STUDI KASUS: DIAGNOSTIK HOLISTIK DAN PENATALAKSANAAN BERBASIS LAYANAN KEDOKTERAN KELUARGA PADA WANITA 31 TAHUN DENGAN HIPERTIROID

Abstract

Hyperthyroidism is the second largest hormonal disease in Indonesia after diabetes mellitus. Most causes What can causehyperthyroidism is Graves' disease. Untreated hyperthroid patients are at risk decreased quality of life, atrial fibrillation and osteoporosis. Therefore, therapy is needed to control thyroid hormone levels within normal limits, one of which is anti- thyroid medication. Application of evidence-based medicine for family doctors by identifying risk factors, clinical problems, and patient management based on the framework for solving patient problems with a patient centered and family approach. This study is a case report. Primary data were obtained through history taking, physical examination, supporting examination and home visits to assess the physical environment. Assessment based on a holistic diagnosis from the beginning, process, and end of the study qualitatively and quantitatively. The patient complained of a swollen neck, a pounding heart, tremors, sometimes he couldn't stand the heat, and within the past month the patient said he had lost weight, the patient often felt tired quickly and was anxious. Clinically thepatient was diagnosed with hyperthyroidism (ICD 10: E05). Pharmacological and non-pharmacological interventions were carried out in patients in the form of education about patient disease   and their families. The results of the evaluation of the intervention were that the patient began to understand the importance of thorough treatment, and wanted to have the patient's thyroid hormone checked regularly. The patient's level of knowledge of the disease and the importance of the family knowing the treatment schedule and a healthy lifestyle determine the success of treatment.   Patient Mr. N and his family have followed the doctor's advice after the patient's intervention has enthusiasm and hope to be able to come to the doctor or need help so that health workers visit the patient's house for periodic checks.