Professional Documents
Culture Documents
Case 1
Case 1
◦ A 69 Years – old women came to emergency room. The patient told the
doctor she have protusion falling out of her anus since a week ago, and the
protusion is can’t back to the inside. Because of that patient can’t poop
since the last few days. The doctor had done physical examination and
diagnosed that she had rectal prolapse. The doctor suggest him to do the
surgery, but the patient refused it because she afraid do the surgery, even
her daughter persuade her but she still refused it.
Beneficence
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 adverse √
effect.
5. Responsible √
6. Ensure a good minimum human life √
7. Restriction Goal-Based √
8. Maximizing the satisfaction of happiness / patient √
preferences
Beneficiene
9. Minimize adverse consequences. √
No Criteria Yes No
1 Helping emergency patients √
3 Be honest √
4 Appreciate privacy. √
5 Keep personal secrets √
6 Appreciate patient rationality. √
7 Carry out informed consent √
Autonomy
8 Allowing adult patients and competent to make √
their own decisions.
8 Do not abuse. √
Justice
9 Wise in macro allocations. √
beneficence Autonomy
Ethical Priciples
Beneficence : Doctor give the therapy for patient health
and advising patients for the surgery
Primafacie : Autonomy
4 box method
Medical Indications Client Preferences
• 69-year-old women had pertusion out of • The patient can determine her own
her anus. Diameter 12x5cm decision
• Patient had a rectal prolapse (chronic) and • The doctor educated the patient but she
the doctor advise him to do surgery still refused it.
Extraordinary
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