Skip to main content

From Ovid to Covid: The metamorphosis of Advanced Decisions to Refuse Treatment into a safeguarding issue.

Lyne, M. and Parker, J., 2020. From Ovid to Covid: The metamorphosis of Advanced Decisions to Refuse Treatment into a safeguarding issue. Journal of Adult Protection. (In Press)

Full text available as:

[img]
Preview
PDF
PDF_Proof.PDF - Accepted Version
Available under License Creative Commons Attribution Non-commercial.

198kB
[img] PDF
From Ovid to COVID not for review.pdf - Accepted Version
Restricted to Repository staff only
Available under License Creative Commons Attribution Non-commercial.

169kB

DOI: 10.1108/JAP-07-2020-0027

Abstract

Purpose This paper aims to examine Advance Decisions to Refuse Treatment (ADRTs) in the context of the COVID-19 pandemic. We consider the development of ADRTs, the lack of take up and confusion among the general public, clinicians and health and social care staff. Design/methodology/approach The paper is a conceptual piece that reflects on ADRTs in the particular context of COVID-19. It considers professional concerns and pronouncements on ADRTs. Findings ADRTs have a low take up currently. There is misunderstanding among public and professionals. There is a need for raising awareness, developing practice and a need to allay fears of misuse and abuse of ADRTs in clinical, health and social care settings. Originality This paper is original in considering ADRTs as a safeguarding issue from two perspectives: that of the person making the ADRT and being confident in respect for the decisions made, and of clinicians and other professionals being reflexively aware of the need to accept advance decisions and not acting according to unconscious biases in times of crisis. Practical implications We make recommendations that reflexive training and awareness becomes the norm in health and social care, that reform of ADRTs is undertaken to prevent misunderstandings and that the person becomes central in all decision-making processes.

Item Type:Article
ISSN:1466-8203
Uncontrolled Keywords:COVID-19; ADRTs; Do Not Resuscitate Notices; Marginalised groups
Group:Faculty of Health & Social Sciences
ID Code:34462
Deposited By: Unnamed user with email symplectic@symplectic
Deposited On:27 Aug 2020 13:23
Last Modified:13 Oct 2020 10:22

Downloads

Downloads per month over past year

More statistics for this item...
Repository Staff Only -