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Azelia Nusadewiarti
Bagian Ilmu Kedokteran Komunitas, Fakultas Kedokteran, Universitas Lampung

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Penatalaksanaan Holistik Pasien Wanita dengan Dermatitis Seboroik Melalui Pendekatan Dokter Keluarga Dinah Zhafira Qubro; Azelia Nusadewiarti
MAJORITY Vol 9 No 2 (2020): MAJORITY
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Chronic skin diseases significantly affect the patient's quality of life, one of those diseases is seborrheic dermatitis. Seborrheic dermatitis affects 2-5% of the population, can affect infants in the first three months of life and adults aged 20-50 years. Data from the Riset Kesehatan Dasar Indonesia (2008) shows a dermatitis prevalence of 6.8%. Lampung Province is included in the top 10 provinces with the most prevalence of dermatitis. It takes the role of a family doctor who can manage patients holistically from various aspects of life. This study is a descriptive study of case report. Primary data were obtained through alloanamnesis, physical examination, and home visits. Secondary data were obtained from patient’s medical record. Patient Mrs. N, 41 years old, looks scaly on her scalp, yellowish in color, and smells with intense itching since the last 1 month. Complaints of itching worsen if the patient sweats. The patient had experienced the same symptoms 1 year ago. Patients often wash her hair to reduce the itching feeling and immediately wear the hijab when the hair is not completely dry. The patient likes to eat coconut milk. Pharmacologic and non-pharmacological interventions were carried out in the form of education about seborrheic dermatitis in patients and her families. The result of the evaluation of the intervention is an increasing the disease knowledge in patient and there is family involvement in the patient's treatment process.
Penatalaksanaan Holistik Penyakit Congestive Heart Failure pada Wanita Lanjut Usia Melalui Pendekatan Kedokteran Keluarga Muhammad Dimas Pangestu; Azelia Nusadewiarti
MAJORITY Vol 9 No 1 (2020): MAJORITY
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From World Health Organization (WHO) in 2016 asserted that in 2015 around 23 million or about 54% people deaths caused of Congestive Heart Failure (CHF). Based on data from the Lampung Provincial Health Office in 2016 with inpatient data on heart failure clients increased with a percentage of 42.6%, mostly in old age occurred 50% (60-70years). Implementation of family doctor services to patients by identifying risk factors, clinical problems, and management with a patient centered approach and family approach. The study conducted was Case Report. Primary data were obtained through history taking and physical examination by making home visits, filling family folders, and filling patient files. The assessment is based on a quantitative and qualitative holistic initial diagnosis, process, and end of visit. Based on a holistic diagnosis, the patient suffers from heart failure with grade II hypertension. Complaints felt by the patient are heartburn, chest palpitations, weakness, dizziness, decreased appetite, and fatigue. Based on social functions, patients have limitations in heavy activities. The intervention was carried out non-medically through education and counseling with a family approach and medically by giving Digoxin, Furosemide, Bisoprolol dan Clopidogrel (CPG). During the visit during the control, the patient's concern about heart disease and hypertension they experienced was reduced and the patient understood the disease. Heart failure accompanied by hypertension occurs mostly in old age. The diagnosis of CHF accompanied by Grade II Hypertension in this case is consistent with the theory and critical review of recent research. There are internal and external risk factors triggering the emergence of CHF. This is stated by several theories which are a source of reference. The role of the family is important in the care and treatment of sick family members.