ETHICS IN CLINICAL EXAMINATIONS

OF PATIENTS WITH STI

TONY S. DJAJAKUSUMAH
RACHMATDINATA

DEPARTMENT OF DERMATO-VENEREOLOGY
PADJADJARAN SCHOOL OF MEDICINE

He who knows when to stop,
does not find himself in trouble
He will stay forever safe.

Lao Tsu

Ethics is a branch of philosophy which seeks to
establish and rationally defend a
universally valid theory of what is
right and wrong, good and bad in
general, which can be used as a set
of moral principles guiding human
action
CLINICAL ETHICS
IN
VENEREOLOGY

THE MOTTO FOR HEALTH PROVIDERS
IN DR. HASAN SADIKIN HOSPITAL
WE SERVE YOU WITH 5 Ss
SENYUM
SAPA
SALAM
SOPAN
SANTUN
PHYSICAL EXAMINATION IN STI
PATIENTS WITH STI ARE USUALLY
YOUNG
IN GOOD HEALTH
FULL PHYSICAL EXAMINATION IS NOT NEEDED

FULL PHYSICAL EXAMINATION SHOULD BE
PERFORMED IN PATIENTS WITH
SUSPICIOUS OF NON GENITAL MANIFESTATION OF STI
PAST MIDDLE AGE PATIENTS
PERFORMED ONLY INDICATED
PRE-EXAMINATION PREPARATIONS
ALL PATIENTS SHOULD BE GIVEN ADEQUATE
EXPLANATION

WHAT THE EXAMINATION ENTAILS
WHICH TESTS WILL BE CARRIED OUT
THE PATIENTS SHOULD BE EXAMINED IN PRIVACY
INSPECTION PLACE HAVE TO GUARANTEE PATIENT
PRIVACY,
A GOOD SOURCE OF LIGHT

PREFERABLY THERE SHOULD BE A CHAPERONE
OF APPROPRIATE GENDER ESPECIALLY IF THE
PATIENT IS FEMALE
INFORMED CONSENT SHOULD BE MADE FOR
INVASIVE EXAMINATION




HISTORY TAKING
CONFIDENTALITY !!
YOU MUST BE SURE THAT THE PATIENTS TRUSTS
YOU
MORALISTIC ATTITUDE SHOULD NEVER BE
ADOPTED
AVOID STIGMATIZATION
TERMS ARE NON-TECHNICAL
CHOICE OF WORDS ARE EXTREMELY IMPORTANT

HAVE YOU EVER HAD INTERCOURSE WITH A FSW?
WHEN DID YOU LAST HAVE AN INTERCOURSE WITH FSW?

BE CAREFUL IN ESTABLISHING MALES SEXUAL
ORIETATION!

IF A PATIENTS SUSPECTED WITH AN
STI AND HE/SHE REFUSES
VENEREOLOGICAL EXAMINATIONS
THERE SHOULD BE A WRITTEN
STATEMENT
COUNSELING SHOULD BE DONE
VENEREOLOGICAL EXAMINATION
VENEREOLOGICAL EXAMINATION SHOULD BE
DONE WEARING GLOVES
IN SPECULO EXAMINATION SHOULD BE DONE BY
THE PHYSICIAN NOT BY THE YOUNG DOCTOR
VAGINAL EXAMINATION SHOULD NOT BE DONE IF
THE HYMEN IS INTACT
IF HYMEN IS NOT INTACT IN AN UNMARRIED
FEMALE IN SPECULO CAN BE DONE WITH
WRITTEN PERMISSION FROM THE PATIENT
SPECIMEN TAKING SHOULD BE DONE BY YOUNG
DOCTOR OR DOCTOR,

Thank you
For your attention