Professional Documents
Culture Documents
Bio Ethic Case
Bio Ethic Case
Kurniadi
17710250
CASE 1
Ms. S in her early 20 came into the emergency room at RSUD Wahidin Sudiro
Husodo Mojokerto with a x-ray from another clinic and asking for a treatment after
she felt from her motorbike. The doctor checked the picture and asked the patient to
re-take the x-ray since the previous one didn’t show clearly both of her clavicula.
After re-taking the picture, the doctor diagnose the patient with close fracture
clavicula dextra and advice the patient to stay at the hospital and schedule for
surgery, yet the patient refuse the offer and said she doesn’t want to take any surgery
and choose to go to sangkal putung or get a massage. Then the doctor explain to her
and her family why surgery is the better option for her. After some discussion with
her family she still refuse the treatment that the doctor told her and decided to go
home.
KDB 1 (BENEFICENCE)
Criteria Yes No
1. Prioritizing altruism (helping selflessly, willing to sacrifice)
5. Responsible
7. Limitation Goal-Based
5 Not insulting
7 Treating disproportionately
KDB 2 NON-MALEFICENCE
NO Kriteria Yes No
8 Do not prevent patients dangerously
4 Appreciate privacy.
Beneficence Justice
PRIMARY FACE
Justice
4 BOX METHOD OF CLINICAL ETHICS
4 box methode
• Altruism : Nothing
• Accountability: the doctor explains about the condition of the
patient, the actions that must be done and made informed
consent.
• Excellence : the doctor diligently attend health seminars
• Duty: the doctor recommend hospitalization and surgery on
the other days
• Honour and integrity: the doctor do not deviate from patient
• Respect for others : yes
• Humanity : there is empathy
CASE 2
A male patient 60 years old was taken by her family to the emergency room of
Sidoarjo regional hospital came with a complaint that half of her body could not be moved.
According to the family information, the patient had fallen in the gardeb and half of his body
could not be moved. In addition the patient also complained that it was difficult to speak and
open his mouth. The physical examination was performed to find the right limb left behind.
Patients receive fluid and oxygen therapy. The doctor advises the patient to be
hospitalized and explain everything about the patient's disease to the family. The family
agreed to hospitalization but the patient think he already feel better and refuse for futher
treatment. The family tried to convince the patient to stay but the patient get angry to
everyone even trying to take off the oxygen mask. The doctor again explained the reason the
patient had to be hospitalized but the patient still insisted on going home and signing the “by
own request” letter
KDB 1 (BENEFICENCE)
Kriteria Yes No
1. Prioritizing altruism (helping selflessly, willing to
sacrifice)
2. Guaranteeing the basic values of human dignity
5. Responsible
7.Limitation Goal-Based
KDB 1 (BENEFICENCE)
Kriteria Yes No
5 Not insulting
7 Treating disproportionately
KDB 2 NON-MALEFICENCE
NO Kriteria Yes No
8 Do not prevent patients dangerously
4 Appreciate privacy.
Beneficence Autonomi
PRIMARY FACE
Autonomi
4 BOX METHODE
Medical Indications: Client Preferences:
Dx stroke Medical action is carried out with the
Liquid and oxygen therapy, the approval of the family because the
patient’s condition improve patient has difficulty speaking
4 box methode
Quality of life:
After therapy with fluid and oxygen, the patient’s Contextual features:
condition improved but the patient refused to be She is a government insurance(BPJS) patient, but
hospitalized and signed a “by own request” letter she ignores the medication
PRINSIP PROFESIONALISME
• Accountability :
the doctor explain about the condition of the patient
• Duty :
The doctor take medical measures to deal with the patient’s condition
• Altruism :
the doctor prioritize the interest of patient
• Respect for others:
The doctor appreciate the patient’s refusal to be hospitalized
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