wants to try without
COVID 19 Hypothetical Case 4
Possible infection, severe respiratory impairment, significant comorbidity
COVID 19 Hypothetical Case 5
Circumstances leading to an explicit utilitarian approach at a hospital level
COVID 19 Hypothetical Case 6
Relatives visiting a COVID 19 mechanically ventilated patient on ICU.