Management of 33 Years Old Women with End Stage Renal Disease Through Family Medicine Approach

Abstract

Chronic kidney disease (CKD) is a condition of abnormal kidney structure and function that occurs for at least 3 months. CKD is one of the complications of hypertension and diabetes, so it has a fairly high prevalence in Indonesia. The principle to manage a patients with CKD is to reduce the risk factors that will increase the incidence of complications and worsening of CKD. Therefore, the family medicine approach can be used as a treatment for CKD. This study is descriptive study about case report. The primary data obtained through anamnesis, physical examination and visitation to the patient’s home. Secondary data were obtained from medical records of the patient. The patient is a woman with Stage 5 Chronic Kidney Disease (ICD-10 N18.5). The aspect of internal risk factors in this patients is that the patient's knowledge about the disease that she’s suffering from is still not good, as well as their families who are the external risk factors. Education is given regarding the risk factors above and the patient is assisted to apply it in the patient's daily life. The evaluation and management of CKD will intersect with various aspects of the patient's life, therefore an approach with family medicine can be used in the management of CKD. Various internal and external risks that can exacerbate the course of the patient's illness in this case will form the basis for management that is Patient Centered, Family Focused, and Community Oriented. Simultaneously with pharmacological therapy, it is hoped that the symptoms of CKD that the patients suffer from will be reduced, and it is hoped that complications from CKD can be prevented.