key: cord-0683179-2uhye0wl authors: Sahebi, Ali; Moayedi, Siamak; Golitaleb, Mohamad title: COVID-19 pandemic and the ethical challenges in patient care date: 2020-12-19 journal: J Med Ethics Hist Med DOI: 10.18502/jmehm.v13i24.4955 sha: 674ad4def4faf5ec6dd1e3f8945e7285d79138d7 doc_id: 683179 cord_uid: 2uhye0wl nan The COVID-19 disease is a recent human infectious disease caused by the Severe Acute Respiratory Syndrome Corona Virus 2 (SARS-CoV-2). This virus has affected almost all world's countries, and hence challenged the global healthcare system (1) . Healthcare providers should comprehend ethical aspects of providing care services during the COVID-19 pandemic, and the following factors highlight the need for providing ethical care services: (i) ongoing advances in diagnosis and treatment of COVID-19, (ii) discovery of new pharmaceuticals, and (iii) disparities in accessing to healthcare among the pandemic-affected (2) . The Centers for Disease Control and Prevention (CDC) and the World Health Organization (WHO) have proposed healthcare guidelines for standard precautions while caring for the COVID-19 patients and observing quarantine principles (3) . Social distancing and quarantining can lead to neglect of vulnerable patients, discrimination against them, as well as limiting their access to health services, educational and social programs. The consequences of social distancing and quarantining can become risk factors in violating patient rights. Physicians and nurses have a moral duty to fulfill patients' rights (2, 4) , and failure to adhere to professional ethics leads to the challenges reducing care quality (2) . Social stigma and discrimination due to fear and misinformation can promote significant violations of these basic rights (2, 5 Ethical challenges in researches are among the most important issues during the COVID-19 pandemic. As of November 8, more than 10 In Patient's independence is referred to patient's ability to make informed or rational decisions, requiring adequate information from medical and healthcare team (2, 5, 9) Quarantine, as a mandatory isolation, restricts physical contact of a person exposed to an infectious disease to prevent its spread. Since quarantine restricts freedom, patient's rights and independence may be endangered. Although The Authors declare no conflict of interests. Early hemoperfusion for cytokine removal may contribute to prevention of intubation in patients infected with COVID-19 Ethical challenges in the care of emerging diseases: a systematic literature review The COVID-19 pandemic and death anxiety in the elderly Covid-19: ethical challenges for nurses Revisiting restrictions of rights after COVID-19 Quarantine and its Related Ethical Issues Challenges and strategies to research ethics in conducting COVID-19 research COVID-19 pandemic and health anxiety among nurses of intensive care units Ethical considerations of the duty to care and physician safety in the COVID-19 pandemic COVID-19 and stigma: social discrimination towards frontline healthcare providers and COVID-19 recovered patients in Nepal