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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.

Herpes zoster is a skin infection caused by the reactivation of the varicella-zoster virus, characterized by unilateral skin lesions corresponding to dermatome distribution and complaints of pain or itching. This disease is more common in adults and the elderly, especially in individuals with reduced immunity due to stress or work overload. A case was reported of a 40-year-old woman who worked as a nurse and came to a primary health care facility complaining of itching and red spots on her right breast area that had spread to the surrounding area two weeks before the examination and had worsened in the last few days. Physical examination revealed unilateral red skin lesions in a dermatomal pattern without crossing the midline of the body, consistent with the early phase of herpes zoster. Management was comprehensive, including medication, patient education about the disease and skin care, prevention of complications, and family support. A holistic approach is necessary to improve the success of therapy and the patient's quality of life.

Malnutrition and stunting among children under five remain major public health challenges in developing countries, including Indonesia. These conditions are associated with increased morbidity, mortality, impaired cognitive development, and reduced productivity in adulthood. Stunting reflects chronic nutritional deficiencies, while severe malnutrition indicates acute or prolonged inadequate nutrient intake, often exacerbated by infections, poor caregiving practices, and unfavorable socioeconomic conditions. This case report aims to describe the clinical condition, contributing factors, management, and outcomes of a 14-month-old female toddler diagnosed with severe malnutrition and stunting without complications in Blang Dalam Geuteung Village, Nisam Subdistrict, North Aceh Regency. The assessment was conducted using a family medicine approach, incorporating detailed history taking, physical examination, anthropometric measurements, and nutritional status evaluation based on World Health Organization Z-score indicators. Interventions included nutritional rehabilitation through appropriate dietary intake, family education on balanced nutrition and proper feeding practices, routine growth monitoring, and optimization of primary healthcare services. The results showed gradual improvement in the child’s nutritional status, evidenced by weight gain, better appetite, and improved feeding patterns following the intervention. This case highlights the importance of early detection, comprehensive family-centered management, and continuous monitoring in addressing malnutrition and stunting at the primary care level. Strengthening community-based interventions, improving caregiver knowledge, and enhancing collaboration between healthcare providers and families are essential to reduce the burden of malnutrition and support optimal child growth and development.

Hypertension is a condition where blood pressure is persistently above the normal limit. This condition is a risk factor that can cause damage to vital organs, including the heart, brain, retina, kidneys, aorta, and peripheral blood vessels. This case study aims to describe the implementation of these management efforts in a 45-year-old female patient with hypertension in Blang Dalam Geunteng Village, Nisam District, North Aceh. Mrs. H, a 45-year-old woman, came to the General Clinic of Nisam Community Health Center with a primary complaint of headache since one week before the visit. The headache felt like a throbbing pain throughout the head and was intermittent. This complaint was quite disruptive to the patient's daily activities, especially when doing light household chores. In addition, the patient complained of a throbbing sensation in both eyes that began to be felt simultaneously with the onset of the headache. This complaint appeared mainly when waking up in the morning. The patient has a history of hypertension that has been diagnosed since 2024. Family history shows that the patient's biological mother also suffered from hypertension and one of the patient's siblings was also diagnosed with high blood pressure but had not started treatment. Physical examination showed a blood pressure of 150/90 mmHg. Data were collected through anamnesis, physical examination, supporting procedures, home visits, and family documentation. The holistic assessment included quantitative and qualitative aspects of the initial visit, the process, and the outcome of the visit. Interventions included hypertension education, medication adherence, a healthy lifestyle, and family support for blood pressure management and lifestyle. This case study demonstrates the importance of a holistic and continuous family medicine approach in the management of patients with grade II hypertension, particularly those with familial risk factors.

