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ETHICAL DILEMMA,
CONFLICT OF
INTEREST AND
SOLUTION
LEARNING OBJECTIVES
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REVIEW
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Etika:
ilmu pengetahuan mengenai tingkah laku manusiawi
yang ingin menjawab pertanyaan dasar: bagaimana
saya harus hidup dan bertindak dengan benar?
Memberikan orientasi dan kritisi mengapa kita harus
bertindak ini dan atau itu, sehingga etika tidak
berpretensi langsung membuat manusia menjadi baik
namun memberikan pertanggungjawaban nalar
mengapa saya berbuat ini atau itu
Sehingga etika merupakan dasar berpikir tindakan
kritis dan diharapkan manusia bertindak
berdasarkan dasar itu
REVIEW
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Definition of law:
System of rule which a particular country or
community recognizes as regulating the action of
its members and which it may enforce by the
imposition of penalties (oxford dictionary online)
Rule of conduct or procedure established by
custom, agreement or authority (free dictionary
online)
REVIEW
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INTRODUCTION
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CONTINOUS
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2.
3.
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Learning Objectives
Differentiate personal moral code from clinical
ethics
Convey the important of conflicting principles in
bioethical decision making
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Immediate
- patients or families complaint >> ethical and legal
problem
- under pressure situation >> unproffesional conduct
- poor tem work >> institution performance
Long term
- moral burden
- no reference for future case
- legal consequences
- decrease community trust
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1.
2.
3.
Traditional approach
Triage
Exception to general rules
Bypass the ethical dilemmas of emergency care
altogether
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Lexical
- solve the ethical problems by making priority
- make several list which have contributor to the
problem ( by different method)
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Prima facie
- solve the most critical point in ethical problem
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PROBLEM PERCEPTION
Should you give critically ill patient the
potentially upsetting information she has
requested?
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LIST ALTERNATIVES
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Beneficence
Non-maleficence
Patient self determination
Patient well being
Self-improvement
Fidelity
fairness
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CHOSE1 ALTERNATIVES
Alternatives:
1. telling her that the husband is ok
2. deny knoledge of her husband condition
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LIST CONSEQUENCES 1
1.
2.
3.
4.
Immediate consequences
Patient will not receive information she does not
really want
The patient will not be depressed ad so her
recovery will be speeded
The physician will not encounter hostility as the
bearer of bad news and so will continue to enjoy
the patients trust
The patient will not begin to adjust to the present
reality
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LIST CONSEQUENCES 2
1.
2.
3.
4.
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judgement
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CASE 1
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2.
3.
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CASE 2
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FORENSI
C