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Laporan Kasus: Pendekatan Kedokteran Keluarga pada Pasien Perempuan Usia 48 Tahun dengan Hipertensi Grade II di Puskesmas Nisam Aceh Utara Nurul Razoki Yonianda Panjaitan; Noviana Zara
Vitamin : Jurnal ilmu Kesehatan Umum Vol. 4 No. 2 (2026): April : Jurnal ilmu Kesehatan Umum
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/vitamin.v4i2.2251

Abstract

Hypertension is one of the most common chronic diseases encountered in primary healthcare and may lead to serious complications if left uncontrolled. This case report aims to describe the management of a 48-year-old female patient with grade II hypertension through a family medicine approach at Nisam Primary Health Center, North Aceh Regency. The patient presented with intermittent headaches for one week, which worsened after physical activity and were accompanied by numbness in both legs. She had a five-year history of hypertension with poor adherence to antihypertensive medication. Physical examination revealed a blood pressure of 165/70 mmHg, leading to a diagnosis of grade II hypertension. Comprehensive management was conducted using patient-centered and family-centered approaches, including education regarding hypertension, lifestyle modification, DASH diet implementation, physical activity, medication adherence, and family support through home visits and family folders. The interventions were expected to improve blood pressure control, prevent complications, and enhance the patient’s quality of life. A family medicine approach plays an important role in comprehensive hypertension management at the primary healthcare level.
Upaya Penanganan Dermatitis Kontak Iritan pada Ibu Rumah Tangga Usia 48 Tahun melalui Pendekatan Kedokteran Keluarga di Puskesmas Lhoksukon Ilhami Zalianty; Noviana Zara
OBAT: Jurnal Riset Ilmu Farmasi dan Kesehatan Vol. 4 No. 3 (2026): Mei : OBAT: Jurnal Riset Ilmu Farmasi dan Kesehatan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/obat.v4i3.2281

Abstract

Patient Mrs. N, a 48 year old woman, presented to the Lhoksukon Community Health Center’s geriatric clinic with a complaint of itching that began approximately 5 months ago and has worsened over the past month. Lesions were found on her hands and feet. The initial symptoms appeared after the patient was exposed to floodwaters; subsequently, the symptoms worsened, particularly after washing or performing household chores. Primary data were obtained through self-reporting, physical examination, home visits, completion of the family folder, and completion of the patient’s medical record. Patient assessment was conducted based on a holistic diagnosis encompassing quantitative and qualitative evaluations of the initial, ongoing, and final stages of the visit. Interventions provided included pharmacological therapy and education regarding the causes of Irritant Contact Dermatitis, the importance of maintaining skin cleanliness and moisture, and efforts to avoid triggering factors such as exposure to detergents, irritants, and prolonged contact with water. Education was also provided to encourage the patient to adopt clean and healthy lifestyle behaviors to prevent recurrence and worsening of the patient’s skin condition.
Studi Kasus Tatalaksana Skabies Melalui Pendekatan Kedokteran Keluarga Pada Pasien Anak Laki-Laki Usia 10 Tahun Noviana Zara; Zilva Hayati
Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Vol. 3 No. 2 (2023): Juli : Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikki.v3i2.1836

