Miss Modis

7/28/2019 Miss Modis

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ETHICAL PROBLEM

CASE NO. ETHICAL PROBLEM

1 Tenars medical practice room has 2 patient beds which are divided by a curtain.2 Dr.Tenar examined 3 patients with common cold and gave them same medicine and advice.3 Dr.Tenar referred his patient to Titrasi Cepat Clinical Laboratory as much as possible because of the profit that will

be given by Titrasi Cepat Clinical Laboratory.4 The young man didn't follow the queuing number because he confessed that he was Tenar's junior high school's

friend, so that Tenar's assistant took him to special room.

5 The old woman didnt want to be injected by lying on the bed after she saw white-yellowish discharge in the previouspatient's underwear

6 Mrs.Menor got referral letter to the neurological department without Dr.Tenars explanation about the content of her head scanning result, receiving blood pressure measurement, even Dr.Tenar just copied prescription from her medical record that was given by his assistant.

7 Dr.tenar didnt give respect for one of his previous patient in emergency condition who call him when he wasexamining Mr.Garputala.

8 After examined Mr.Garputala (regional security),dr.Tenar gave Rp 25.000,- and ordered his assistant after havingconvincing Mr.Garputala for being hospitalized soonly

9 dr. Tenar came to his patient with full-sweating body

10Dr.Tenar offered himself as a mediator to tell Ranas father about Rana who have taken her father's money withoutany permission for the sake of helping her peer friend to get abortion.

ALTERNATIVE BASED ON VALUE SYSTEM

CASE NO. ALTERNATIVE BASED ON VALUE SYSTEMhe should assure the values and dignity of humanityhe should assure that the benefit is more than the risk

BLOCK 2 ASSIGNMENT


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he should maximize the preference of patient / happinesshe should- fully respect the right of the patient

he should maximize the fully satisfaction of patienthe should give the same contribution based on patient needshe should respect the population right toward the diseasehe should set altruism as priorityhe should respect the Patient not based on the benefit of the doctor , but for the sake of his / her he should maximize the preference of patient / happinesshe should give same opportunity toward everyone in same conditionhe must respect others righthe must not discriminate the patienthe must respect the privacy of patienthe should respect their confidentialityhe should not view the patient as an objecthe should treat the patient proportionally , based on needshe should not threat patient life because of negligencehe should tell the truth , even it's hard for the patienthe shoud informed to patient about the condition firsthe should not lying to the patient even for the sake of patienthe must set altruism as priorityhe should assure the values and dignity of humanityhe must respect the Patient not based on the benefit of the doctor he should fully respect the right of the patient

he should maximize the preference of patient / happiness

he should not view the patient as an objecthe should avoid misrepresentation from patient

he should respect patient/family/things not only to get profit from patienthe should maximize the high patients satisfactionhe should act based on Golden rule principle ( - )

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ALTERNATIVE DECISIONS

CASE NO. ALTERNATIVE DECISIONS1. dr.Tenar just places one bed in his pratice room2. His patient should wait for queuing out of examination room.

3. dr. Tenar must provide a condusive and comfortable room to examine the patient.1. dr.Tenar should give the medicines based on their real condition2. dr.Tenar should give the different advice for each of his 3 patients.3. dr.Tenar must applied High Standard of Service.1. dr.Tenar should put the patient's interest as priority.

2. dr.Tenar should has a good intention to the patient without thinking about the profit and reward for himself.3. dr.Tenar should applied the prima facie's principle as his stakeholder of patient treatment1. dr.Tenar should establish the queuing rule for the sake of patient2. dr.Tenar should not give the different service to the patient3. dr.Tenar should be objective to the patient1. The practice room should be kept from some attack when there is an examination2. dr.Tenar should keep his patient confidentiality.3. dr.Tenar should make sure that there is no misrepresentation by giving the right concept of disease.4. dr.Tenar should not allow the patient who forgot about something enter the practice room suddenly/or withoutthe permission.

1. dr.Tenar should give explanation clearly to the patient about the result of laboratory examination.2. dr.Tenar should examine the patient first before give a prescription because medical record isn't absolutely samein every condition3. dr.Tenar must not cover the information, although it will be hard for the patient to receive it.4. dr.Tenar must explain and tell to the patient about his/her true condition1. dr.Tenar should give respect first for the emergency case.2. dr.Tenar must not ignore

1. dr.Tenar must give some explanation to the patient,not be directly ask the nurse to find the bajaj.

