STUDI KASUS: DIAGNOSTIK HOLISTIK DAN PENATALAKSANAAN LAYANAN PRIMER PADA PENYAKIT FROZEN SHOULDER DAN HIPERTENSI DENGAN OBESITAS

Abstract

Frozen shoulder is a shoulder pain disorder that It is caused by thickening and tightening of the connective tissue capsule around the shoulder joint. The most common risk factors are age > 40 years, women > men as much as 70%, recent trauma such as surgery or fracture of the arm can cause immobility during recovery. Typical in frozen shoulder, there is progressive shoulder stiffness, severe pain (especially at night) and almost complete loss of passive and active external rotation of the shoulder. In the general population in Indonesia, the prevalence of frozen shoulder reaches around 2%. Frozen shoulder can occur in both shoulders at the same time or alternately in as many as 16%. A total of 14% of sufferers experience frozen shoulder on the contralateral shoulder while the shoulder on the other side still experiences the same thing. The aim of this research is to implement family doctor services holistically and comprehensively by identifying risk factors, clinical problems, and patient management based on Evidence Based Medicine with a patient centered and family focused approach. This study is a case report. Primary data was obtained through autoanamnesis, physical examination and home visits. Secondary data was obtained from patient medical records. Mrs. A is 55 years old with complaints of stiff shoulders and also pain in the right shoulder, especially when moved, which occurs when working and feels lighter when resting, the complaint has been felt for approximately 2 months, the patient still feels pain in the shoulder and is followed by stiffness in the shoulder , limited movement in the shoulder, and finally difficulty in carrying out daily activities. Internal risk factors in patients are: The patient's age, the patient's excess weight, there is concern that other complications will arise and can aggravate the patient's complaints, excessive activity that burdens the patient's shoulders and right hand, excessive and uncontrolled consumption of salt, fat, sugar, and irregular re-control your blood pressure. External risk factors in patients are: Family who lives in the same house as the patient is an active smoker, the patient's mother, father and older brother have hypertension. Diagnosis and management of patients has been carried out holistically, patient centered, family focused and community oriented. Changes in clinical, knowledge, and behavior of patients and their families occur after being given the intervention.