BIOETIK

KEDOKTERAN
Adesithanaya Miyardi
17.71.0245
CASE 1
 BENEFICIENCE
Criteria Yes No

1. Prioritizing altruism (helping selflessly, willing to sacrifice)

2. Guaranteeing the basic values of human dignity
3. Looking at the patient / family and something not to the
advantage of the doctor
4. Trying to make the benefits more than the evil
5. Responsible
6. Ensure a good minimum human life
7.Pembatasan Goal-Based
8. Maximizing the satisfaction of happiness / patient
preferences
9. Minimize adverse consequences.
10. Obligation to help emergency patient
11. Respect the patient's rights as a whole
12. Do not withdraw honoraria beyond appropriateness
13. Maximizing the highest satisfaction overall
14. Develop the profession continuously
15. Providing nutritious yet inexpensive medicine
16. Applying the Golden Rule Principle
NON-MALEFICIENCE
Criteria Yes No

Helping emergency patient

The conditions for describing these criteria are:
• The patient is in a dangerous condition.
• Doctors are able to prevent harm or loss.
• The medical action proved effective
• Benefits for patient > doctor's loss (only experiencing
minimal risk).
Treat injured patient
Do not kill patient (do not do euthanasia)
Not insulting
Do not view patient as objects
Treating disproportionately
Do not prevent patient dangerously
Avoid misrepresentation of patient
Do not endanger the patient's life due to negligence
Does not give life spirit
Does not protect patient from attacks
Does not protect patient from attacks
AUTONOMY
Criteria Yes No

Respecting the right to self-determination, respecting the

dignity of patient
Do not intervene in patient in making decisions (under
elective conditions)
Put on the line
Appreciate privacy
Keep personal secrets
Appreciate patient rationality
Carry out informed consent
Allowing adult patients and competent to make their own
decisions
Do not intervene or obstruct patient autonomy
Prevent other parties from intervening in patients and
making decisions, including, including the patient's own
family
Patiently waiting for the decision to be taken by the patient
in a non-emergency case
Don't lie to the patient even for the benefit of the patient
Maintain relationship (contract)
JUSTICE
Criteria Yes No

Enact everything universally

Take the last portion of the dividing process he has done
Giving equal opportunities to individuals in the same
position
Respecting patients' health rights (affordability, equality,
accessibility, availability, quality)
Appreciate the legal rights of patients
Respect the rights of others
Wise in macro allocations
Provide a contribution that is relatively the same as the
patient's needs
Request patient participation according to ability
The obligation to distribute profits and losses (costs,
expenses, sanctions) fairly
Return rights to the owner at the right time and competent
Does not give heavy burden unevenly without valid reasons
Respect the rights of the population who are equally
susceptible to diseases / health problems
Does not distinguish patient services on the basis of SARA,
social status etc
DILEMMA ETHIC: PRIMA FACIE:
KAIDAH ETIK
4 BOX METHOD OF CLINICAL ETHICS
Medical Indications Quality Of Life

Client Preferences Contextual features

PRINSIP PROFESIONALISME
Accountability
Alturism
Duty
Respect of other
ORDINARY CASE/ EXTRAORDIINARY?
CASE 2
BENEFICIENCE
Criteria Yes No

1. Prioritizing altruism (helping selflessly, willing to sacrifice)

2. Guaranteeing the basic values of human dignity
3. Looking at the patient / family and something not to the
advantage of the doctor
4. Trying to make the benefits more than the evil
5. Responsible
6. Ensure a good minimum human life
7. Maximizing the satisfaction of happiness / patient
preferences
8. Minimize adverse consequences.
9. Obligation to help emergency patients
10. Respect the patient's rights as a whole
11. Do not withdraw honoraria beyond appropriateness
12. Maximizing the highest satisfaction overall
13. Develop the profession continuously
14. Providing nutritious yet inexpensive medicine
15. Applying the Golden Rule Principle
NON-MALEFICIENCE
Criteria Yes No

1. Helping emergency patients

2. The conditions for describing these criteria are:
• The patient is in a dangerous condition.
• Doctors are able to prevent harm or loss.
• The medical action proved effective
• Benefits for patients> doctor's loss (only experiencing
minimal risk)
3. Treat injured patients
4. Do not kill patients (do not do euthanasia)
5. Not insulting
6. Do not view patients as objects
7. Treating disproportionately
8. Do not prevent patients dangerously
9. Avoid misrepresentation of patients
10. Do not endanger the patient's life due to negligence
11. Does not give life spirit
12. Does not protect patients from attacks
13. Do not do white collar in the health field
AUTONOMY
Criteria Yes No

1. Respecting the right to self-determination, respecting

the dignity of patients
2. Do not intervene in patients in making decisions (under
elective conditions)
3. Put on the line
4. Appreciate privacy
5. Keep personal secrets
6. Appreciate patient rationality
7. Carry out informed consent
8. Allowing adult patients and competent to make their
own decisions
9. Do not intervene or obstruct patient autonomy
10. Prevent other parties from intervening in patients and
making decisions, including, including the patient's own
family
11. Patiently waiting for the decision to be taken by the
patient in a non-emergency case
12. Don't lie to the patient even for the benefit of the
patient
13. Maintain relationship (contract)
JUSTICE
Criteria Yes No

1. Enact everything universally

2. Take the last portion of the dividing process he has done
3. Giving equal opportunities to individuals in the same
position
4. Respecting patients' health rights (affordability, equality,
accessibility, availability, quality)
5. Appreciate the legal rights of patients
6. Respect the rights of others
7. Maintain vulnerable groups (the most disadvantaged)
8. Do not abuse
9. Wise in macro allocations
10. Provide a contribution that is relatively the same as the
patient's needs
11. Request patient participation according to ability
12. The obligation to distribute profits and losses (costs,
expenses, sanctions) fairly
13. Return rights to the owner at the right time and
competent
14. Does not give heavy burden unevenly without valid
reasons
15. Respect the rights of the population who are equally
susceptible to diseases / health problems
16. Does not distinguish patient services on the basis of
SARA, social status etc
4 BOX METHOD
Medical Indications Client Preferences

Quality of Life Contextual Features

ETICHAL DILEMMA: PRIMA FACIE:
KAIDAH ETIK
PROFESIONALISME
Accountability
Alturism
Duty
Respect of other
 Ordinary case/ extraordinary?