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All Journal Caring : Jurnal Pengabdian Masyarakat Jurnal Ilmu Kedokteran Keluarga
Rusnianah, Farida
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Computer Science & IT Health Professions Nursing Physics Public Health Social Sciences

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CREATING HEALTH MEDIA BASED ON SOCIAL MEDIA IN COLLABORATION WITH PUBLIC CENTRE IN MALANG Rakhmani, Alidha Nur; Rahayu, Indriati Dwi; Setijowati, Nanik; Rusnianah, Farida
Caring: Jurnal Pengabdian Masyarakat Vol 4, No 2 (2024): CARING Jurnal Pengabdian Masyarakat (Agustus 2024)
Publisher : Caring: Jurnal Pengabdian Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.caringjpm.2024.004.02.3

Abstract

Ease of access to health information services that are in accordance with community needs can increase awareness of the importance of health so that healthy habits and lifestyles are formed. However, obstacles can arise in obtaining the right information due to ignorance or lack of understanding of health information. One effort to minimize this is to provide health information to the public through social media, especially podcasts. Primary health care (Puskesmas) as health service providers have work areas and programs in the community, one of which is health promotion efforts. This program can be used to support health programs. The use of social media is considered important, because health topics are quite popular among netizens who use social media. This community service is in collaboration with 6 Puskesmas in Malang City. This activity has succeeded in creating three health podcast video contents together with Puskesmas.
Stages of a Comprehensive Approach to Case Management for Patients with Hypertension and Cervical Root Syndrome with Risk Factors of Sedentary Lifestyle and Ergonomically Unfavorable Work Patterns Rusnianah, Farida; RM, Fauziyyah
Jurnal Ilmu Kedokteran Keluarga Vol. 3 No. 1: July 2024
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/altera.v3i1.26

Abstract

Family physicians as gatekeepers in primary healthcare facilities must manage patients in a holistic and comprehensive manner, with a patient-centered approach. This case study focuses on a 61-year-old male patient with hypertension and cervical root syndrome, with risk factors including a sedentary lifestyle and ergonomically unfavorable work patterns. This report aims to provide an overview of patient management that considers not only the biological aspects but also the psychological and social dimensions. Patient-centered management is expected to reconcile the patient's perspective and spirit regarding the illness. This approach is crucial for family physicians to not only consider the disease diagnosis but also collaboratively work with the patient towards achieving management goals in line with their expectations.
A 56-Year-Old Woman with Urgency Hypertension and Suspected Heart Failure and The Risk Factor of Obesity, Sedentary Lifestyle, and Genetic Fadhelia Arta, Evelyna; Rusnianah, Farida; dasa novita, khuznita
Jurnal Ilmu Kedokteran Keluarga Vol. 3 No. 2: December 2024
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

A 56-year-old woman presented with the primary complaint of urgency hypertension and suspected heart failure. The patient has a history of obesity and a sedentary lifestyle, both of which are key risk factors for the development of hypertension and cardiovascular diseases. Her medical history revealed infrequent physical activity, a high-calorie diet, and a family history of hypertension and heart disease. Physical examination and supporting tests indicated markedly elevated blood pressure, signs of heart failure, and changes in the electrocardiogram suggesting possible left ventricular hypertrophy. Genetic factors, obesity, and a sedentary lifestyle played a significant role in the exacerbation of her condition. Management involving blood pressure control, heart failure therapy, and lifestyle modifications is crucial to reduce the risk of further cardiovascular complications. This article aims to discuss the relationship between obesity, sedentary behavior, genetic predisposition, and the development of hypertension and heart failure in older women. Both medical and non-medical histories were explored to determine the involved risk factors, followed by two home visits to further assess and identify additional risk factors. This case report highlights the role of the family medicine approach, where the interaction of biopsychosocial variables necessitates holistic and comprehensive therapeutic.
Cold Air and Occupational Stress as Exacerbating Factors in a 46-Year-Old Male with Chronic Bronchial Asthma : A Family-Centered Approach Rusnianah, Farida; Setijowati, Nanik; Deuina Grishelda, Irma
Jurnal Ilmu Kedokteran Keluarga Vol. 4 No. 1 (2025): Juni 2025
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/altera.v4i1.40