Abstract

Scabies is a parasitic infectious disease (Sarcoptes scabiei var. hominis) which is still a public health problem in the world, including Indonesia. Scabies can be transmitted through direct and indirect contact with the greatest prevalence in children, densely populated populations, poor sanitation and hygiene. Symptoms and signs of scabies include papules, vesicles, pustules or nodules accompanied by itching at night with a predilection for a thin epidermal layer. This study is a case report that aims to examine the accuracy in diagnosing and providing pharmacological and non-pharmacological (communication, information and education) treatment of scabies patients. Primary data were obtained through anamnesis (by autoanamnesis and alloanamnesis with the patient's family members) and physical examination by conducting home visits, filling out the family folder, and filling out patient files. The assessment was carried out based on the initial holistic diagnosis, process and end of the visit both quantitatively and qualitatively. In the study, a 10-year-old boy patient was found at the Pediatric Polyclinic at the Dewantara Health Center with complaints of itching all over the body, especially between the fingers, since the last 8 months. Complaints of itching worsen at night so that it disturbs the patient's sleep. The patient has two siblings who live in Dayah with the same complaint and occasionally stay at home with the patient. The patient's mother also had the same complaint. On physical examination, HR: 88x/I, RR: 18x/I, temperature: 36.5°C and nodules were found in the left palmar region of the manus, and canaliculi in the form of white straight lines with papular tips. Management in the form of communication, information and education on environmental sanitation and hygiene as well as pharmacological treatment.
Co-Authors Aditya Fajar Perkasa Agiara, Lisna Ahmad Fauzan Aida Fitri Harahap Ajeng Dwi Syafira Akbar, Muhammad Khalilul Al Muqsith, Al Muqsith Albin, Iskandar Alya Fadila Husna Ami, Ghisca Chairiyah Andi Saputra Angie Delashynta Rianda Anita Aris Anna Millizia Anna Millizia Annisa Uljannah Apriani, Sri Reski Aqsha, Radhika Kharisma Dwi Aragibinafika, Aragibinafika Ardiansyah, Tgk. Fikri Arif, Muhammad Fathul Athaya, Alya Ayuna, Della Vega Nisha Azari, Ayu Pramita Azman Bripo Balqis, Aisyah Br Tarigan, Ayu Permata Sari Chairina, Nanda Cut Asmaul Husna, Cut Asmaul Cut Ita Zahara, Cut Ita Cut Khairunnisa Danisa Indira Fatma Debbyosha, Maulina Dira Putri Nabila Fauzan, Rivhan Fitriani, Julia Fona, Tischa Rahayu Gusfanny, Dio Haifa Ayu Dinarsono Putri Harahap, Dwi Agustian Harvina Sawitri Hasibuan, Aulia Arista Henny Putri Wahyuni humaira humaira Humairah, Helma Ikhsan, Maulana Ikhsan, Ridhalul Ilhami Surya Akbar , Teuku Ilhami Zalianty Imanda, Fetty Indira Fatma, Danisa Intan Zuryani Irbah, Hanadhia Ita Zahara, Cut Jannah, Jauza Raudhatul Jarita Jarita Julia Fitriany Julistia, Rini Juwita Sahputri Khaidir Khaidir, Khaidir Khairatunnisa Khairatunnisa Khairunnisa Khairunnisa Khairunnisa Khairunnisa Kharimah, Akhlakul Kholilullah, Vina Zaynah Lubis, Aisyah Nita Yasmin Lubis, Dzakwan Hakim M. Hafizd Fadhri Mailyn, Yaiza Aynaya Mardiati Mardiati Mardiati Mardiati Mardiati Mardiati Maulana Arya Jimbaran Maulana, Mohd Agus Maulida Sari Maulina Debbyousha Mauliza Mauliza Mauliza, Ade Mauliza, Mauliza Meutia Maulina, Meutia Meutia, Zahra Muhammad Alief Hawari Muhammad Arvin Harwansya Muhammad Bayu Rizaldy Muhammad Daniyal Muhammad Iqbal Muhammad Rizki Muhammad Rizky Simanjutak Muhammad Syifa Albi Nasution Muhammad Yasir Muhammad Yasir Mumtaz Alvira Muna, Zurratul Munthe , Kania Wiritanaya Mutia Maulina Mutia, Cut Mulya Muzainy, Nurhafizah Nabiilah, Anis En Nadia Alkhalifa Nadia Karimah Nadira , Cut Sidrah Nadira, Cut Sidrah Namira, Isra Narisha Amelia Putri Nashirah, Arini Nasution, Muhammad Husni Fansury Nina Herlina Nora Maulina Nora Maulina, Nora novalia, vera Nur Fardian Nur Fardian, Nur Nurul Afni Nurul Razoki Yonianda Panjaitan Pohan, Adli Kurniawan Puan Nassya Amalia Islamy Puan Nassya Amalia Islmay Putri, Baluqia Iskandar Putri, Narisha Amelia Rahayu, Sri Mulyati Rahmi Surayya Rahmia Dewi, Rahmia Raudah Novita Putri Ridhalul Ikhsan Rinawati Rinawati Rizaldi, Muhammad Bayu Rizka, Adi Rozi, Dwi Novlita Sahputri, Juwita Saiful Ramadhan Salsa Nabila Inong Ranadhana Sarah Rahmayani Siregar Sari, Bungsu Keumala Savitri, Dhannisa Ika Sayuti, Muhammad Septina, Viola Siratul Wahyuni Siregar, Anisah Nazrah Siregar, Dita Adhyaksa Siregar, Wina Yunida M Sri Yulianti Syafridah, Anita Teuku Ilhami Surya Akbar Teuku Yudhi Iqbal Tyahnandari, Febby Ulfa Zahara Utariningsih, Wheny Vera Novalia Wahyuni, Hendra Wahyuni, Siratul Wheny Utariningsih Wirdatul Ulfia Yolanda Agtari Yolanda Restiani Yuziani Yuziani Yuziani, Yuziani Zahrawanda Ashfarina Muslim Zakiyya, Sarah Zikra Ihtasya Annabila Zilva Hayati Zilva Hayati Zirva, Afdhilla Zuryani, Ulfa