Holistic Management of Hypertension and Hypercholesterolemia Patients with Vertigo Through a Family Mediicne Approach
Penatalaksanaan Holistik Pasien Hipertensi dan Hiperkolesterolemia dengan Vertigo Melalui Pendekatan Kedokteran Keluarga
DOI:
https://doi.org/10.53089/medula.v14i5.1009Keywords:
vertigo, hipertensi, hiperkolesterolemia, kedokteran keluarga, penatalaksanaan holistikAbstract
Hypertension is one of the most common problems that occurs in the population, whether diagnosed or not. Cholesterol levels are closely related to hypertension and its complications. The characteristic of geriatric patients is multipathology. In hypertensive patients with hypercholesterolemia, it is very likely to cause vertigo. Vertigo or in Latin, Vertere, means twisting. In general, vertigo is known as a syndrome that occurs due to disturbances in the balance system. Implement family doctor services based on evidence-based medicine holistically and comprehensively for patients by identifying risk factors, clinical problems, and patient management based on a framework for solving patient problems using a patient-centered, family approach, and community-oriented approach. The study carried out a case report by carrying out an overall assessment, namely history taking, physical examination, and visits to the patient's home to assess the environment. Secondary data was obtained from the patient's medical records. Assessment is based on a holistic diagnosis of the beginning, process, and end of the study qualitatively and quantitatively. Based on an examination of a 70-year-old male patient with complaints of dizziness, nausea, vomiting, and blurred to dark vision. The patient also admitted that he had soreness in his neck and shoulders. The patient admitted that the complaints came and went. On physical examination, it was found to be within normal limits. On supporting examinations, high cholesterol levels were found. Holistic and comprehensive management was carried out. Services with a family medicine approach in pharmacological and non-pharmacological therapy can solve health problems and improve the patient's quality of life. The role and support of the family is very much needed in monitoring.
References
Suyono S. Buku Ajar Ilmu Penyakit Dalam Jilid III. Edisi Ke-4. Balai Penerbit Fakultas Kedokteran. Universitas Indonesia Jakarta. 2006.
MSD Manuals. Introduction to Geriatrics. Diakses pada 2022.
Kemenkes RI. Panduan Praktik Klinis (PPK) Bagi Dokter di Fasilitas Pelayanan Kesehatan Tingkat Pertama (FKTP). 2022.
Who Newsroom and Fact sheets about Hypertension [https://www.who.int/news-room/fact-sheets/detail/hypertension]
PERHI. Konsensus Penatalaksanaan Hipertensi 2019. Jakarta: PERHI. 2019.
Kementerian Kesehatan RI. Pedoman Teknis Penemuan dan Tatalaksana Hipertensi. Jakarta: Kemenkes; 2013.
Badan Penelitian dan Pengembangan Kesehatan. Riset Kesehatan Dasar (Riskedas 2018). In Kementrian Kesehatan RI. Jakarta 2018.
Soleha M. Kadar Kolesterol Tinggi Dan Faktor-Faktor Yang Berpengaruh Terhadap Kadar Kolesterol Darah. Indones J Biotechnol Med. 2012;1(2):5–92.
Setiawati M, Susianti. Diagnosis dan Tatalaksana Vertigo. Bandar Lampung. Majority. 2016; 5(4).
Bahrudin, M. Neurologi Klinis. Malang: UMM Press. 2013.
Kemenkes RI. Panduan Praktik Klinis (PPK) Bagi Dokter di Fasilitas Pelayanan Kesehatan Tingkat Pertama (FKTP). 2022.
Setiawati M, Susianti. Diagnosis dan Tatalaksana Vertigo. Bandar Lampung. Majority. 2016; 5(4).
Rendra, A.K., & Pinzon, R.T. Evaluasi Drug Related Problems pada Pasien dengan Diagnosis Vertigo Perifer di Instalasi Rawat Jalan Rumah Sakit Bethesda Yogyakarta. Indonesian Journal of Clinical Pharmacy. 2018
Edward Y, dan Roza Y. Diagnosis dan Tatalaksana Benign Paroxysmal Positional Vertigo (BPPV) Horizontal Berdasarkan Head Roll Test. Jurnal Kesehatan Andalas. 2014. 3(1): 77-81.
Purnamasari PP. Diagnosis dan Tatalaksana Benign Paroxysmal Positional Vertigo (BPPV). Balai Peneribit Fakultas Kedokteran Universitas Udayana. 2013. 2(6): 18-22.
Edward Y, dan Roza Y. Tatalaksana Benign Paroxysmal Positional Vertigo (BPPV) Horizontal Berdasarkan Head Roll Test. Jurnal Kesehatan Andalas. 2014; 3(1): 77-81.
Yogiantoro M. Ilmu penyakit Dalam. Fakultas Kedokertan Universitas Indonesia. Jakarta: EGC. 2016.
Bahrudin, M. Neurologi Klinis. Malang: UMM Press. 2013.
Yokose M, Shimizu T. A Case of Ramsay Hunt Syndrome That Began with Vestibular Symptoms: A Great Mimicker. Am J Med. 2021 Apr;134(4):e271-e272.
PERKI (Perhimpunan Dokter Spesialis Kardiovaskular Indonesia). Pedoman tatalaksana kardiovaskuler Indonesia [internet]. Jakarta: PERKI; 2015
Departemen Kesehatan RI. Pedoman teknis penemuan dan tatalaksana penyakit hipertensi. Jakarta: Direktorat Pengendalian Penyakit Tidak Menular; 2013
Mandini S, Conconi F, Mori E, Myers J, Grazzi G, Mazzoni G. Walking and hypertension: greater reductions in subjects with higher baseline systolic blood pressure following six months of guided walking. PeerJ. 2018. 30;6:e5471.
Bashiruddin J. Vertigo posisi paroksismal jinak. Dalam: Arsyad E, Iskandar N, editor. Telinga, hidung tenggorok kepala dan leher. Edisi Ke-6. Jakarta: Balai Penerbit FKUI. 2008. 104-9.
Soleha M. Kadar Kolesterol Tinggi Dan Faktor-Faktor Yang Berpengaruh Terhadap Kadar Kolesterol Darah. Indones J Biotechnol Med. 2012;1(2):5–92.
Casani AP, Gufoni M, Capobianco S. Current Insights into Treating Vertigo in Older Adults. Drugs Aging. 2021 Aug;38(8):655-670. doi: 10.1007/s40266-021-00877-z. Epub 2021 Jun 23. PMID: 34159566; PMCID: PMC8342368.
Triyanti, N., Nataliswati, T., & Supono, S. Pengaruh Pemberian Terapi Fisik Brandt Daroff Terhadap Vertigo Di Ruang UGD RSUD Dr. R Soedarsono Pasuruan. Journal Of Applied Nursing (Jurnal Keperawatan Terapan), 2018. 4(1), 59-64.
Hancock, Trevor. “The Mandala of Health: A Model of the Human Ecosystem.” Family and Community Health, vol. 8, no. 3, 1985, pp. 1–10. JSTOR, http://www.jstor.org/stable/44952711. Accessed 18 June 2023.
Setiati S, Harimurti K, Dewiasty E, dkk. Prevalensi geriatric giant dan kualitas hidup pada pasien usia lanjut yang dirawat di Indonesia: penelitian multisenter. In Rizka A (editor). Comprehensive prevention & management for the elderly: interprofessional geriatric care. Jakarta: Perhimpunan Gerontologi Medik Indonesia; 2013:183.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Medical Profession Journal of Lampung
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