Type 2 diabetes mellitus (T2DM) is a chronic metabolic disorder whose prevalence continues to rise, making it a major challenge for health systems worldwide. This disease results from a combination of insulin resistance and impaired pancreatic β-cell function, leading to persistent hyperglycemia and increased risk of long-term complications affecting the kidneys, cardiovascular system, nervous system, and eyes. This report describes the case of a 52-year-old woman diagnosed with T2DM for approximately ten years. The patient presented with fatigue, nocturnal polyuria, nausea after meals, significant weight loss, and tingling in her extremities. Laboratory findings revealed an HbA1c level of 12%, reflecting very poor glycemic control. A family medicine approach was applied through detailed history taking, physical and laboratory examinations, home visits, and completion of a family folder to assess clinical, personal, social, and functional aspects. Interventions included counseling on balanced diet, encouragement of regular physical activity, education on diabetic foot care, and pharmacological treatment with metformin and insulin. The family received counseling about hereditary risk factors, the importance of emotional support, and the need for consistent monitoring of health status. The patient was still capable of light daily activities, supported by a highly functional family environment with an APGAR score of 10. A holistic family medicine–based approach was shown to improve treatment adherence, patient knowledge, and overall quality of life. Therefore, management of T2DM requires a comprehensive strategy that integrates promotive, preventive, curative, and rehabilitative components, emphasizing the active involvement of family and community at the primary care level to reduce complications, slow disease progression, and enhance patient well-being.   Keywords: Type 2 diabetes mellitus (T2DM) is a chronic metabolic disorder whose prevalence continues to rise, making it a major challenge for health systems worldwide. This disease results from a combination of insulin resistance and impaired pancreatic β-cell function, leading to persistent hyperglycemia and increased risk of long-term complications affecting the kidneys, cardiovascular system, nervous system, and eyes. This report describes the case of a 52-year-old woman diagnosed with T2DM for approximately ten years. The patient presented with fatigue, nocturnal polyuria, nausea after meals, significant weight loss, and tingling in her extremities. Laboratory findings revealed an HbA1c level of 12%, reflecting very poor glycemic control. A family medicine approach was applied through detailed history taking, physical and laboratory examinations, home visits, and completion of a family folder to assess clinical, personal, social, and functional aspects. Interventions included counseling on balanced diet, encouragement of regular physical activity, education on diabetic foot care, and pharmacological treatment with metformin and insulin. The family received counseling about hereditary risk factors, the importance of emotional support, and the need for consistent monitoring of health status. The patient was still capable of light daily activities, supported by a highly functional family environment with an APGAR score of 10. A holistic family medicine–based approach was shown to improve treatment adherence, patient knowledge, and overall quality of life. Therefore, management of T2DM requires a comprehensive strategy that integrates promotive, preventive, curative, and rehabilitative components, emphasizing the active involvement of family and community at the primary care level to reduce complications, slow disease progression, and enhance patient well-being.

A 60-year-old male patient presented with the chief complaint of numbness in both legs, which had been experienced for the past two years and had worsened over the last three months. This complaint was accompanied by persistent fatigue, even without engaging in strenuous physical activity. In addition, the patient reported frequent urination, especially at night (nocturia), and excessive thirst that had occurred for the past five years. The patient denied symptoms such as fever or disturbances in bowel movements. Regarding his medical history, the patient regularly consumed Glimepiride as part of his treatment for diabetes mellitus. Primary data were obtained through auto-anamnesis and physical examination during a home visit. During the visit, the family physician also completed the family folder and patient records to comprehensively document the patient’s health condition. Case assessment was carried out based on an initial holistic diagnosis, followed by continuous monitoring and final evaluation using both quantitative and qualitative approaches. The interventions provided included health education for the patient and his family regarding the causes and pathophysiology of diabetes mellitus. The physician also emphasized lifestyle modifications, such as adopting a balanced diet, engaging in light but regular physical activity, and maintaining adherence to prescribed medication. Furthermore, the patient was educated on the long-term management of diabetes mellitus and the importance of regular medical check-ups. The family physician also explained the potential complications that could arise, such as neuropathy, nephropathy, and retinopathy, so that the patient would be more compliant with treatment and preventive efforts. This comprehensive approach was expected to improve the patient’s quality of life while preventing further disease progression.

