Professional Documents
Culture Documents
2.deny Dwi Hartanto 16710246
2.deny Dwi Hartanto 16710246
2.deny Dwi Hartanto 16710246
• 70-year-old man who was unconscious and received hospital ICU treatment in
Florida, United States. These nameless patients have a history of chronic
pulmonary disease, diabetes mellitus or diabetes, and atrial fibrillation or an
irregular and fast beating heartbeat. In addition, the medical also found high blood
alcohol levels. on the patient's chest there is a "Do Not Resuscitate" tattoo. The
condition of the patient is very concerning. Low tension. The acidity of the blood
is high, with a pH of 6.81 .. The doctor is ready to help but the tattoo on the chest
makes the team of doctors confused to determine the steps. Confusion is
increasing because the man does not have a family. Initially, the medical team then
took steps to ignore tattoo writing and immediately do first aid. Patients were
given empirical antibiotics, received fluids, and treated with Bilevel Positive
Airway Pressure (BPAP) to help them breathe. Finally, after seeing the patient's
history, an ethics consultant suggested to respect the tattoo writing. The reason, the
tattoo is considered as the life choice of the patient.
BENEFICIENCE
CRITERIA YES NO
3. Looking at the patient / family and something not to the advantage of the doctor √
5. Responsible √
7. Limitatin Goal-Based √
Criteria Yes no
Criteria Yes No
Not insulting √
Treating disproportionately √
Criteria Yes No
Appreciate privacy. √
Don't lie to the patient even for the benefit of the patient. √
Do not abuse. √
Criteria Yes No
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.
4 BOX METHOD OF CLINICAL ETHICS
The patient has a history of chronic pulmonary patient comes in an unconscious state
disease, diabetes mellitus, and fibrillation. In addition,
the medical also found high blood alcohol levels.
The patient dies when the doctor stops resuscitation there is no relationship between the socioeconomic
conditions of patients in making treatment decisions
Dilema etik : Beneficence vs Autonomy
Prima facie :
Autonomy
PRINCIPLE
PROFESIONALISME
Criteria Yes No
5. Responsible √
7. Limitatin Goal-Based √
Criteria Yes No
Not insulting √
Treating disproportionately √
Criteria Yes No
Don't lie to the patient even for the benefit of the patient. √
Maintain relationship (contract) √
JUSTIC
E
Criteria Yes No
Do not abuse. √
Criteria Yes No
The obligation to distribute profits and losses (costs, expenses, sanctions) fairly √
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. √
4 BOX METHOD OF CLINICAL ETHICS
Patients present with cold acral, the decision is in both parents. The
decreased consciousness, and heavy doctor gives education
breathing (dypsneu).
Quality of Life Contextual Features
he patient cannot be saved Is there a relationship between the patient's socio-
doctor Can minimize complications during treatment economic conditions in making treatment decisions?
There are, economic conditions
Dilema Etik
• Beneficence
• Non Maleficence
• Altruism: yes
• Duty:There
• Respect for others: yes
• Accountable:Yes
• Humanity: yes