Holistic Management of Mrs. Z 56 Years Old Woman with Herpes Zoster through Family Medicine Approach in Puskesmas Campang Raya

Abstract

Herpes zoster is a disease caused by reactivation of the varicella zoster virus which remains latent. The incidence of shingles increases with age and the immune system weakens. Herpes zoster is a disease that can recur at any time, so it needs to be treated holistically. The purpose of this case report is to implement a holistic and comprehensive family doctor service by identifying risk factors, clinical problems, and patient management based on evidence-based medicine with a patient-centere  and family approach. This study is a case report study. Primary data were obtained through history taking (autoanamnesis and alloanamnesis), physical examination and home visits. Secondary data were obtained from the patient's medical record. Patient Mrs. Z is 56 years old has been diagnosed with herpes zooster complaints of appearance of small groups of nodules filled with fluid on the right arm accompanied by fever since 3 days ago. The patient has a previous history of chickenpox. Patient does not know of the cause of her illness and hopes that her symptoms will disappear and not recur.  Perform non-medical and medical interventions on patients and their families. The results of patient evaluations can follow these recommendations. Good progress has been seen in patients starting from a decrease in clinical symptoms and increased patient and family knowledge about her illness also changes in behavior. A family medicine approach can solve health problems and improve the patient’s quality of life.