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All Journal Medula Journal of Midwifery Science: Basic and Applied Research Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine
Sahab Sibuea
universitas lampung
Dentistry Education Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health Other

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Penatalaksanaan Holistik Pasien Wanita Usia 16 Tahun Dengan Diabetes Melitus Tipe I Larasati Anindiya Basica; Sahab Sibuea
Medula Vol 10 No 4 (2021): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i4.109

Abstract

Diabetes melitus type 1 (DM type 1) is a serious problem because it’s a chronic disease that last a lifetime. This type of diabetes can only be controlled but can’t be cured. Patients with diabetes melitus type 1 must continue to use insulin for life so it’s called as an insulin-dependent diabetes melitus. To Identify clinical problems owned by patient to improve patient’s quality of life as well as prevent complications and toatient holistically and comprehensively according to the problems were found in patient, and managing based on Evidence Based Medicine with a patient-centered approach and family approach. This study is a case report. Primary data werw obtained through history taking, physical examination and home visits. Secondary data were obtained from the patient's medical record. Assessment was based on a holistic diagnosis from the beginning, process, and the end of study qualitatively. Ms.K, 16 years old, has been diagnosed diabetes melitus type 1, with concerns that her complaints will increase and not improve. Limited knowledge of the patient's health condition in the form of life style, physical activities, dietary habit and lack of motivation and family encouragement to bring patients to control their health regularly are factors that cause problems that occur in patients and family. Education of Ms.K problems has been done by providing counseling to improve the patient's family knowledge.
Management of Diabetes Mellitus in Women 50 Years Old Through a Family Medicine Approach Selvi Herdiani; Sahab Sibuea
Journal of Midwifery Science: Basic and Applied Research Vol 4, No 1 (2022): Juli 2022
Publisher : Prodi DIII Kebidanan Blora Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (330.508 KB) | DOI: 10.31983/jomisbar.v4i1.8963

Abstract

Diabetes Melitus didefinisikan sebagai salah satu penyakit kronik yang terjadi ketika pankreas tidak mampu menghasilkan insulin yang cukup atau ketika tubuh tidak dapat secara efektif menggunakan insulin yang diproduksi. Kondisi hiperglikemia berkepanjangan, akibat gangguan produksi dan fungsi insulin ini dapat menyebabkan komplikasi seperti neuropati, nefropati, retinopati dan penyakit kardiovaskular. Oleh karena itu, diperlukan penanganan secara holistik untuk mengontrol gula darah sehingga mencegah terjadinya komplikasi. Penelitian ini bertujuan untuk menerapkan pelayanan berbasis Evidence Base Medicine pada pasien wanita dewasa dengan mengidentifikasi faktor resiko dan masalah klinis serta penatalaksanaan pasien berdasarkan kerangka penyelesaian masalah pasien serta pendekatan patient centred dan family approach. Ny. RD 50 tahun datang ke Puskesmas Hanura dengan keluhan penurunan berat badan meskipun banyak makan karena mudah lapar, sering haus dan sering buang air kecil. Pada pasien didapatkan GDS 280 mg/dL sehingga didiagnosis Diabetes Mellitus. Penegakan diagnosis dan penatalaksanaan pada pasien ini telah dilakukan secara holistik, pasien center, family approach dan berdasarkan beberapa teori dan penelitian terkini. Pada proses perubahan perilaku, Ny.RD sudah mencapai tahap trial. Proses perubahan perilaku pada Ny. RD untuk mengatur diet, aktivitas fisik terlihat setelah pasien diberikan intervensi.
PENATALAKSANAAN HOLISTIK PADA WANITA 47 TAHUN DENGAN DERMATITIS KONTAK IRITAN DAN PITYRIASIS VERSICOLOR MELALUI PENDEKATAN DOKTER KELUARGA DI WILAYAH PUSKESMAS RAWAT INAP GEDONG TATAAN Khairunnisa Salsabila; Sahab Sibuea; Imelda Carolia
Jurnal Agromedicine Unila: Jurnal Kesehatan dan Agromedicine Vol. 12 No. 1 (2025): Jurnal Kesehatan dan Agromedicine
Publisher : Fakultas Kedokteran Universitas Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jka.v12i1.pp52-62

Abstract

Irritant contact dermatitis (ICD) is an inflammation of the skin that occurs due to exposure to irritant substances or materials. This condition can be experienced by anyone, regardless of age, gender, or race. The main treatment for ICD is to identify and avoid exposure to the irritant that triggers it. Using a comprehensive and integrated family medicine approach to identify risk factors and clinical problems, and conducting patient management based on evidence-based medicine, with a patient-centered, family-involved, and community-oriented approach. This study uses a case report approach as a form of analysis. Primary data were collected through anamnesis and physical examination, while secondary data came from patient medical records at the Health Center. Evaluation was carried out quantitatively and qualitatively based on a holistic diagnosis that included the initial stage, process, and end of the study. Mrs. S, 47 years old, came to the Gedong Tataan Health Center with complaints of red and itchy spots on both palms accompanied by peeling skin since 2 weeks ago, accompanied by other complaints of white spots on both cheeks accompanied by itching. The patient was worried that the complaints would persist and could interfere with her daily activities. The patient is a dawet seller. The patient was diagnosed with irritant contact dermatitis and pityriasis versicolor based on anamnesis and physical examination. Non-drug and drug interventions were performed on the patient and her family with education related to the patient's disease in three home visits. Comprehensive management with a family medicine approach has been applied to Mrs. S, 47 years old, who experienced irritant contact dermatitis and pityriasis versicolor, according to the results of the initial holistic diagnosis. The interventions provided succeeded in increasing the patient's understanding and encouraging behavioral changes in the patient and her family members.  
Co-Authors Imelda Carolia Khairunnisa Salsabila Larasati Anindiya Basica Selvi Herdiani