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Ethics Rules, Ethic Dilemma, Principal of Profesionali SM: Rsud Sidoarjo I2
Ethics Rules, Ethic Dilemma, Principal of Profesionali SM: Rsud Sidoarjo I2
ETHIC
RSUD
DILEMMA, SIDOARJO
PRINCIPAL OF I2
Case
A premature baby born with hydrocephalus and
there is calcification in his brain, this baby treated in
the NICU. One day the doctor explained to the
patient’s father that his son condition was harmful
and risked brain damage so the doctor suggested
referring to a better hospital. However, the father
was constrained by the economy and the condition
of his wife who was still being treated at ICU so that
he intended to not refer his child to another hospital.
The doctor has explained the impact of not referring
and giving the father time to consider it
BENEFICENCE
CRITERIA YES NO
5. Responsible √
7. Limitation of Goal-Based √
Criteria Yes No
10 Prevent other parties from intervening in patients and making decisions, including √
the patient's own family.
PRIMA FACIE :
AUTONOMY
4 BOX METHOD OF CLINICAL
ETHICS
Medical Indication Client Preferences
• The condition was harmful. • The patient cannot make a
• The patient need to be referred decision. His father is in represent
for better treatment because his for making a decision.
hydrocephalus and brain damage.
• If his father refused, the patient
still treated at the NICU with the
possibility getting worst condition.
5. Responsible √
7. Limitation of Goal-Based √
Criteria Yes No
10 Prevent other parties from intervening in patients and making decisions, including √
the patient's own family.
PRIMA FACIE :
NON-MALEFICENCE
4 BOX METHOD OF CLINICAL
ETHICS
Medical Indication Client Preferences
• The patient diagnosed with • The patient can make decision for
suspected coronary hearth her treatment including agree to
disease with doctor at emergency be examined by cardiologist.
room
• After give some drug, the patient
have hypotension
• And then, cardiologist checks and
diagnose with chronis gastriris.