Malnutrition is a condition in which the body does not receive enough essential nutrients, such as protein, vitamins, calories, and minerals, which causes various health problems, especially wasting and stunting, making it a serious concern in children. According to the Basic Health Research, the prevalence of malnourished children in Indonesia remained stable at 17.8% between 2016 and 2017 but decreased to 13.8% in 2018. This case study focuses on a 23-month-old girl from Kuala Keureuto Village, who was observed for three weeks through home visits in 2025. The diagnosis of malnutrition was made in accordance with national guidelines outlined in the Indonesian Minister of Health Regulation No. 2 of 2020, regarding child anthropometric standards. Anthropometric measurements showed that the child's height was 78.3 cm and her weight was 8.8 kg. Based on these measurements, her nutritional status was assessed as follows: A height/age Z-score between -2 and -3 SD indicates stunting, a weight/age Z-score between -2 and -3 SD indicates underweight, while a weight/age Z-score below -2 SD and a BMI/age Z-score below -2 SD are considered well-nourished. After confirming the diagnosis, the patient received nutrition education, supplemental feeding, appetite-stimulating supplements, and growth monitoring. In addition, analyses were conducted to identify factors influencing her condition, concluding that the malnutrition observed in this 23-month-old patient was influenced by parenting behavior, parental knowledge, medical history, incomplete immunizations, and environmental factors.

A 23-month-old female patient presented with red, itchy bumps, accompanied by intense itching, which caused the skin to peel from scratching. These symptoms began less than a month before the visit and worsened one week before seeking treatment. The fluid-filled bumps burst due to scratching, causing sores and peeling skin. The itching was constant and tended to worsen at night. The use of moisturizer by the patient's mother provided little relief. The onset of these symptoms coincided with a visit from the patient's mother's younger brother, a student at the Islamic boarding school (Santri), who was staying at the patient's home during the holidays. Less than a month later, similar symptoms began to be felt by the patient, her siblings, and both parents. The diagnosis was based on primary data obtained through a history taking with the patient's mother, a direct physical examination during a home visit, and completion of the family file and the patient's medical records. The patient, suspected of having scabies, was treated with 5% permethrin cream, applied as directed, and cetirizine to reduce the itching. Case assessments are conducted holistically, assessing the initial condition, process, and final outcome of each visit both quantitatively and qualitatively. Interventions include not only treatment but also comprehensive family education. This education includes an explanation of the etiology and transmission of scabies, the importance of maintaining personal and environmental hygiene, and potential complications such as secondary skin infections due to scratching. The goal of this education is to improve patient and family compliance with therapy, prevent reinfection, and break the chain of disease transmission in the home environment. This approach is expected to not only reassure the patient but also raise family awareness of the importance of clean and healthy living practices as a long-term preventative measure.

A 52-year-old female patient presented to the non-communicable disease clinic at the Banda Baro Community Health Center with complaints of pain in the right toe joint for the past two weeks. The pain was described as severe, especially when touched or moved. The patient reported that the toe initially became red and swollen, but the redness had subsided by the time she arrived at the clinic. The patient also complained of feeling weak and occasional tingling in the tips of her toes. She admitted to frequently consuming chicken liver and other offal. She mentioned having experienced a similar condition previously, and previous examinations indicated elevated uric acid levels. She had previously taken allopurinol two years ago, obtained from the health center, to alleviate her symptoms. On physical examination, the patient's blood pressure was 120/70 mmHg, heart rate 87 beats per minute, respiratory rate 19 breaths per minute, and temperature 36.5°C. The patient was prescribed allopurinol 2x100 mg. Primary data was obtained through anamnesis and physical examination by conducting home visits, filling out family folders, and completing patient records. Assessment was based on the initial, ongoing, and final holistic diagnosis of the visit.  Interventions included education on the importance of clean and healthy living habits, avoiding risk factors, medication adherence, and preventing complications that may arise due to hyperuricemia.

The patient came with complaints of frequent tingling in both legs for 2 months. These complaints were accompanied by a body that continuously felt weak even though the patient did not do heavy activities. The patient also complained of nausea but no vomiting, frequent urination especially at night, and often felt thirsty. Other complaints such as fever and bowel disorders were denied by the patient. The patient also did not routinely use insulin medication. Primary data were obtained through autoanamnesis and physical examination by conducting home visits, filling out family folders, and filling out patient files. The assessment was carried out based on the initial holistic diagnosis, process, and end of the visit quantitatively and qualitatively. The interventions carried out included education about the causes of diabetes mellitus to his family, education about lifestyle modification and management of the disease, and explaining complications that may arise from the patient's disease so that the patient takes regular treatment and makes preventive efforts.

