ETHICAL

DILEMMAS
P R E S E N TAT I O N
Group 5
Naufal Ulil Albab
Puput Kusdiana  
S1 Keperawatan 6B
CASE 5

• A woman enters the emergency room with stomach pain. She undergoes a CT scan and
is diagnosed with an abdominal aortic aneurysm, a weakening in the wall of the aorta
which causes it to stretch and bulge.The physicians inform her that the only way to fix
the problem is surgically, and that the chances of survival are about 50/50. They also
inform her that time is of the essence, and that should the aneurysm burst, she would
be dead in a few short minutes. The woman is a professional model; she worries that
the surgery will leave a scar that will negatively affect her work; therefore, she refuses
any surgical treatment. Even after much pressuring from the physicians, she adamantly
refuses surgery.
 ETHICAL PROBLEM

Ethical Principles (What are Ethical Issues (What are the Problem Statements (What
the ethical principles types of the ethical issues are the problems?)
involved?) happened?)

• Autonomy vs Non • Freedom Vs Control •Should the physician

Maleficence follow the patient’s
statement to refuces the
surgery?

•Does the patient have the

right to make choices for
herself that may result in
harm?
 Relevant Facts (What are the facts gathered from the case?)

• The Patient refuces the surgery because she was worrys the surgery will
leave scar that will negativelly affect for her work
• The Physician suggest the patient for doing surgery to fix her problem.

D ATA G AT H E R I N G
Stakeholders and the Concerns (Who are involved? What do they concern?)
Stakeholders Concerns

• Patient and refuces surgery • A women with an abdominal aortic

• The Physician aneurysm.
• Inform the patient that the only way
to fix the problem is surgically,And
that the changes of survival are
about 50/50.
OPTIONS
What are the possible solutions? What are the advantages and disadvantages of each option?

Option 1:
The Physician will doing surgery to patient

Advantages Disadvantages

The patient will safe and that the If that time is of the essence,and
change of survival are about 50/50. that should the anourysm
burst,she would be dead in a few
short minute.
Option 2:
The Physician do not doing surgery

Advantages Disadvantages

It is will not leave a scar on the The patient's disease gets worse
patient’s body
 Decision (What is the recommended
decision?)

• The Physician should Choose option 2

DECISION AND JUSTIFICATION

Justification (What are the
considerations?)

• The physician agree with the patient

choice to refuces the surgery
TERIMAKASIH