Case Report
Case Report
Case Report
A man 30 year old was sent by police to the emergency room after a traffic
accident. When the patient arrives he is aware of an open fracture in the right leg.
The doctor who guarded immediately checked the condition of the patient and the
wound on his right leg. After that the doctor did first aid. The ER doctor explains
the situation and subsequent actions that must be taken. Previously the ED doctor
had consulted with an orthopedic specialist. From the results of the consensus, the
patient must be operated immediately. The ER doctor explained to the patient and
his family the result of a consul from an orthopedic specialist, then the family
asked for time to negotiate it. After that the patient and the patient's family agreed
to refuse surgery because they wanted to take the patient to Sanggal putung . The
ER doctor explained the risk that the patient would receive again if he did not
perform the surgery immediately but they still refused. And the patient signs a
letter of refusal for surgery.
Bio 1 (Beneficence)
Criteria YES NO
5. Responsible
5 Not insulting
7 Treating disproportionately
KDB 2 Non-Maleficence
NO Criteria Yes No
8 Do not prevent patients dangerously
4 Appreciate privacy.
• Beneficence :
Doctors education for patients about the conditions experienced
by the patient at this time and suggest the best course of action is
to do surgery.
Ethical Dilemma
• Dilema Etik : Autonomy, Beneficence
• Prima Facie : Autonomy
4 BOX METHODE
Medical Indications: Client Preferences:
A man 30 years old with an Medical action is carried out
open fracture in the right leg for with the patient's own consent
surgery immediately
5. Responsible
5 Not insulting
7 Treating disproportionately
KDB 2 Non-Maleficence
NO Criteria Yes No
4 Appreciate privacy.
• Autonomy :
Doctors explain The result is a positive patient suffering from pulmonary TB. And
agree with the treatment.
Ethical Dilemma
• Dilema Etik : Beneficence, Autonomy
• Prima Facie : Beneficence
4 BOX METHODE
Medical Indications: Client Preferences:
a man, 68 years old a positive patient Medical action is carried out with the
suffering from pulmonary TB. patient's own consent