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2. dr.Tenar should give a chance for Mr.Garputala to choose his treatment (being hospitalized or not)3. dr.Tenar should stay calm to assure their patient that they are safe and in the right hand

4. dr.Tenar should be responsible to the patient until he gets better treatment from the other doctor.1. dr.Tenar must not be a mediator for Miss Rana problem but just can be a consultant2. dr.Tenar should show that he didn't agree with the abortion by giving some explanation to Miss Rana3. dr.Tenar just give a support and some advice to Miss Rana because it's family problem.1. dr.Tenar should keep his performance good when he wants to meet the patient.2. dr.Tenar should keep his body clean in every condition.

SELF ASSESMENT

CASE NO. SELF ASSSESSMENTbeneficence

2 - assure the values and dignity of humanity ( - )4 - assure that the benefit is more than the risk ( - )8 - maximize the preference of patient / happiness ( - )11 - fully respect the right of the patient ( - )13 - maximize the fully satisfaction of patient ( - )

justice1 - to distinguish anything universally ( - )10 - give the same contribution based on patient needs ( - )15 - respect the population right toward the disease ( - )beneficence

1 - altruism as priority ( - )3 - respect the Patient not based on the benefit of the doctor ( - )8 - maximize the preference of patient / happiness ( - )

justice1 - to distinguish anything universally ( - )3 - give same opportunity toward everyone in same condition ( - )6 - respect others right ( - )16 - do not discriminate the patient ( - )autonomy

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5 - respect the privacy of patient ( - )6 - respect their confidentiality ( - )non - maleficence6 - not view the patient as an object ( - )7 - treat the patient not proportionally ( - )10 - not threat patient life because of negligence ( - )autonomy3 - tell the truth ( - )7 - give informed to patient ( - )12 - not lying to the patient even for the sake of patient ( - )beneficence1 - altruism as priority ( - )2 - assure the values and dignity of humanity ( - )3 - respect the Patient not based on the benefit of the doctor ( - )11 - fully respect the right of the patient ( - )8 - maximize the preference of patient / happiness ( - )non - maleficence5 - not to try using the patient ( - )6 - not view the patient as an object ( - )9 - avoid misrepresentation from patient ( - )Beneficence

3 - Respect patient/family/things not only to get profit from patient ( - )8 - Maximize the high patients satisfaction ( - )

16 - Based on Golden rule principle ( - )

CASE NO. VERIFICATIONutilitarian

he just think about the amount of benefit that he got, not consider about patient feeling, needs and privacyutilitarian

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he was stereotyping the patient to spend the time, not based on the result that needs him to responsible if there'sanything happenindividualismhe tried to use his full authority, in order to get the benefit from the patient conditionfeminismbecause they are close friends since junior high school, Tenar may prioritize his friend than other patientcommunitarianthe patient are afraid with contagious disease that will affect her, it related to the society opinion about venerealdiseaseutilitarianbecause he predict that the patient is still in same condition, if he give another prescription no guarantee that thepatient will recover utilitarianthe doctor may do not want to informed patient, because it will affect the psychologies and patient motivation torecover utilitarianhe know that the treatment that he gave will be useless, the patient need to be hospitalized, under supervision of competence doctor. However, his way are too rashutilitariandr. Tenar know that he will get the respect from the daughter and also her father, in order to protect the daughter from law liabilities & make her confess her mistake, however the intention of dr.Tenar are disgracefulcommunitariandr. Tenar apperance, full of sweat and odor not match to the appearance of the doctor that society described ,which is always tidy and clean in every situation

REASON

CASE NO. REASON

1 two bed in one room - bordered by curtain - are unsuitable place for practice, it because the patient will feel unsafeand can't fully open to the doctor , so there's left undiscovered information

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2 stereotyping the patient is allowed if the patient suffered same disease, however high-standard of examination mustbe established before conclude the patient disease and later to determine what the advice must be given

3intention to get 'something' as a compensation of his/her work, often lead the person to neglect the norm & morality

4the rules of queuing is reasonable, it reflect the order and discipine. Exception in emergency patient that needimmediate help, everyone must follow the queuing rules

5confidentiality, and current condition of patient must be kept by the doctor. If there's anyone know, beside thepatient, doctor and anyone that allowed by the patient to know their condition - that's mean the doctor was violatethe ethics code

6 the doctor should check the patient first in order to established the golden-rule principle, and to prevent the patientfrom harm

7autonomy of the patient should be respected by the doctor, to know their disease is also one of the rights that givenand the duties that doctor must have done

8 the doctor should not make patient become more threatened with his act, in this case the doctor not try to calm or be more sensitive but the doctor also a little bit panic. Thus he gave the responsibility to hospital

9abortion is prohibited - based on Hippocratic oath - evenmore, the doctor must not show his sympathy or interferetoo much in patient personal problem

10the appearance of the doctor usually as a stakeholder for the society whether he is good or bad doctor, physicalappearance ply a important factor in here.

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