Closing Discussion
a. Recap important points:
b. Get feedback:
• Make sure the patient understands:
"Do you have any questions about this?"
c. If the directions are complicated or if you doubt that the patient has understood i them, ask him or her to repeat the directions:
"Just to make sure I've made myself clear, could you tell me now how you are going to take this cough medicine?"
d. Encourage the patient to call if any questions or problems arise:
"If you have any questions or problems, don't hesitate to call us."
e. Arrange follow-up: Same as for new prescription.

MEDICATION MANAGEMENT CONSULTATION
Opening Discussion
a. Personal introduction:
"Hello, Mrs. Jones. I'm the pharmacist, _________.”
b. Exchanging pleasantries where appropriate:
"Nice weather we're having today?"
c. Explain the purpose of the medication management consultation:
"In this pharmacy, we keep records about you and the medications you take to help ensure that you get the most benefit from them. I'd like to take a few minutes to ask you some qu stions."
d. Ensure confidentiality:
"Of course, any information you give me will be strictly confidential and will be kept in the computer in your personal patient record."
e. Get consent:
"Would it be all right for me to continue with this now?"
or
"I'd like to continue with this now."

Inquiry of Personal Information
a. Introduce the section:
"First I need some information for our records about yourself."
b. Ask personal questions:
"Sometimes your age or what you do for a living can affect your health and medication use so I need to ask you about these."
"What is your birth date?"
"Are you working at the moment?. . . Do you mind telling me what you do?"
Some comments following the patient's responses would help set conversational tone, e.g., "That’s the same month as my birthday ... That sounds like an interesting job."
c. Use of health care professionals.
"Who is your family doctor? ... How often do you see him or her?"
"Do you also see any specialists? ...What is your dermatalogis't name?...How often do you see him or her?"
d. Social support and cultural issues:
"Is there someone at home who help:; you when you are not well?"
"Who makes the decisions about your health in your family?"

Discussion of Medical Conditions and Medication Use
a. Introduce the section:
"Now I'd like to ask about your medical conditions at,d medication use."
b. Ask about the condition currently being treated:
"First, what brought you to the doctor?"
c. About existing conditions in general:
"Do you have any medical conditions at the moment, such as diabetes, high blood pressure, heart condition, ulcer, and so on?"




d. Gather information about each condition and the medications associated with it before proceeding to the next condition.
• Ask about the duration of the condition:
"Now I'd like to discuss each of your conditions. First, how long have you had diabetes?"
• Ask about medication used for the condition:
"Are you taking any medication at the moment for your diabetes?"
• Ask details about each medication sequential]) .
1. Prescriber: "Who prescribed this medication for you?"
2. Method of use: "How do you take this medication?"
• Probe for details, if necessary, to ascertain adherence:
"How much do you take each time?"
"When during the day du you take it?"
"When do you take it in relation to meal times?"
"How many days a week do you take it, on average?"
3. Effectiveness: "Do you find that these pills help you?"
4. Reasons for nonadherence (if nonadherence is detected):
"Is there any particular reason that you don't take this every day?" or
"I realize B difficult to remember to take medication on a regular basis, Is that a problem for you?"
5. Side effects and adverse effects:
"Have you noticed anything unusual or out of the ordinary while taking this?"
• Be more specific, if necessary, naming possible symptoms of adverse effects or side effects:
"Have you had an upset stomach at all while you've been taking this?"



e. Repeat (1-5) for each medication.
f. Past medications for the condition:
"Have you been on any other medications for this conditions in the post?" "Why were they discontinued?"
g. Repeat (c - e) for each condition.
h. Other prescribed medication use:
"Other than the medications we've discussed, are there any other medications that you take?"

