Publication Search

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.

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 and hypercholesterolemia are closely related non-communicable diseases and major risk factors for cardiovascular disease, particularly in older adults. These conditions are influenced by medical, behavioral, family, and environmental factors, requiring a holistic family medicine approach through home visits. This study aimed to describe the clinical condition, family function, and environmental factors of a 60-year-old female patient with hypertension and hypercholesterolemia using the APGAR and SCREEM approaches. This study employed a qualitative descriptive design in the form of a case report involving Mrs. S (60 years old) in Lebbek Village, Pamekasan Regency. Data were collected through anamnesis, physical examination, total cholesterol measurement using a GCU meter, environmental observation, and assessment of family function and environmental factors. The results showed blood pressure values of 161/96 mmHg and 160/96 mmHg on repeated measurement, with a total cholesterol level of 154 mg/dL. The patient had a high-salt and high-fat diet with low physical activity. APGAR assessment indicated poor family function with a total score of 4, particularly in the partnership and resolve domains, while the growth domain was categorized as accepting. SCREEM analysis identified education as the main barrier. In conclusion, management of this condition requires family-based interventions focusing on improving family cooperation and health education tailored to the patient’s literacy level.

Pulmonary tuberculosis (TB) remains a major public health problem in Indonesia. Despite the implementation of national TB control programs through the Directly Observed Treatment Shortcourse (DOTS) strategy, treatment success continues to face significant challenges, particularly related to patient adherence to anti-tuberculosis drug (ATD) therapy. Non-adherence to TB treatment can lead to treatment failure, disease relapse, and the development of drug-resistant tuberculosis, thereby increasing the overall burden of the disease.Treatment adherence in TB patients is influenced not only by medical factors but also by social and behavioral determinants. Family support plays a crucial role in encouraging patients to comply with treatment regimens by providing motivation, reminding medication schedules, and offering emotional support throughout the long duration of therapy. Patients who receive adequate family support tend to demonstrate higher levels of treatment adherence compared to those with limited support.In addition, the use of herbal medicine as a preventive and supportive health measure is common among the Indonesian population. Herbal medicine is often utilized to enhance immune function, reduce medication side effects, and improve patient comfort during TB treatment. However, the use of herbal remedies without proper medical guidance may lead to misconceptions regarding standard TB therapy.Therefore, it is important to examine the relationship between family support and the use of herbal medicine as preventive measures with treatment adherence among pulmonary TB patients in primary healthcare settings. Such evidence is expected to support a comprehensive family medicine approach and strengthen TB control programs in primary care services.

The patient, MA, a 2-year-4-month-old boy, was brought by his mother to Simpang Keuramat Primary Health Center with complaints of itchy scalp for the past 4 months. On the itchy area, white scales were observed. Initially, it was only itching, but two weeks later, the parents noticed white patches on the scalp that became thicker and more scaly. The itching was intermittent and worsened with sweating. At first, only a few hairs were broken, but over time it progressed into a round area of hair loss with well-defined borders. The patient bathes twice daily and shampoos every other day. Towels, pillows, and combs used by the patient were not shared with other family members. According to the patient's parents, the child often plays with stray cats around the house. Primary data were obtained through allo-anamnesis, physical examination, home visits, completion of the family folder, and patient records. Assessment was conducted based on the initial holistic diagnosis, process, and outcome of the visits, both quantitatively and qualitatively. Interventions included educating the patient about the causes of tinea capitis, emphasizing the importance of skin hygiene, and explaining that the disease is highly contagious. Therefore, patients were advised to avoid sharing clothing and towels with family members as a preventive measure against transmission.

Jurang Hamlet is one of the hamlets located in Girirejo Village, Tempuran District, Magelang Regency. In general, people in Jurang Hamlet have a fairly large yard land. The land can be used and optimized, one of which is by planting family medicinal plants (TOGA). TOGA is a plant that is usually used as a traditional medicine to treat various diseases and is usually grown in the yard of the house. There are problems that occur in Jurang Hamlet, namely the lack of understanding and knowledge related to the planting and utilization of TOGA. In addition to increasing public knowledge and understanding, this activity is also intended to empower the PKK women of Jurang Hamlet in terms of managing medicinal plants in the yard of the house. This community empowerment activity uses three methods: (1) Preparation of TOGA seeds, (2) Socialization of effective TOGA planting methods, (3) Socialization of the benefits of each TOGA to be planted, (4) The distribution of TOGA seedlings and the planting of TOGA together. From the results of the TOGA planting activities that have been carried out by the residents of Jurang Hamlet, it is known that the residents of Jurang Hamlet have become more aware of how to plant TOGA well and also some of the benefits of each plant seed that has been distributed.

A 52 year old male patient with complaints of weakness in the body. Initially the patient was brought to the Health Center with complaints of weakness since 3 days. Weakness is felt suddenly throughout the body and feels continuously. Complaints of weakness are also accompanied by a feeling of dizziness in the head. The patient also complained of frequent urination at night, urinating more than 10 times in one night. The patient also constantly feels thirsty, but his appetite has decreased since the last 2 years or so. The patient feels a loss of weight. In addition, the patient also complained of a wound on his left leg which had not healed since 1 year ago. Primary data were obtained through anamnesis 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 both quantitatively and qualitatively. Patients and families are given education about diabetes mellitus including the symptoms and complications that will arise, education about the patient's motivation to take medication regularly as well as educating and teaching patients about foot care and diabetes exercise. An approach with family doctor intervention is able to improve habits that are influential in the treatment of diabetes mellitus.

Asthma is a chronic disease that interferes with the airway due to inflammation and swelling of the walls in the airways so that becomes very sensitive to the entry of foreign objects which cause an overreaction. Based on data from the Ministry of Health for 2020, the number of asthma sufferers in Indonesia is 4.5% of the total population of Indonesia or as many as 12 million more. Meanwhile, based on Aceh Health Service in 2022, it was noted that Asthma sufferers in the Banda Aceh area has reached 11,534 cases. This study is a case report study with data obtained through autoanamnesis, physical examination, home visit to complete family data, psychosocial, and environmental data. Patient Mrs. NS, 51 years old, came with complaints of coughing and a runny nose for 3 days before coming to the Ulee Kareng Health Center, occasionally the patient coughed to the point of causing chest pain. The patient already has a history of asthma since elementary school. The application of family doctor services to asthma patients is necessary to prevent acute exacerbations and prevent the occurrence of asthma in the patient's family.