A 55-year-old female patient came to the Non-Communicable Diseases Polyclinic of Banda Baro Health Center with complaints of headaches that had been felt since ± 7 days ago. The headache was felt as if it was throbbing all over the head. The headache was felt to be worse when the patient was active and stressed and reduced when the patient rested. This headache complaint had disrupted the patient's daily activities. The patient also complained of a stiff neck accompanied by weakness. The patient had been diagnosed with hypertension since 5 years ago but did not take medication regularly. The therapy received by the patient was Amlodipine 1 x 5 mg. From the results of the examination, BP was 145/90 mmHg, HR: 82 x / i, RR: 19 x / i, temperature: 36.5 ° C. Primary data was obtained through anamnesis and physical examination by conducting home visits, filling out family folders, and filling out patient files. The assessment is carried out based on the initial holistic diagnosis, process, and end of visit. Interventions carried out include education on the importance of a healthy lifestyle, taking medication regularly to control blood pressure and complications that can occur due to high blood pressure.

Nutrition is very important in human development and growth. The 2021 edition of UNICEF-WHO-WORLD BANK states that 148.2 million children aged 0-5 years worldwide are stunted, 38.9 million are overweight, and 45.4 million are severely wasted. Nutritional problems often occur at the age of 6-24 months due to inadequate nutrition because of lack of mother's knowledge, therefore it is necessary to carry out interventions to increase mother's knowledge regarding balanced nutrition of children under two. The purpose of this study was to determine the effect of health promotion media on changes in the nutritional status of children under two years in Paloh Punti Village, Muara Satu District, Lhokseumawe. This research method used quasi-experimental quantitative research with a one group pretest-posttest design and involved 51 children under two years. The data collection technique used was purposive random sampling. The data collected is primary data in the form of body weight which is limited to nutritional status based on body weight/age. The results showed that the nutritional status of children under two years was 92.1% in the good nutritional status category after the intervention. The change in nutritional status from malnutrition to normal nutrition from the results of the prostest compared to the pretest was 27.4%. The use of health promotion media has an effect on malnutrition status based on the Wilcoxon test with a p-value of 0.029. The conclusion of this study is that there is an effect of health promotion media on the nutritional status of children under two years in Paloh Punti Village, Muara Satu District, Lhokseumawe.

The coverage of complete basic immunization in Indonesia in 2020 during the Covid-19 pandemic had not yet reached the expected target. The province with the lowest coverage was Aceh, with only 41.8%, indicating a significant gap from the national target. This study aims to determine the relationship between parental roles and the coverage of complete basic immunization for infants during the Covid-19 pandemic in the Banda Sakti area. This research used a cross-sectional design with a cluster sampling technique. The univariate analysis showed that most of the children were male, totaling 48 (51.6%). The age of the fathers was mostly between 26–35 years (52 respondents or 55.9%), and the mothers’ age was also mostly between 26–35 years (63 respondents or 67.7%). The majority of both fathers and mothers had a senior high school education, with 49 (52.7%) and 39 (41.9%) respectively. Most of the basic immunization coverage in the Banda Sakti area was incomplete, amounting to 74 infants (79.6%), and the parental role was categorized as poor. The bivariate analysis using the Chi-square test and its alternatives showed a p value < 0.05, indicating a significant relationship between the roles of fathers, mothers, and parents in general, and the coverage of complete basic immunization. The conclusion of this study is that there is a significant relationship between parental roles and the coverage of complete basic immunization for infants during the Covid-19 pandemic in the Banda Sakti area.

Tuberculosis is a disease infection caused by Micobacterium Tuberculosisis disease with high level morbiditiy and very easy spread throug the droplet carried by air. Disease this could attack all age which children nor mature. There were 845.000 TB case in Indonesia in March 2021 and Lhokseumawe accounted for 10% of the number of cases in the province Aceh. Study this arm for analyze parental knowledge child TB patient before and after education at Cut Meutia Hospital Aceh Utara. This reasearch is Quasi Experimental reasearch type One-Group Pretest Posttest to 20 respondents who are parents from child TB patients. The sample is taken using accidental sampling. Measurement were carried out using a questionnaire containing the children`s TB knowledge. The results of this study indicate that majority of respondents before beiong given education had a sufficient level of knowledge as much as 80% and increased to good as much as 90% after being education. Data analysis using Wilcoxon test. The results of statistical analysis show p value < 0.05. the conclusion of this study is there is differences in the level of knowledge of parents before and after being given education about TB in children at Cut Meutia Hospital.