Nonprescription Drug Use, Herbals, Alternative Remedies Used
a. Names of nonprescription drugs used:
"Are there any medications that you take that you buy yourself without a presci iption?"
"Do you take any herbal or home remedies?"
• Probe if necessary:
"Do you take anything for stomach upset?...What about for colds?... For headaches or pain?"
"Do you get acupuncture, or other alternative treatments?"
b. Method of use:
1. Dosage:
"How much do you take each time?"
2. Frequency:
"When do you take it during the day?"
3. Duration:
"Are you taking this at present?"
"How often do you take this ( most days?
"How often have you used this in the past few weeks?
4. Side effects or adverse effects:
• Find out if the patient is experiencing any untoward effects:
"Have you noticed anything unusual or out of the ordinary while taking this?"
• Be more specific, if necessary, namin ; only possible symptoms of adverse effect. or side effects:
"Have you had an upset stomach at all while you've been taking this?"




Translate
Diskusi penutup
a. Ikhtisar poin-poin penting.
b. Mendapatkan umpan balik:
• Pastikan bahwa pasien mengerti:
"Apakah Anda memiliki pertanyaan tentang hal ini?"
c. Jika petunjuk yang terlalu rumit atau jika anda ragu bahwa pasien telah memahami itu, minta dia untuk mengulang petunjuk tersebut:
"Hanya untuk memastikan diri saya kalau semuanya telah jelas, bisakah Anda ceritakan sekarang bagaimana Anda akan memakai obat batuk ini?"
d. Mendorong pasien untuk mengunjungi jika ada pertanyaan atau masalah muncul:
"Jika Anda memiliki pertanyaan atau masalah, jangan ragu untuk menghubungi kami."
e. Mengatur tindak lanjut: Sama dengan resep baru.

KONSULTASI MANAJEMEN MEDIKASI

Pembukaan Diskusi
a. Pengenalan personal:
b. "Halo, Mrs Jones. Saya seorang apoteker, _________."
b. Bertukar gurauan yang tepat:
“Hari ini terlihat cerah ya?"
c. Jelaskan tujuan pengelolaan obat konsultasi:
"Dalam farmasi, kita menyimpan catatan tentang anda dan obat-obatan yang anda gunakan untuk membantu memastikan bahwa anda mendapatkan banyak keuntungan dari itu. Saya meminta beberapa menit untuk menanyakan beberapa pertanyaan."
d. Pastikan kerahasiaan:
"Tentu saja, segala informasi yang anda berikan akan sangat rahasia dan akan disimpan di komputer dalam catatan pasien pribadi Anda."
e. Mendapatkan persetujuan:
"Dapatkah saya untuk melanjutkan semua ini sekarang?"
atau
"Saya akan sangat senang bila dapat melanjutkan ini sekarang."

Permintaan Informasi Pribadi
a. Memperkenalkan bagian:
"Pertama-tama saya membutuhkan beberapa informasi untuk catatan kami tentang diri anda sendiri."
b. Tanyakan pertanyaan pribadi:
"terkadang usia anda atau apa yang Anda lakukan untuk hidup yang dapat mempengaruhi kesehatan dan obat-obatan Anda gunakan sehingga saya harus bertanya tentang ini."
"Berapa tanggal lahir Anda?"
"Apakah Anda bekerja saat ini?... Apakah Anda tidak keberatan memberitahuku apa saja yang Anda lakukan?"
Beberapa komentar setelah respon pasien akan membantu menetapkan nada percakapan, misalnya, "Itulah bulan yang sama sebagai ulang tahun ... Kedengarannya seperti pekerjaan yang menarik."
c. Penggunaan perawatan kesehatan profesional.
"Siapa dokter keluarga Anda? ... Seberapa sering Anda bertemu dia?"
"Apakah Anda juga melihat spesialis? ... Apa nama dermatalogis't? ... Seberapa sering Anda melihat dia atau dia?"
d. Dukungan sosial dan masalah budaya:
"Apakah ada seseorang di rumah yang membantu:; Anda bila Anda tidak baik?"
"Siapa yang membuat keputusan tentang kesehatan Anda dalam keluarga Anda?"