Holistic Management of 53 Years Old Woman with Hypertension and Hypercolesterol through Family Medicine

Abstract

Hypertension is one of the Non-Communicable Diseases which is a very serious health problem both in the world and in Indonesia. This disease is also known as the silent killer because this disease is life-threatening and often shows no symptoms. An unhealthy lifestyle can be a trigger factor of hypertension or worsen the incidence of hypertension. Hypercholesterolemia is a common metabolic condition characterized by plasma cholesterol levels exceeding the normal value of >200 mg/dl. Hypercholesterolemia can cause cardiovascular and metabolic diseases such as atherosclerosis, coronary heart disease, stroke and metabolic syndrome. Hypertension and hypercholesterolemia are diseases that can be controlled with a healthy lifestyle. Comprehensive management is needed so that risk factors can be identified, and holistic management can be given. Implementation of evidence-based medicine based on family physician services by identifying risk factors, clinical problems, and patient management based on a patient-centered and family-centered approach to solving patient problems. Primary data were obtained through anamnesis, physical examination, supporting examinations and home visits to assess the physical environment. The patient complains of throbbing headaches accompanied by heavy shoulder pain since a month ago. The patient had previously been diagnosed with hypertension and hypercholesterolemia. Patients have risk aspects such as obesity, unbalanced diet, lack of knowledge about disease and stress. Diagnosis and management of these patients is carried out holistically and comprehensively, patient center, family adapted to drug administration with the intention to increase knowledge, attitudes and behavior of patients and their family members.