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Journal : Majority

Penatalaksanaan Holistik Wanita Pralansia Dengan Diabetes Mellitus Tipe II Tidak Terkontrol Melalui Pendekatan Dokter Keluarga Shafa Inayatullah; Tutik Ernawati; Eko Budi Santoso
MAJORITY Vol 10 No 2 (2021): MAJORITY
Publisher : Majority

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Abstract

Diabetes mellitus needs to be managed comprehensively, including pharmacological and nonpharmacological treatment. The treatment goals, complication prevention, and increased quality of life can be achieved by understanding the disease to build self-awareness to modify lifestyles, both diet, as well physical activity. To identify risk factors, clinical problems, conduct patient management holistically by applying family doctors according to evidence based medicine through a patient centered and family approach. Design study is a case report. The primary data obtained through anamnesis (autoanamnesis), physical examination, and home visits. Secondary data were obtained from the patient's medical record. Mrs. S, 56 years old, with type two diabetes mellitus since 5 years ago, concerns about her worsening disease. Knowledge limitations of the patient's health condition, unhealthy diet, and physical inactivity are the factors causing problems in patient’s family. Holistic and comprehensive management of the problems of Mrs. S has been carried out by providing counseling using posters to increase the knowledge of the patient and the patient's family regarding the patient's diet and the importance of physical exercise, as well as routine control to the nearest health facility. After the evaluation, it was found that the patient’s blood sugar decreased while in patient.
Penatalaksanaan Skabies Melalui Pendekatan Kedokteran Keluarga di Wilayah Kerja Puskesmas Satelit Niken Rahmatia; Tutik Ernawati
MAJORITY Vol 9 No 1 (2020): MAJORITY
Publisher : Majority

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The high prevalence of scabies can be caused by poverty, low levels of education, poor hygiene, availability of clean water and density of residents. Diagnosis and treatment are carried out with a holistic and comprehensive family medicine approach. Primary data were obtained through history taking, physical examination and home visits, and secondary data from the patient's medical records. Patient's case a 51-year-old has suffered from scabies (ICD 10 - B86) that has recurred three months ago, but the patient still has a functional degree of 1 in carrying out daily activities. Internal factors in patients are poor personal hygiene, towels and bed linen do not wash regularly even though it has been used other than by family members, as well as curative treatment patterns. External factors in patients are low family income (ICD10-Z59.6), lack of home lighting and ventilation, densely populated home environments, lack of cleanliness in the home environment, and low patient and family knowledge about scabies. The holistic and comprehensive eradication approach uses a family medicine approach in the form of education about the causes, transmission, treatment and prevention of diseases. Scabies disease is difficult to eradicate if it is not accompanied by changes in clean and healthy lifestyle.
Penatalaksanaan Holistik Pada Pasien Tuberkulosis Melalui Pendekatan Kedokteran Keluarga Putri Octavia Sari; Tutik Ernawati
MAJORITY Vol 9 No 1 (2020): MAJORITY
Publisher : Majority

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Abstract

Indonesia ranks third in most cases of tuberculosis (TB) in the world. This is due to the low knowledge about TB and the low level of medication taking. Therefore, the role of family doctor is needed to manage patients holistically from various aspects. This study is a descriptive study of case reports. Primary data were obtained through alloanamnesis, physical examination and home visits. Secondary data were obtained from the patient's medical record. Patient Mr. A, 21 years old, came for routine TB treatment and has been diagnosed two months ago. The patient has poor nutritional status. Problems needed by patients are lack of physical activity, lack of patient knowledge of TB, lack of family support and smoking habits. Regarding pharmacological and non-pharmacological intervention in patients is education about the disease for patients and families. The evaluation results of the intervention are that patients who have begun physical and family activities have supported for routine treatment. But patient’s family still have the habit of smoking indoors. Holistic management of TB patients is needed. The patient's level of knowledge about the disease and the importance of the family knowing the schedule for treatment and a healthy lifestyle determine the success of TB treatment. Patient and Family took doctor’s advice well after intervention, but lifestyle changes such as smoking habit haven’t done optimally