Holistic Management in Geriatri with Diabetic Ulcuses Through Family Medicine Approach in Tanjung Health Care Center


  • Dea Muthia Salsabila medical faculty, lampung university
  • Reni Zuraida




diabetes melitus, family medical care, diabetic ulcer.


Diabetes Mellitus is a metabolic disorder characterized by chronic hyperglycemia. Diabetic ulcer is a state of ulcer, infection, and/or tissue damage, which is associated with neurological disorders and peripheral vascular disease in the lower extremities. The family approach in the management of diabetic ulcers and Diabetes Mellitus helps to identify factors that influence both clinically, personally and psychosocially in the family so that management will be more comprehensive. The purpose of this study was to application of evidence-based medicine-based family doctor services to patients by identifying risk factors, clinical problems, and patient management based on a patient problem-solving framework using a patient-centered and family approach. This study is a case report. Primary data were obtained through anamnesis (autoanamnesis), physical examination, supporting examination and physical environment. The assessment is based on a holistic diagnosis from the beginning, process, and end of the study qualitatively and quantitatively. The patient complained of an open wound on the leg, numbness on both left, frequent urination and easy thirst. The patient has been diagnosed with DM since 2019. The patient was diagnosed with DM based on history, physical examination and supporting examinations. Knowledge of patients and families about the disease they suffer is lacking. After the intervention, the patient showed clinical improvement and there was a change in behavior. In the quantitative assessment, there was an increase in all aspects assessed, namely knowledge, diet and physical activity. Diagnosis and management of these patients is carried out in a holistic and comprehensive manner, patient center, family appropriate with regular DM treatment according to EBM is needed in order to control blood sugar by changing the patient's behavior so as to prevent other complications from arising.

Author Biographies

Dea Muthia Salsabila, medical faculty, lampung university



Reni Zuraida




World Health Organization. Global Report on Diabetes: Fact Sheet. World Health Organization. 2017. http://www.who.int/mediacentre/factsheets/fs312/en/. Diakses Januari 2023.

Hendra, M., Nugraha, S., Wahyuni, N., Ayu, P., & Saraswati, S. Neuromuscular Facilitation Pada Ulkus Diabetikum the Effectiveness of Low Power Laser Therapy and Proprioceptive Neuromuscular Facilitation on Grade 2 Diabetic Foot Ulcers, 2019, 43–50.

Kementerian Kesehatan RI. Hasil Riset Kesehatan Dasar (Riskesdas) 2018. Jakarta: Badan Penelitian dan Pengembangan Kesehatan Kementerian RI. 2018.

International Diabetes Federation. International Diabetic Federation Diabetic Atlas 10th edition. 2021.

Riset Kesehatan Dasar. Badan Penelitian dan Pengembangan Kesehatan Kementerian RI tahun 2018. . 2018.http://www.depkes.go.id/resources/download/infoterkini/materi_rakorpop_20 18/Hasil%20Riskesdas%202018.pdf. Diakses Januari 2023.

Kemenkes RI. INFODATIN KEMENKES RI. Atasi Diabetes Melitus. Jakarta: P2PTM Kementerian Kesehatan RI. 2020.

PERKENI. Konsensus Pengelolaan dan Pencegahan Diabetes Melitus Tipe2 di Indonesia. Jakarta: Perkumpulan Endokrinologi Indonesia. 2015.

Noor, S., et al. Diabetic foot ulcer—a review on pathophysiology, classification and microbial etiology. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 2015, 9(3): 192-199.

Bilous R, Donelly R. Buku pegangan diabetes. Ed 4. Jakarta: Bumi Medika. 2014.

Lipsky BA, Berendt AR, Cornia PB. Infectious diseases society of america clinical practice guideline for the diagnosis and treatment of diabetic foot infections. Clinical Infectious Disease, 2012, 54(12): 132-173



How to Cite

Salsabila, D. M., & Zuraida, R. . (2024). Holistic Management in Geriatri with Diabetic Ulcuses Through Family Medicine Approach in Tanjung Health Care Center. Medical Profession Journal of Lampung, 14(6), 1091-1100. https://doi.org/10.53089/medula.v14i6.1129




Most read articles by the same author(s)

1 2 > >>