Translated from Indonesian to English - www.onlinedoctranslator.

com

MY HEALTH IS HIDDEN BY COSTS

Nursing is a profession that is always in direct contact and interaction with clients, both clients as
individuals, families, groups and communities. Therefore, nurses in providing nursing care are
required to understand and behave in accordance with nursing ethics. In order for a nurse to be
responsible and accountable, he or she must uphold the values that underlie nursing practice
itself, namely the nurse helps the client to achieve an optimum level of health, the nurse helps
increase the client's autonomy in expressing their needs. Nurses support human dignity and act as
advocates for their clients, nurses maintain client confidentiality, are oriented towards nurse
accountability and nurses work in a competent, ethical and safe environment (dalami, et al,
2010).
Nurses always interact with patients, accompany and serve patients wholeheartedly so that
patients recover quickly. In serving patients, nurses must be patient and must be able to adapt a
good attitude towards our patients, because this plays a role in the patient's recovery. Motivating
patients to do what the doctor orders does not pressure patients because patients have the right to
make their own decisions. Sometimes we as nurses experience a dilemma in carrying out an
action. According to Thompson and Thompson (1985), an ethical dilemma is a difficult problem
where the alternatives are satisfactory or a situation where the satisfactory or unsatisfactory
alternatives are comparable. The diagnosis is taken and decided by a doctor and the nurse carries
out what the doctor orders. However, in making and following up on decisions, a doctor and
nurse must discuss everything with the patient's family, no matter what the circumstances.
A person must have a good code of ethics because it is an order that underlies the principles of a
profession which aims to regulate good relationships between nurses, patients, friends and
members of the community both in the nursing profession and with other professions.
The nursing code of ethics is a comprehensive statement from the profession that provides
guidance for its members in carrying out good nursing practices relating to patients, families,
communities, colleagues, themselves and the health team (Wulan, 2011).
For example, the case of Mrs. D is a housewife, 35 years old. Currently Mrs. D is being treated
in the obstetrics room at the hospital. since two days ago. According to the results of the
examination, Mrs. All examinations have been carried out in preparation for Mrs. D's operation.
The client appeared to be silent and seemed anxious and confused about the planned operation he
was going to undergo. When he wanted to leave the room, the doctor told the nurse that if Mrs. D
or her family asked, he said that surgery was the last resort. And don't explain anything, wait for
me to explain it.
Towards the day of the operation, the client tried to ask the room nurse who was caring for him,
namely: "Can I still have children after the operation?" because we still want to have children.
"Is there any other treatment besides surgery" and "can my operation be postponed first, nurse?"
From some of these questions, the room nurse only answered briefly, "You've been told by the
doctor that you have to have surgery," "You can only have surgery, there's no other way," "What's
clear is that you won't be able to have another child..." "If you Not satisfied with my answer,
mother asked the doctor directly...yes."
The day before the operation the client negotiated with her husband and decided to refuse the
operation for the reason, lack of cost.
The solution to the case above is that our job as nurses is only to carry out the tasks that have
been ordered by a doctor. Because we as nurses have a code of ethics in conveying it, but a
patient also has the right to refuse it. The doctor conveyed everything clearly and according to
existing procedures. The patient has the right to refuse because the decision is in the hands of the
patient, the doctor and nurse follow up on the agreement. but if something happens it is the will
of the Almighty Creator. Doctors and nurses are only intermediaries who can try according to
existing procedures.

Bibliography
Marzuki, Safruddin. 2014. ”Nursing” (online),
(http://safruddinners.blogspot.com/2014/01/exemplary-dilema-atik.html, accessed March 24,
2015)
Oh, Noviati. 2014. "Ethical Dilemmas in Emergency Care" (online),
(http://noviatiopee.blogspot.com/2014/02/dilema-atik-pada-besar-gawat-darurat.html, accessed
March 24, 2015)