Case

No.

Ethical Problem

1.

places 2 patient beds in his medical spractice room which are

divided by a curtain.
the first 3 patients came with common cold. Then Tenar gave three

2.

of them their medicine, with advice: having enough rest, drinking

plain water and consuming fruits.
3.

4.
5.

6.
7.

8.

Tenar gave a presenting letter to her for the laboratory

examination. Tenar referred her to a laboratory namely: "Titrasi
Cepat" Clinical Laboratory, where he usually did, not far away from
his practical place.
From this clinical laboratory he received cake present, in which if
he evaluated, the amount was equal with the number of patients
he has sent there
The young man didn't follow the queuing number because he
confessed that he was Tenar's junior high school's friend, so that
Tenar's assistant took him to the left room, the room for the special
patients
Without telling Ms.Menor what the content of her head scanning
result, Tenar gave her a referral letter to the neurological
department of a hospital.
Mrs.Modis, without receiving blood pressure measurement, got a
prescription letter for her urinary tract infection that she has
suffered for the last 5 years. Tenar examined her shortly and just
copied prescription from her medical record that was given by his
assistant.
He ordered his assistant after having convincing the security man
for being hospitalized.

9.

10.
11
12

(Information and reference letter)

He helped Mr. Malthus first for about 45 minutes, meanwhile Rana
was alone because Tenar's assistant was also busy assisting Tenar
to cope with the bleeding problem of Mr. Malthus in the left side
room. Tenar didnt have any chance to talk with Miss.
Tenar was rather stunned to answer the innocent question of her,
"Oh, just abdominal discomfort", answered by Tenar, gently
He give an envelope containing Rp.25.000,- money for the
security. "For your transport, Mr. Tala. Recover soonly
By sweating, Tenar at last listened to Miss. Rana's symptoms

Case
No.
1.

Alternative Based On Values System

Beneficence
1.
should maximize patients satisfaction
autonomy
1. should respect to patients privacy
2. should keep confidentiality
non maleficence
1. should cure proportionally
justice
1. fair to every patient
2. appreciate human autonomy
3. give same contribution to every patient
Beneficence
1.
should check goal-based specifically
autonomy
1. should informed about disease to patient
nonmaleficence
1. should not assume patient as an object
2. should cure proportionally
3. should not put the patient in danger condition because of
misconduct
4. prevent patient from danger
justice
1. should asking patient participation according patient capability

Beneficence
1. should put altruism on priority
non maleficence
1. should not assume patient as an object
autonomy
1. should respect to patient autonomy
2. should not intervention on decision making
justice
1. should appreciate patients law
2. should responsible to distribute the benefits and maleficence fairly

4
5

Beneficence
1. should maximize patients satisfaction
2. should do golden rule principle
non maleficence
1. should priority on patients benefit
2. Should cure proportionally
Autonomy
1.

Justice
1. Fair to every patient
2. appreciate another person autonomy
3. shouldnt differ the treat to the patient
6

Beneficence
1. paternalism responsibility
2. minimize the negative effect
non maleficience
1. should not put the patient in danger condition because of
misconduct
Autonomy
1. Veracity
2. should Informed
Justice
1. appreciate human autonomy to health
2. should asking patient participation according patient capability
Beneficence
1. insure human live quality
2. minimize negative effect
non maleficience
1. should cured the patient
2. should prevent patient from harm
3. should cured the patient proportionality
4. should not put the patient in danger condition because of
misconduct
Autonomy
1. should informed
Justice
1. Respect to the patients right to health
Beneficence
1. Should minimize bad effect
2. Paternalism and responsibility to the patient
3. Maximize patients satisfaction
4. Should Help emergency patient
5. Should respect patients right
6. Based on golden rule principle
Non maleficience
1. Should help emergency patient
2. Prevent patient from harm
3. Should treat patient proportionally
4. should not put the patient in danger condition because of
misconduct
Autonomy
1. Should respect patients dignity
2. Not do intervention or disturb patients autonomy
3. Build relationship to patient
Justice
1. Respect humans autonomy
2. Give contribution based on patients need

3. Not treat patient with different way based on social status

9

Beneficence
1. Should duty to help emergency patient
Non maleficience
1. should not put the patient in danger condition because of
misconduct
2. Prevent patient form harm
3. help emergency patient
Autonomy
1. Should informed
Justice
1. Respect to the patients right to health

10.

Beneficence
1. enhances the dignity of human
2. should respect to patients right
nonmaleficence
1. avoid patients misrepresentation
2. should do medical conduct effectively

11.

