Professional Documents
Culture Documents
Bioetik Permata
Bioetik Permata
By:
Luh Kadek Permata Dwi Putri
17710069
RST MALANG D Groups
Medical Faculty
Wijaya Kusuma Surabaya University
CASE 1
A female patient aged 13 years came to the emergency room
accompanied by her father with an open wound on the heel of his
right foot after falling off a motorcycle. Physical and supporting
examinations were carried out by the doctor on duty when the
patient arrived at the ED and was diagnosed with Achilles Tendon
Rupture and Dextra Degloving Pedis.
Then the doctor at the emergency department contacted an
orthopedic specialist to plan the surgery because the wound
appeared deep with a wound width of 5cm and a length of wound
10cm, making it difficult to do at the emergency room. However, the
patient's family refused to do the surgery because of the operating
costs and requested only wound handling and stitching on the
emergency room.
Beneficience
No 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
9 Minimize adverse consequences.
10 Obligation to help emergency patients
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 MALEFICENCE
No Criteria Yes No
1 Helping emergency patients
The conditions for describing these criteria are:
• The patient is in a dangerous condition.
2 • Doctors are able to prevent harm or loss.
• The medical action proved effective
• Benefits for patients> doctor's loss (only experiencing minimal risk).
Non-Maleficence Autonomy
Prima Non-
Facie Maleficence
ETHICAL PRINCIPLES
Non-Maleficence :
•The doctors gave the patient the best suggestion about
treatment so the patient didn’t suffer.
Autonomy:
•The patient has the right to determine his own decisions
Prima Facie
•Non-Maleficence
4 box method
Medical Indications Client Preferences
• 13-year-old female had an accident • The patient is underage so she cannot make his
• The patient has an open wound on the right foot own decisions
• Doctors recommend the surgery because the • The patient's family make her decisions and
wound appeared deep with a wound width of 5cm refused to do surgery
and a length of wound 10cm.
Ordinary
CASE 2
Mrs. R age 25 years come to the obstetric department with complaints of menstrual
disorders since 5 years ago and sometimes accompanied by abdominal pain during
menstruation and spread to the waist.
the doctor then performs a thorough examination and diagnoses the patient with
ovarian cysts, so the doctor recommends the patient to do the surgery. The patient
rejects the recommendations given by the doctor for surgery because she is unable
to pay.
However, patients only asked for therapy in the form of drugs to reduce symptoms,
so the obstetrician only gave a prescription in the form of oral medication for these
poor patients.
Beneficience
No 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 √
9 Minimize adverse consequences. √
10 Obligation to help emergency patients √
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 MALEFICENCE
No Criteria Yes No
1 Helping emergency patients √
The conditions for describing these criteria are:
• The patient is in a dangerous condition.
√
2 • Doctors are able to prevent harm or loss.
• The medical action proved effective
• Benefits for patients> doctor's loss (only experiencing minimal risk).
Prima Autonomy
Facie
ETHICAL PRINCIPLES
Non maleficence:
The doctors gave the patient the best suggestion
about treatment so the patient didn’t suffer.
Autonomy :
The patient has the right to determine his choice and
the doctor must respects the patient's decision
4 box method
Extraordinary
Thank
You