A case report Management of a 72-Year-Old Female Patient with Anemia in Chronic Kidney Disease Using a Family Medicine Approach
DOI:
https://doi.org/10.53089/medula.v14i7.1326Keywords:
Family Doctor, Anemia, Chronic Kidney Disease.Abstract
Anemia is a body condition characterized by a lower number of red blood cells or hemoglobin concentration than normal limits. According to WHO, 64 million or 23.9% of elderly suffer from anemia worldwide. One of the causes of anemia in the elderly is chronic kidney disease (CKD). According to RISKESDAS, the reported prevalence of CKD at ages ≥15 years is 0.38% in Indonesia with the highest incidence at ages 65-74 years. Appropriate holistic treatment using a family medicine approach is needed to improve the patient's quality of life. Implement comprehensive and holistic family doctor services by identifying risk factors, clinical problems, and patient management based on evidence-based medicine with strategies that are patient centered, family approach and community oriented. This study is a case report. Primary data was obtained through history taking, physical examination and home visits. Secondary data was obtained from patient medical records. Patient Mrs. T, 72 years old, has been diagnosed with anemia, complains of weakness accompanied by fatigue, dizzy eyes and unsteadiness when walking. An intervention was carried out in the form of providing health promotion using health posters regarding anemia in chronic kidney disease. The results of the intervention in patients obtained increased knowledge about the disease and compliance in maintaining health for successful therapy. Holistic management can improve the knowledge, attitudes and behavior of patients and families in maintaining health.
Key words: Family Doctor, Anemia, Chronic Kidney Disease.
References
WHO. Nutritional Anemia: Report of a WHO Scientific Group. Tech Rep Ser. 1968;405:1-40.
Stauder R, Valent P, Theurl I. Anemia at older age : etiologies, Clinical implications, and management. Blood. 2018. 131 (5) : 505-514.
Girelli D, Marchi G, Camaschella C. Anemia in the Elderly. Hemasphere. 2018 17;2(3): 40.
Bianchi VE. Anemia in the Elderly Population. J Hematol. 2014. 3(4) : 95-106.
Kementrian Kesehatan R.I. Hasil Riset Kesehatan Dasar (Riskesdas) 2013. Jakarta: Badan Penelitian dan Pengembangan Kesehatan. 2013.
Indrati AR, Yonathan Y, Hendro, Dwipa L, Kartasasmita C. Characteristics of anemia in the Elderly : Hospital-based study in west java. Indonesian journal of clinical pathology and medical laboratory. 2023. 29 (3) : 220-223.
Alamsyah PR, Andrias DR. Hubungan kecukupan zat gizi dan konsumsi makanan penghambat zat besi dengan kejadian anemia pada lansia. Media gizi Indonesia. 2016. 11 (1) : 48-54.
Charles C, Ferris AH. Chronic Kidney Disease. Prim Care. 2020 Dec;47(4):585- 595
Benjamin O, Lappin SL. End-Stage Renal Disease. [Updated 2021 Sep 16]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing.
Grams ME. Chronic Kidney Disease Diagnosis and Management: A Review. JAMA. 2019 Oct 1;322(13):1294-1304.
Van puyvelde K, Cytryn E, Mets T, Beyer I. Anaemia in the elderly. Acta Clinica Belgia. 2009. 64(4): 292-302.
KDOQI. KDOQI Clinical Practice Guideline and Clinical Practice Recommendations for anemia in Chronic kidney disease: 2007 update of hemoglobin target. American journal of kidney diseases : the official journal of the National Kidney Foundation 2007;50(3):471-530.
KDOQI. Clinical Practice Guidelines for Chronic kidney disease: Evaluation, classification, and stratification. American journal of kidney diseases : the official journal of the National Kidney Foundation 2002;39:S1-S26.
Kadir A. Hubungan patofisiologi hipertensi dan hipertensi renal. Jurnal ilmiah kedokteran. 2016. 5(1) : 15-25
Gultom MD, Sudaryo MK. Hubungan hipertensi dengan kejadian gagal ginjal kronik di RSUD DR. Djasamen Saragih Kota Pematang Siantar tahun 2020. Jurnal Epidemiologi Kesehatan Komunitas. 2023. 8 (1) : 40-47.
KEMENKES. Keputusan Menteri Kesehatan Republik Indonesia nomor HK.01.07/MENKES/1634/2023 tentang pedoman nasional pelayanan kedokteran tata laksana penyakit ginjal kronik. Jakarta : KEMENKES. 2023.
Yonata A. Tatalaksana anemia pada penyakit ginjal kronis. Jurnal kedokteran universitas lampung. 2016. 1(1) : 150-157.
Besral, Meilianingsih L, Sahar J. Pengaruh minum teh terhadap kejadian anemia pada usila di kota bandung. Makara kesehatan. 2007. 11(1) : 38-43.
Nizami AA, Gulani AC. Cataract. StatPearls. Treasure Island (FL): StatPearls. 2022. Available from: https://www.ncbi.nlm.nih.gov/books/NBK539699/
KEMENKES. Keputusan Menteri Kesehatan Republik Indonesia nomor HK.01.07/MENKES/557/2028 tentang pedoman nasional pelayanan kedokteran tata laksana katarak pada dewasa. Jakarta : KEMENKES. 2018.
Astari P. Katarak : Klasifikasi, tatalaksana, dan komplikasi operasi. 2018. CDK-269. 45 (10) : 748-753.
Cheslock M, De Jesus O. Presbikusis. StatPearls. Treasure Island (FL): StatPearls. 2023. Tersedia dari: https://www.ncbi.nlm.nih.gov/books/NBK559220/
Meneses-Barriviera CL, Bazoni JA, Doi MY, Marchiori LLM. Probable Association of Hearing Loss, Hypertension and Diabetes Mellitus in the Elderly. Int Arch Otorhinolaryngol. 2018. 22(4) : 337-341.
KEMENKES. Peraturan Menteri Kesehatan Republik Indonesia Nomor 82 tahun 2020 tentang penanggulangan gangguan penglihatan dan gangguan pendengaran. Jakarta : KEMENKES. 2020.
Putri EA, Sangging PRA, Himayani R. Pegaruh presbikusis terhadap kualitas hidup lansia. Medula. 2023. 13 (4) :15-20.
Notoatmodjo S. Ilmu Perilaku Kesehatan. Jakarta: Rineka Cipta. 2010.
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