Review of Legal Ethics in Applying Palliative Care to Improving the Quality of Life of Patients
Abstract
Palliative care is a treatment for patients who have incurable diseases by optimizing the patient’s quality of life and reducing pain and other symptoms by paying attention to psychological and spiritual aspects. Previous studies have assessed the importance of implementing palliative care in Indonesia because of the high prevalence of incurable diseases such as cancer, heart failure, and other diseases such as HIV/AIDS. Palliative care is a form of medical care and patient comfort that controls the intensity of a disease or slows its progress, whether or not there is hope of recovery. Palliative care does not aim to provide a cure or reverse disease progression. It is an important part of caring for terminal patients, which can be done simply, although their main priority is quality of life and not recovery of the patient from the illness. Most patients come for treatment with a diagnosis of disease in an advanced stage. In such conditions, the patient tends to choose a short but happy life rather than a long life with many limitations. For patients, the only realistic treatment options are pain barriers and palliative care. So palliative care is an effective way to improve the quality of life of patients.
Keywords: legal ethics, palliative care, patient
References
[1] Fitria CN. “Palliative Care pada Penderita Penyakit Terminal,” Gaster, vol. Vol. 7 No, p. 528, 2010.
[2] Anggraeny I, Ayu IK. The implementation of honesty principles in therapeutic agreements based on the health law perspective in Indonesia. Indian J Forensic Med Toxicol. 2020 Oct;14(4):4249–53.
[3] Woodruff R. Palliative Medicine. Victoria: Aperula Pty Ltd.; 1993.
[4] Angga Y. Peran Pekerja Sosial Medis Dalam Pencapaian Kualitas Hidup Terbaik Bagi Pasien Dan Anggota Keluarga Pasien Kanker Stadium Lanjut Yang Menjalani Perawatan Paliatif Di Unit Layanan Paliatif Dan Kedokteran Komplementer Rumah Sakit Kanker ‘Dharmais. University of Indonesia; 2009.
[5] Achadiat CM. Dinamika Etika & Hukum Kedokteran dalam Tantangan Zaman, Biothics &. Jakarta: Jakarta Guwadi, 2007.
[6] Gunawandi, Hukum Medik (Medical Law). Jakarta: Penerbit Buku Kesehatan Fakultas Ilmu Kedokteran Universitas Indonesia; 2007.
[7] A. Sediatmojo, “Kajian Hukum Penghentian Terapi Bantuan Hidup (Withdrawing Of Life Support) Dalam Perawatan Paliatif.” Yustitia Merdeka J Ilm Huk. 2021;7. https://doi.org/10.33319/yume.v7i1.76.
[8] M. Kesehatan and R. Indonesia, “Tentang Kebijakan Perawatan Paliative,” 2007.
[9] Syafrudin AR. “Model Perlindungan dan Pemenuhan Hak Pasien terhadap pelaksanaan Informed Consent di Indonesia,” Mimb. Huk., vol. Vo. 31 Nom, 2019.
[10] Komalawati DV. Hukum dan Etika dalam Praktek Dokter. Jakarta: Pustaka Harapan; 1989.
[11] R. P. Hamzah Satri, Edward Faizal, “Advanced Directives Pada Pasien Perawatan Paliatif, Jurnal Penyakit Dalam Indonesia, Volume 7, Nomor 2, Juni 2020,” J. Penyakit Dalam Indones., vol. Volume 7 N, 2020.
[12] M. S. A. Pairan, “PERAN PEKERJA SOSIAL DALAM PELAYANAN PALIATIF (STUDI KASUS DI INSTALASI PALIATIF DAN BEBAS NYERI RSUD DR. SOETOMO SURABAYA),” PAEKSOS J. Ilm. Pekerj. Sos., vol. Vol. 20 No, p. 99, 2021. https://doi.org/10.31595/peksos.v20i1.338.
[13] Prio Agus Santoso A, Indah Lestari T, Dwi Rahmawati N. Pembekalan Hukum Bagi Perawat DPK PPNI RSUD Sidoarjo Terkait Perawat Yang Melakukan Khitan Secara Home-Visit. J. Dedik. Huk. 2022 Nov;2(2):140–9.