Group 2 Presents for Plenary Disccussion

7/27/2019 Group 2 Presents for Plenary Disccussion

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Group 2 presents for plenary disccussion:

Pak Budi yang awam

Guruh Aryo Seno (H2A010023)

Astrid Avidita (H2A010007)Cut Putri Shara (H2A010010)Fiska Rahmawati (H2A010017)Indah Nurul M. (H2A010025)Iqbal Donarika W. (H2A010026)Maria Ulfah (H2A010032)

Nuzulia NiMatina (H2A010036)R. Prindjati P. (H2A010042)Sandhy Hapsari A. (H2A010046)

Faculty of MedicineMuhammadiyah Semarang University

2013


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Anton is a religious doctor, he became Mr Budis family doctor sincethey were married. Mr Budi and his wife have been married for 12 yearsand they have been blessed with 2 children, the first child aged 10

years and the second one 5 years old. Mrs Budi was pregnant her third

child and she regularly went to the dr Anton. When her pregnancyreach 15 weeks, both of her children infected by rubella virus. Considerthat rubella may cause fetal disorder, dr. Anton suggested that two ofher children were treated in hospital or at grandma's or relativesshouse and not living with his mother.

When Mr Budi ask was its related with his wife's pregnancy, dr Anton

just explain that it just an advise so Mr Budi not exhausted because ofbusy taking care of her sick children. But dr. Anton didnt aware mrbudi about the risk of rubella transmission being suffered by hischildren to his wife who is pregnant and it can make defects in hisunborn fetus. Dr anton did not want to add burden on mr and mrsbudi.

For several days mrs budi have fever and symptoms that similar likeher children disease, so Mr. Budi bring his wife to see dr Anton. Afterexamination, dr Anton conclude that it is rubella disease. Then dranton gives proper care mrs budi, but he did not tell any possibledefects in the fetus because he feared mr and mrs budi would have anabortion.


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Define Objective Learning

Rubella

Medical law

Ethics


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Rubella


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Rubella transmission in pregnantwomen:

first trimester, fetal infection rates are near80%

late second trimester its dropping to 25%

and increasing again in the third trimesterfrom 35% at 2730 weeks gestation

nearly 100% beyond 36 weeks gestation.


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PATIENT RIGHTSChapter 521. Obtain a full description of the medical treatment

referred in paragraph (3) of chapter 45, that is: Diagnosis and medical treatment procedures; The purpose of medical action is taken; Other alternatives action and risks; Risks and complications that may occur, and Prognosis if the action taken.

2. Ask the opinion of another doctor or dentist;

3. Getting medical care as needed4. Refuse medical treatment, and5. Gets the contents of the medical record.


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Patient obligations

Chapter 531. Provide complete and honest information

about health issues;

2. Comply with the advice and guidancephysician or dentist;

3. Comply with applicable provisions in

health care facilities;4. Provide benefits for services received.


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Right of doctor

Right doctor based Medical practice legislationNumber 29 of 2004.

Chapter 50

1. obtain legal protection2. carry out duties in accordance with professionalstandards and standard operating procedures

3. provide medical care according to professionalstandards and standard operating procedures

4. obtain a complete and honest information fromthe patient or his family

5. and receive payment for services


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Duty doctor

duty doctor based Medical practice legislation Number 29 of 2004Chapter 51

1. provide medical services in accordance with professionalstandards and standard operating procedures as well as themedical needs of patients

2. referring patients to other doctors or dentists who have expertiseor skills better, if not able to perform an examination ortreatment

3. keep secret everything he knows about the patient, even after thepatient has died

4. perform first aid on the basis of humanity, except when he was

sure no one else is in charge and able to do so, and5. increase knowledge and keep abreast of medicine or dentistry.


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Duty Doctor

Health legislation Number 36 of 2004:

Chapter 7. Every person has the right to obtainhealth information and education about a

balanced and responsible Chapter 8. Everyone has the right to obtain

information about her health data, including

measures and treatments that have been or willbe received from a health


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Basic principles of ethics

Beneficence

Non maleficence

Justice Autonomy


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Beneficience

Principles that a doctor do good, respect for humandignity, the physician must also see to it that patientstreated in a health state. Beneficience provides a senseof ease and bring pleasure to the patients take positivesteps to maximize the result better than a bad thing characteristic features :

prioritize altruism Looking at the patient or family is not an act not only benefits a

doctor Ensuring that good or better benefits than the ugliness

Guarantee either a minimum of human life Maximization of overall patient rights Applying the Golden Rule Principle, which is doing a good thing

as the other person wants provide prescription letter


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Non maleficence

Is a principle that a doctor does not do anything that aggravatesthe patient and choose the best treatment with little risk forpatient. Ancient expression first, do no harm still apply andmust be followed.

Characteristic features : Helping emergency patients Treating patients whose wounds Do not kill the patient not regard patient as an object Protect patients from attack Patient has many more benefit than doctors losses No harm to patients due to negligence Not doing White Colar Crime


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Justice

justice is a principle of doctor treats equally andfairly to the happiness and comfort for the patient.Differences in the level of economic, political, socialposition, nationality and religion can not change

the attitude of doctors towards patients.

Characteristic features :

Treat everything universally Respect the health rights of patients

Appreciate the legal rights of patients


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Autonomy

This principle explains a physician to respect humandignity. Every individual must be treated as humanbeings have the right to self-determination. In thiscase the patient was given the right to think logically

and make his own decisions.

Terms somebody can make his own decisions inIndonesia:

Adult (over 21 years of age or married) Not unconscious Have a good mental state and not lose competent


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Abortion, according to Health legislationnumber 36 of 2009

Chapter 75

1. Any person prohibited from having an abortion2. Prohibition as referred to paragraph (1) may be waived by:

Emergency medical indications detected early age pregnancy, which

threaten both of life of the mother and/or fetus, which suffered severegenetic diseases and / or birth defects, or can not be repaired making itdifficult for the baby to live outside the womb, or

Pregnancy caused by rape which can cause psychological trauma for rapevictims

3. Action referred to in paragraph (2) may only be made after goingthrough counseling and / or pre-action and post-action counseling

that conducted by competent and authorized counselor.4. Further provisions about emergency medical indications and rape, as

referred to in paragraph (2) and (3) is regulated by the Government.


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Abortion, according to Health legislationnumber 36 of 2009

Chapter 76

1. Abortion as referred to in chapter 75 can only be done:2. Before pregnancy approaches 6 (six) weeks counted from the

first day of last period, except in case of medical emergencies;3. By health workers who have the skills and have the certificate

authority specified by the minister;4. With the approval of the concerned pregnant women;5. With the husband's permission, except for rape victims, and6. Health care providers are eligible which has been appointed by

the Minister.


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THANK YOU..

Group 2 Presents for Plenary Disccussion

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