Beruflich Dokumente
Kultur Dokumente
17710218
CASE 1
Mr.A is 35 years old was brought to the emergency room of a regional hospital
by his family with complaints of lower right abdominal pain. Arriving at the
emergency room, Mr.A was then examined by a doctor on duty according to the
procedure, then acute appendicitis was diagnosed. After the doctor on duty at
emergency room, the doctor contacted the specialist could not do the surgery
immediately, so the patient was advised to hospitalize and the given temporary
medication. The doctor then explains to the patient about the patient’s condition
and agree to hospitalization.
KDB 1 (Beneficence)
Kriteria Yes No
1. Prioritizing altruism (helping selflessly, willing to sacrifice)
5. Responsible
5 Not insulting
7 Treating disproportionately
KDB 2 Non-Maleficence
4 Appreciate privacy.
Beneficence Justice
PRIMARY FACE
Justice
4 BOX METHOD OF CLINICAL ETHICS
Medical Indications:
Client Preferences:
Dx: Apendisitis Akut
In making decisions about
Emergensi patient, the families discuss
Planning to surgery
4 BOX
METHODE
• Altruism : Nothing
• Accountability: the doctor explains about the condition of the patient,
the actions that must be done and made informed consent.
• Excellence : the doctor diligently attend helath seminars
• Duty: the doctor recommend hospitalization and surgery on the other
days
• Honour and integrity: the doctor do not deviate from patient
• Respect for others : nothing
• Humanity : there is empathy
CASE 2
A female patient 66 years old was taken by her family to the Emergency Room
Dr.Soepraoen Malang Hospital came with a complaint that half of its body could not be moved.
According to the family who drove, the patient had fallen in the rice field and half of his body
could not be moved. In addition the patient also complained that it was difficult to speak and
open his mouth. Upon arrival at the hospital, a physical examination was performed to find the
right limb left behind.
Patients receive fluid and oxygen therapy. The treating doctor advises the patient to be
hospitalized and explain everything about the patient's disease to the family. The family agreed
to hospitalization but when the patient began to feel that the patient was forced to go home.
The patient gets angry and removes the oxygen mask used. The doctor again explained the
reason the patient had to be hospitalized but the patient still insisted on going home and signing
the forced return letter
KDB 1 (Beneficence)
Kriteria Yes No
1. Prioritizing altruism (helping selflessly, willing to
sacrifice)
2. Guaranteeing the basic values of human dignity
5. Responsible
7.Pembatasan Goal-Based
KDB 1 (Beneficence)
Kriteria Yes No
5 Not insulting
7 Treating disproportionately
KDB 2 Non-Maleficence
NO Kriteria Yes No
8 Do not prevent patients dangerously
4 Appreciate privacy.
No Kriteria Yes No
Non-Maleficence Autonomi
PRIMARY FACE
Justice
4 BOX METHODE
Medical Indications: Client Preferences:
Dx stroke Medical action is carried out with the
Liquid and oxygen therapy, the approval of the family because the
patient’s condition improve patient has difficulty speaking
• Accountability :
the doctor explain about the condition of the patient
• Duty :
The doctor take medical measures to deal with the patient’s
condition
• Altruism :
the doctor prioritize the interest of patient
• Respect for others:
The doctor appreciate the patient’s refusal to be hospitalized
Thank You