Noor Wijayahadi

SP3T Jateng
FK UNDIP
 SAKIT ??

80%
 SEHAT I I I I I I I I I I I I I I SAKIT

Tujuan Terapi ??
1. Untuk mengobati, menekan atau
mencegah penyakit
2. Untuk meningkatkan kualitas hidup

Quality of Life
Guide to Good Prescribing (WHO)
 Farmakoterapi atau
Non Farmakoterapi ??

Tentukan apakah perlu menggunakan obat:

1. Tujuan pengobatan apa yang ingin dicapai?
2. Apakah obat yang dipilih sesuai tujuan tsb?
3. Apakah ada efek lain yang merugikan?
4. Apakah manfaat lebih besar dari mudharatnya?
Risk vs Benefit

Guide to Good Prescribing (WHO)

Prosedur Medis
Anamnesis
Pemeriksaan Fisik
Pemeriksaan Penunjang

IK
Diagnosis

ST
LI
Terapi

O
H
Evaluasi & Re-assessment
The Diagnostic
Problem
DILEMA SUPERSPESIALIS
TER-FRAGMENTASI
 MD Problem
LEBIH FOKUS PADA PENYAKIT
daripada HOLISTIK PASIEN
CENDERUNG MEMBERI RESEP
OBAT daripada NON-
FARMAKOLOGIS

Dokter SJ ??
 UUPK
Hegemoni

Industri Farmasi
Dr.Cucu
Hipocrates Dr.Homo
Economos
Perdagangan
Etika profesi
obat

Banjir Obat
Bingung

Diagnosis & Terapi

Dokter Pasien(awam)
KKN
Terjepit
 GUIDE TO GOOD PRESCRIBING (WHO)

STEP 1: Define the patient's problem

STEP 2: Specify the therapeutic objective
.
.
STEP 5: Give information, instructions and
warnings
STEP 6: Monitor (and stop?) the treatment
 D/ Klinis
Wellness Fisik D/ Etio
Wellness Mental
Wellness Sosial
Wellness Spiritu
Wellness Emosi Score
Gamb klinis
Wellness Lingk QoL
Diagnosis Pem fisik

Holistik Gradasi
Illness Sehat SJ

Pegal linu
Capek bekerja
masuk angin Sangat Sehat
nafsu makan Sehat
panas dalam Cukup Sehat
kembung Tidak Sehat
gatal gatal
penyakit gula
 Quality of Life
(WHO)
DOMAIN I - PHYSICAL DOMAIN
DOMAIN II - PSYCHOLOGICAL
DOMAIN III - LEVEL OF
INDEPENDENCE
DOMAIN IV - SOCIAL RELATIONSHIPS
DOMAIN V - ENVIRONMENT
DOMAIN VI -
SPIRITUALITY/RELIGION/PERSONAL
BELIEFS
 DOMAIN I - PHYSICAL
Drug JAMU Ketrampilan Supra Agama
DOMAIN Herba natural

1. Pain and X X X X X
discomfort

2. Energy and X X X X X
fatigue

3. Sleep and rest X X X X X

 DOMAIN II -
PSYCHOLOGICAL
Drug JAMU Ketrampilan
Herba
Supra Agama
natural
4. Positive feelings X X X X X
5. Thinking, X X X X X
learning, memory
and concentration

6. Self-esteem X X X X X
7. Body image and X X X X X
appearance

8. Negative feelings X X X X X
 DOMAIN III
Drug JAMU Ketrampilan Supra Agama
LEVEL HerbaOF natural

INDEPENDENCE
9. Mobility X X X X X

10. Activities of X X X X X
daily living
11. Dependence X X X X
on medication or
treatments

12. Working X X X X X
capacity
 DOMAIN IV
-Drug
SOCIAL
JAMU Ketrampilan Supra Agama

RELATIONSHIPS
Herba natural

13. Personal X X
relationships

14. Social
support

15. Sexual X X X X X
activity
DOMAIN V -
ENVIRONMENT
16. Physical safety and security
17. Home environment
18. Financial resources
19. Health and social care: availability and
quality
20. Opportunities for acquiring new
information and skills
21. Participation in and opportunities for
recreation and leisure
22. Physical environment
(pollution/noise/traffic/climate)
23. Transport
DOMAIN VI
- Drug JAMU Ketrampilan Supra Agama
SPIRITUALITY/RELIGION
Herba natural
24. X
Spirituality/reli
gion/personal
beliefs