A 20-year-old female patient came with a complaint of cough that had been experienced for ± 1 week, the cough was complained of as difficulty in expelling phlegm. The cough worsened at night and early morning so that it disrupted the patient's sleep quality. The cough would subside when the conditions started to warm up, and when drinking water. Shortness of breath often appears together with the cough. Complaints of shortness of breath and cough often appear during the rainy season, cold air, exposure to dust and smoke. Shortness of breath will subside if the patient uses an inhaler. The patient also complained of a fever that had been felt since 1 day ago. The fever felt by the patient remained high without any decrease in temperature. On physical examination, BP was 110/70 mmHg, RR 18 x / minute, HR 89 x / minute, BMI 19.6 kg / m2., Respiratory system wheezing in both lungs and X-ray results showed bronchitis. Primary data were obtained through anamnesis and physical examination by conducting home visits, filling out family folders, and filling out patient files. The assessment is based on the initial holistic diagnosis, process, and end of the visit quantitatively and qualitatively. The interventions carried out are promotive, preventive, curative, rehabilitative and psychosocial efforts.

Patient An MM was brought by his parents to the Tanah Pasir Community Health Center Children's Polyclinic with complaints of itching on both hands for the last 3 weeks. The initial complaint was that it felt like itching accompanied by the appearance of reddish spots, and over time, pimples appeared between the fingers. Complaints felt worse in the last week until the patient felt itchy all day and complaints of itching felt worse at night until the patient had difficulty getting to sleep because he kept scratching the part of the body that felt itchy. Based on the anamnesis of complaints obtained after contact with the patient's older brother who experienced similar complaints. A physical examination was carried out and the examination results were within normal limits. Primary data was obtained through anamnesis and physical examination by conducting home visits, filling in family folders, and filling in patient files. The assessment is carried out based on a holistic diagnosis at the beginning, process and end of the visit quantitatively and qualitatively. The interventions carried out include education about the causes of scabies in the family, education on environmental sanitation and cleanliness and management of the disease as well as explaining complications that may arise from the patient's disease so that the patient's family maintains better personal hygiene and environmental cleanliness.  

Tuberculosis (TB) is an infectious disease caused by infection with Mycobacterium tuberculosis complex, which is the most frequently found bacteria and is transmitted between humans via the air route. The incidence of TB in Indonesia in 2020 was 301 per 100,000 population. Therefore, family doctors play an important role in promoting health and preventing TB disease, identifying risk factors, clinical problems, and providing management to patients by implementing holistic family doctor services based on evidence based medicine through a patient centered and family approach, the main problem This patient did not wear PPE when in direct contact with other patients while working at PKM Tanah Pasir. In this case report, primary data was obtained through anamnesis (autoanamnesis), physical examination and home visits to complete family data, psychosocial and environmental data. Patient Mr. R, 45 years old, underwent routine TB treatment at the Tanah Pasir Community Health Center and was diagnosed two months ago. The patient has normal nutritional status. Pharmacological and non-pharmacological interventions are carried out for patients in the form of education about TB disease for patients and their families. The results of the evaluation of the intervention are that the patient has started to do physical activity and the family has supported the patient's routine treatment.

The patient came with complaints that the body often felt weak even though the patient did not do strenuous activities. This complaint has worsened in the last 1 week, causing the patient to be discouraged from doing activities and disrupting his daily activities Patient also complained that his weight was decreasing. Another complaint that was felt was that the hands often felt numb. History of diabetes mellitus in the last 10 years, but the patient admitted that he did not routinely take medicine to control his blood sugar. The KGDS examination obtained in the patient was 324 mg/dl. The patient's BMI was 18.2 kg/m2 and classified as underweight. Primary data was obtained through autoanamnesa and physical examination by conducting home visits, filling out family folders, and filling out patient files. Assessment was carried out based on holistic diagnosis at the beginning, process, and end of the visit quantitatively and qualitatively. Interventions include education about the causes of diabetes mellitus, education about lifestyle modification and the importance of taking medication regularly to control blood sugar levels and explaining complications that may arise from the patient's disease so that patients make preventive efforts.