Abstract

Bronchial asthma is a long-term lung disease that makes the airways swell up and changes how air flows. To manage effectively, it is essential to understand the host and environmental factors that aggravate diseases. This case study analyzes the interaction of genetic factors, environmental influences, and psychosocial stressors in a 46-year-old male with a ten-year history of asthma. Mr. I, who is 46 years old, is having a really serious asthma attack that is making him cough and making it hard for him to breathe. The cold air and stress at work often made matters worse for him. His mother and daughter both have asthma, therefore it runs in the family. Recent flare-ups show how hard it is for people with certain environmental and job-related risk factors to keep their asthma under control for a long time, even after being diagnosed and treated. The patient's symptoms show how hard it may be to deal with asthma. Cold air and stress at work are two key things that make it worse. He smokes at work, which makes it more probable that objects in the surroundings may hurt him. Functional Degree 1 means that the patient can take care of himself, but he needs to see a doctor since he is worried about his health and can't sleep well. To enhance his quality of life and avert subsequent flare-ups, it is crucial to implement a family-centered strategy that encompasses educating him on avoiding triggers and complying with both pharmaceutical and non-pharmacological treatments. This instance exemplifies the necessity of identifying and mitigating specific environmental and behavioral triggers in the management of chronic asthma. A personalized treatment strategy and thorough education for patients and their families can considerably improve asthma control and maintain functional independence, especially in cases of chronic illness and severe risk factors.
Comprehensive Family Medicine Approach to Lumbar Radiculopathy in an Obese Patient : A Case Study Dwi Rahayu, Indriati; Rusnianah, Farida; Fernando, Alexander
Jurnal Ilmu Kedokteran Keluarga Vol. 4 No. 1 (2025): Juni 2025
Publisher : Family Medicine Department, Faculty of Medicine, Brawijaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56674/altera.v4i1.42

Abstract

Lumbar radiculopathy, often stemming from Herniated Nucleus Pulposus (HNP), presents a significant challenge in primary care, frequently exacerbated by comorbid conditions such as obesity. Family medicine emphasizes a holistic, patient-centered approach, considering both biomedical and psychosocial factors for optimal management. This paper presents the case of a 50-year-old female housewife, diagnosed with Lumbar Radiculopathy due to suspected HNP Lumbal and Grade 1 Obesity. She presented with a one-month history of debilitating left lower back pain (VAS 8/10) radiating to her thigh, calf, and foot, accompanied by numbness. Her symptoms, triggered by exercise and daily activities, significantly impacted her mobility, sleep, and recreational pursuits like aerobics. The diagnostic process employed a holistic framework, integrating anamnesis, physical examination, and family assessments using the Family APGAR and SCREEM tools. Key internal risk factors included her age, obesity, and daily activities involving prolonged standing and stair use. External challenges identified through SCREEM highlighted patient confusion regarding medication adherence during fasting and a tendency for infrequent routine medical check-ups, due to a perceived state of good health. This multifaceted presentation necessitated a tailored management strategy focused on conservative measures, addressing both the radiculopathy and weight management through lifestyle modifications. This case underscores the complexity of managing chronic musculoskeletal pain within a family medicine context, particularly when compounded by obesity. A comprehensive approach, integrating clinical diagnosis with psychosocial and environmental considerations, is crucial for effective patient education, adherence to treatment, and improving functional outcomes.
Co-Authors Dasa Novita, Khuznita Deuina Grishelda, Irma Dwi Rahayu, Indriati Fadhelia Arta, Evelyna Fernando, Alexander Indriati Dwi Rahayu Nanik Setijowati Rakhmani, Alidha Nur RM, Fauziyyah