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PRAKTIKUM FARKOM 2 KELOMPOK 1 .....................................................................................

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IDENTITAS .....................................................................................
Nama : .................................................................................. .....................................................................................
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Usia :...................................................................................... B. HAMBATAN YANG DIALAMI SELAMA PROSES MINUM
OBAT:
Obat yang digunakan :
- Dari aspek penulis resep
.................................................................................................. Biaya....................................................................................
.............................................................................................
Penyakit & Berapa lama : .............................................................................................
Menolak Dinyatakan Sakit
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1. Bagaimana profil pasien dalam menggunakan obatnya .............................................................................................
(medication taking behavior)? Komunikasi..........................................................................
A. PERILAKU PASIEN DALAM PROSES PENGGUNAAN ............................................................................................
OBAT: Dll.........................................................................................
- Pengetahuan mengenai obat (mampu mengingat .............................................................................................
dan menyebutkan) - Dari aspek farmasi
Nama Obat : Merasa Obatnya kurang efektif
................................................................................... .............................................................................................
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Indikasi obat : Polifarmasi
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Dosis dan Aturan Pakai serta Waktu : Komunikasi
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Tujuan Penggunaan Obat : - Dari aspek perilaku pasien di rumah
................................................................................... Kurang dukungan/ Motivasi
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Penyimpanan Obat & Waktu Membeli lagi kalau Sering lupa
habis : .............................................................................................
................................................................................... .............................................................................................
................................................................................... Biaya
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- Kepatuhan .............................................................................................
Minum Obat : Efek Samping Obat
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Mengunjungi Dokter : Polifarmasi
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Me-refill obat di apotek :
................................................................................... #Pernah mencari tau tentang proses penyakit,
.................................................................................. penanganan
- Pernah mengalami gejala yang tidak nyaman setelah
menggunakan obat (potensial efek samping
obat).............................................................................
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