Management of a Patient with Type 2 Diabetes Mellitus and Uncontrolled Hypertensive Urgency Using a Family Doctor Approach in a First-Level Health Facility in Indonesia: A Case Report
Journal Title: International Journal of Current Science Research and Review - Year 2024, Vol 7, Issue 12
Abstract
Noncommunicable diseases (NCDs) result from genetic, environmental, and behavioral factors. These diseases include cardiovascular conditions and diabetes. According to the Lampung Provincial Health Office in 2021, the prevalence of type 2 diabetes mellitus increased from 1.37% to 3.76% (equivalent to 88,518 cases), and the prevalence of hypertension rose from 15.10% to 17.35%. NCDs are chronic and affect quality of life and productivity, necessitating comprehensive management. The goal of a family medicine approach in treating patients with type 2 diabetes mellitus and hypertension is to identify clinical, psychological, and psychosocial factors. Primary data is collected through anamnesis, physical examination, and home visits to evaluate the physical environment. Patient Mrs. A, a 55-year-old farmer, reported complaints of headaches and frequent nighttime urination. She has a history of hypertension since 2022 and type 2 diabetes mellitus since 2023. Management was carried out holistically using a patient-centered, family-oriented, and community-based approach grounded in Evidence-Based Medicine. Interventions included both pharmacological and non-pharmacological via family conferences. Evaluation of the interventions showed improved knowledge among the patient and her family, a reduction in the patient’s blood pressure and blood glucose levels, and behavioral changes in the patient to consume meals aligned with recommended dietary allowances.
Authors and Affiliations
Muhammad Anfasha Admar, Diana Mayasari,
Keywords
Related Articles
- EP ID EP753561
- DOI 10.47191/ijcsrr/V7-i12-61
- Views 20
- Downloads 0
Estimation of Polyphenol and Antioxidant Content from Papaya (Carica papaya) and Mango (Mangifera indica) Seed, Peel and Leaves
Papaya (Carica papaya) and mango (Mangifera indica) are two tropical fruits which are widely known for their rich nutritional properties and various health benefits. Papaya belongs to family Caricaceae which has its orig...
Proposed Succession Planning for Next-Generation Family Business: A Study of PT X
This extensive study, “Proposed Succession Planning for Next-Generation Family Business: A Study of PT X,” examines the crucial process of succession planning in family-owned businesses. Given their importance to the glo...
Optimizing Prompt Length and Specificity for Enhanced AI Chatbot Responses
Language models have revolutionized natural language processing by greatly improving text generation and comprehension. Optimizing their functioning is related to how one designs prompts because the kind and quality of r...
The Potential of Lipid Oxidation on Non-Gluten Mocaf Cookies Incorporated with Chicken Meat-Carrot Puree
Cookies and crackers are the most popular snack in many countries. They are essentially made from wheat flour, which is also an issue as Indonesia is completely dependent on wheat imports. On the other hand, people with...
Business Model Innovation to Optimize Revenue Growth in the B2C Sector of Research Service Providing Institution: Case Study at Nano Riset Indonesia
This research explores business model innovation at Nano Riset Indonesia NRI, a leader in nanotechnology research, focusing on enhancing revenue growth in the Business-to-Consumer (B2C) sector. The thesis presents an in-...