Beneficence
1. Enhances the dignity of the patients
2. Respect to the overall patients right
Non maleficience
1. should not put the patient in danger condition because of
misconduct
2. Should prevent the patient from dangerous
3. should cured the patient proportionality
4. should cured the patient
Autonomy
1. Should inform to the patient
2. Keep contract
Justice
1. Respect to the patients right to health
2. Should fair to patient
Beneficence
1. Respect patient/family/things not only to get profit from patient
2. Maximize the high patients satisfaction
3. Based on Golden rule principle
Non maleficience
1. Should treat proportionally
2. should not assume patient as an object
Autonomy
1. Should respect patients dignity
2. Should keep relationship
Justice
1. Shouldnt differ social status

12.

Case
no.
1.

Alternative Decision
- The room will be better if it has one bed only
- Build wall to divide the room if it really necessary to use 2 beds

2.
3.

4.
5.
6.

7.

-Every patients have to examined well and specifically

-Giving prescribe should be suitable with the disease not only from the
general symptoms
-Give right to patients to choose the laboratory for their lab
examinations
-the doctor can give the information about the labs, but the doctor
mustnt give suggestion for one lab only.
-doctor shouldnt receive the cake present as a thank you for the
patients he sent there.
- The doctor should treat the patients according to queuing number
- If its emergency case it is fine to treat him first.
-the doctor should informed the patient about the result from the head
scanning.
-The doctor make the negotiation with the patient about the next
treatment.
-The doctor must examine depend on the standard operational
procedure and give the prescriptions according to her condition

8.

-he should inform the disease of the patient

-give patient reference letter to be threatened more intensive on the
hospital

9.

-the doctor should ask his assistant to tell miss rana that he has
emergency patient.
-the doctor should inform miss rana that he has emergency patient.
-the doctor did the right thing with keep patient confidentiality.
-the doctor has good charity to other.
-the doctor should tidy him self before meet the patient
-the doctor at least clean the sweat.

10.
11.
12.

Case
No.
1.
2
3
4
5
6
7
8
9
10.
11.
12.

Self Assessment
He
He
He
He
He
He
He
He
He
He
He
He

just put 2 bed that divided by curtain

has Check 3 patient in same way and give same advice
suggest the patient to the laboratory
get the present from laboratory
receive the patient that dont follow the queuing
gave Mrs. Menor referral letter without informed
assume the patient have same condition
order Garputala go to hospital sonly
help Malthus first than Miss. Rana that comes first
keep patient confidentiality
gave amount of money
didnt prepare himself first

Case
NO
1
2
3
4
5
6
7
8

10
11
12

Verification
Utilitarian
He think that he can treat many patients easily without thinking about
the maximal satisfaction for patients
Utilitarian
Because he doesnt want to waste the time for knowing more about
patients condition deeply
Utilitarian
Because he think about the distances advantages for patient
Utilitarian
Because he accepted the profit from what his done
Utilitarian
Because he doesnt want have bad relationship with his friends
Deontology
Because he wants the best treatment to Mrs. Menor so Mrs. Menor heal
completely.
Utilitarian
Because he thing it will be useless if he check up the patient
Utilitarian
He only think the best for other person
Communitarian
Because he think to help another people is the responsibility with other
Deontology
Because he has pure intention to help each other
Feminism
Because he want to best
Utilitarian
Deontology
Communitarian
Feminism
Deontology
Communitarian
Deontology
Communitarian
Deontology
Feminism

Case
No.
1.
2.

Reason
The room will be better if it has one bed only, because the patient
has privacy and the doctors should appreciate patient autonomy.
Every patients have to examined well and specifically which is
standardized by SOP and the prescribe should be suitable with the
disease, not only from the general symptoms, because every
symptoms has a different type of disease.

3.
4.
5.
6.

7.
8.
9.
10.
11
12

-the doctor can give the information about the labs, but the doctor
mustnt give suggestion for one lab only, because its contradict
with the patient autonomy to choose the lab.
-doctor shouldnt receive the cake present as a thank you for
the patients he sent there, because it will consider as a collusion.
- The doctor should treat the patients according to queuing
number, If it is emergency case it is fine to treat him first, because
its the doctor should obey the rule of humanity.
the doctor should informed the patient about the result from the
head scanning and doctor should make the negotiation with the
patient about the next treatment, because knowing the result and
the information about the treatment is patient right and doctor
should respect it.
-The doctor must examine depend on the standard operational
procedure and give the prescriptions according to her condition,
because
give patient reference letter to be threatened more intensive on
the hospital and also give an information about his disease,
because it is patient right to get the information about his disease.
the doctor should ask his assistant to tell miss rana that he has
emergency patient, because if the doctor didnt tell the condition,
so its look like the doctor neglected miss rana.
The doctor did the right thing with keep patient confidentiality,
because the patient confidentiality is very important and
prohibited to speak up in public.
The doctor has good charity to other, because the charity is
needed to be a good doctor.
The doctor should tidy him self before meet the patient, because
the doctor must respect the patient with polite and tidy.