Responding to Symptoms-22!06!2012

8/13/2019 Responding to Symptoms-22!06!2012

1/18

RESPONDING TO

SYMPTOMS

EKARINA RATNA HIMAWATI

FAKULTAS FARMASI

UNIVERSITAS AIRLANGGA

2012


2/18

TUJUAN PEMBELAJARAN

UMUM

Setelah mengikuti mata ajaran ini, di-

harapkan mahasiswa mampu berpikir

komprehensif untuk membuatkeputusan profesi (Professional

Judgement) dalam penerapan

Pharmaceutical Carekepada pasien

atau klien atas dasar Responding to

Symptoms.


3/18

TUJUAN PEMBELAJARAN KHUSUS

1. Mahasiswa mampu menerapkan unsurunsur

dan tahapantahapan dalam melakukan

Responding to symptoms.

2. Mahasiswa mampu menerapkan keterampilanberkomunikasi dalam rangka responding to

symptoms.

3. Mahasiswa mampu menyelesaikan masalah

kesehatan masyarakat dan prinsipprinsipnutrisi terkait dengan penyakit dan

pengobatannya.


4/18


5/18

METODE PEMBELAJARAN

Mata Ajaran ini disajikan dengan metode

Problem-Based Learningdalam kelas-kelas

kecil (10-12 mahasiswa tiap kelas), masing-

masing didampingi 2 tutor.

Beban SKS: 1 SKS dengan alokasi waktu 6 x

tatap muka a 100 menit (sistem blok).


6/18

MATERI PEMBELAJARAN

Problema yang akan disajikan dan

diselesaikan adalah 4 problema yang sedang

aktual di masyarakat Indonesia, meliputi:

1. gejala konstipasi2. gejala diare spesifik

3. gejala diare non spesifik

4. gejala diare kronis yang mengarah keinfeksi HIV


7/18

Paradigma Praktek

Kefarmasian

PARADIGMA ASUHAN

KEFARMASIAN

(PHARMACEUTICAL

CARE)

PRODUCT

ORIENTED

PATIENT

ORIENTED


8/18

Metode:WWHAM,ASMETHOD, ENCORE,

SIT DOWN SIR

Dirujuk ke

Dokter

Rekomendasi

Patient Assessment

Gejala Berat

Terapi ObatTerapi Non

Obat

Gejala Ringan

Dengan permintaanobat spesifik

Dengan keluhan ataugejala sakit

Non resep (Swamedikasi)

Pelayanan Kefarmasian di Apotek

Resep


9/18

METODE PATIENT ASSESSMENT

W Who is the patient?

W What are the symptoms?

H How long have the symptoms been present?A Action already taken; what medicines have been tried?

M Medication being taken for other problems?

S Site or location?I Intensity or severity?

T Type or nature?

D Duration?

O Onset?

W With (other symptoms)?

N aNnoyed or aggravated by?

S Spread or radiation?

I Incidence or frequency pattern?

R Relieved by?


10/18

A Age and appearance of the patient?

S Self or someone else?

M Medication the patient is taking?

E Exactly what does the patient mean by the symptoms?T Time/duration of symptomps?

T Taken anything for it or seen the doctor?

H History of any disease or condition?

O Other symptoms being experienced?D Doing anything to aggravate or alleviate the condition?

E Explore

N No medication

C Care

OObserve

R Refer

E Explain


11/18

Ketrampilan yg dibutuhkan farmasis

dalam responding to symptoms:

1. Knowledge of disease and their treatment2. Astute observation

3. Excellent communication and questioning skills

to obtain all the information required to make adecision about whether to treat or refer.

4. Selection of the most suitable treatment

5. Explaining how to use the treatment

6. Provision of advice on related health care and

7. Informing the patient of the action to take if

symptoms do not improve within appropriate

time scales.


12/18

A suggested sequence for

responding to symptoms is:

1. Listening and questioning: to obtain

information about symptoms.

2. Decision-making: is referral for a

medical opinion required?3. Treatment: the selection of an

appropriate and effective preparation

(where needed) and advising on its use.

4. Outcome: telling the patient what action

to take if the symptoms do not improve.


13/18


14/18

Danger symptoms which should be referred

for medical investigation

Ankle swelling

Blood in stools or vomitmay be associated with

internal bleeding

Unexplained weight (loss anorexia)

may beassociated with a malignancy

Difficulty in swallowing (obstructions)

History of severe and paricularly penetrating injury

Increasing breathlessness Menstrual abnormality

Pain in the chest, abdomen, head or ears

Persistent or recurrent pyrexia


15/18

Spontaneous bruising

Swelling or lumps of any size (malignancies)

Tenderness over the blood vesselsUrinary symptoms (possible infection)

Yellow or green discharge from the penis or

vagina (underlying infection)Yellow or green sputum (infected discharge)

Yellow skin colour (jaundice)

Danger symptoms which should be

referred for medical investigation


16/18

RANGKUMAN

Peran Farmasis dalam Pelayananswamedikasi menuntut pemahaman yang

komprehensif tentang penyakit dan gejala

yang menyertainya, terapi obat dan non

obat yang dibutuhkan, serta ketrampilanberkomunikasi dan mengambil keputusan

dalam responding to symptoms.

Farmasis harus mampu membuat

keputusan yang tepat untuk membuat

rekomendasi terapi obat, terapi non obat

atau merujuk ke dokter saat melayani

pelaku swamedikasi.


17/18

DAFTAR PUSTAKA Blenkinsopp, A., Paxton, P., dan Blenkinsopp, J., 2009.

Symp toms in the Pharmacy, Edisi ke-6, Massachusetts:

Blackwell Publishing.

Departemen Kesehatan Republik Indonesia, 2004. Keputusan

Menteri Kesehatan Republik Indonesia Nomor

1027/MENKES/SK/IX/2004 tentang Standar Pelayanan

Kefarmasian di Apotek.Jakarta: Direktorat JendralPelayanan Kefarmasian dan Alat Kesehatan Departemen

Kesehatan RI

Rovers, J. P., Currie, J.D., Hagel, H. P., McDonough, R.P.,

and Sobotka, J. L., 1998. A Pract ical Guide to

Pharmaceutical Care. Washington, D. C.: AmericanPharmaceutical Association


18/18

THANK YOU

Responding to Symptoms-22!06!2012

Documents

Transcript of Responding to Symptoms-22!06!2012