The approach of family medicine in the management of patient with Recurrent Nummular Eczema Relapse
DOI:
https://doi.org/10.35335/midwifery.v11i2.1184Keywords:
Effectiveness, Nummular Eczema, Family Medicine, Mandala of HealthAbstract
At the Legok Health Center, the total number of dermatitis cases was 14 in August 2022. Mr. A is one of the patients who suffered from recurrent nummular eczema. He was the reason for conducting the visit. Diagnosis and management were carried out using a family medicine approach. Primary data was obtained through anamnesis, physical examination, and home visits. Secondary data was sourced from patient medical records at the Legok Health Center. Mr. A is 18 years old and has complained of a red sore on the left calf since one month ago. On physical examination, plaques were found in the left femur region and brachii sinistra et antebrachia dextra, localized distribution, colored erythema to hyperpigmentation, lenticular to numeric sizes, arranged in multiples with a circadian configuration, and well demarcated. The patient's internal factors are the lack of knowledge about the disease, the behavior that was often injured, stress, and loneliness. External factors included a lack of family knowledge about the patient's illness, the absence of regular visits from nearby health workers, and inadequate home ventilation. As the family approach was taken, there have been improvements in patient complaints, with the number of wounds complained by patients starting to thin out. The family medicine approach was carried out as a whole for individuals and families by applying the medical, behavioral, and social sciences principles. Individual management is an intervention in clinical aspects and a solution to environmental problems affecting personal health.
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References
American Academy of Family Physician (AAFP). (2019). Family Medicine.
Apriliani, R., Suherman, Ernyasih, Romdhona, N., & Fauziah, M. (2022). Hubungan Personal Hygiene Dengan Kejadian Dermatitis Kontak Iritan Pada Pemulung Di Tpa Bantargebang. Environmental Occupational Health and Safety Journal, 2(01), 1–14.
Banten, P. (2019). Profil Kesehatan Provinsi Banten Tahun 2019. In Undergraduate Theses of Public Health.
Ernyasih. (2021). Hubungan Personal Hygiene dengan Kejadian Penyakit Dermatitis di Wilayah Kerja Puskesmas Poris Gaga Lama Tahun 2021. Jurnal Kedokteran Dan Kesehatan, 25–32.
Göktaş, O. (2022). The Göktaş definition of family medicine/general practice. Atencion Primaria, 54(10). https://doi.org/10.1016/j.aprim.2022.102468
Grierson, L., & Vanstone, M. (2021). The rich potential for education research in family medicine and general practice. Advances in Health Sciences Education, 26(2). https://doi.org/10.1007/s10459-020-09994-7
Hashim, M. J. (2022). Teaching Family Medicine and General Practice. In Korean Journal of Family Medicine (Vol. 43, Issue 2). https://doi.org/10.4082/kjfm.20.0223
Kang, S., Amagai, M., Bruckner, A. L., Enk, A. H., Margolis, D. J., McMichael, A. J., & Orringer, J. S. (2019). Fitzpatrick’s Dermatology (9th Ed). McGraw-Hill Education.
Menaldi, S. L. S., Bramono, K., & Lndriatmi, W. (2011). Ilmu Penyakit Kulit dan Kelamin (7th ed.). In Journal of Physics A: Mathematical and Theoretical (Vol. 44, Issue 8). https://doi.org/10.1088/1751-8113/44/8/085201
Mudavanhu, Y. (2017). Quality of literature review and discussion of findings in selected papers on integration of ICT in teaching , role of mentors , and teaching science through science , technology , engineering , and mathematics ( STEM ).
Muller, I., Stuart, B., Sach, T., Hooper, J., Wilczynska, S., Steele, M., Greenwell, K., Sivyer, K., Yardley, L., Williams, H. C., Chalmers, J. R., Leighton, P., Howells, L. M., Ridd, M. J., Lawton, S., Griffiths, G., Nuttall, J., Langan, S. M., Roberts, A., … Santer, M. (2021). Supporting self-care for eczema: Protocol for two randomised controlled trials of ECO (Eczema Care Online) interventions for young people and parents/carers. BMJ Open, 11(2). https://doi.org/10.1136/bmjopen-2020-045583
Murad, M. A., Kheimi, R. M., Toras, M. M., Alem, R. H., Aljuaid, A. M., Alobaidan, J. N., Binishaq, H. Y., Asiri, A. A., & Sagga, M. K. (2022). Community perspective on family medicine and family physician in Saudi Arabia 2020. BMC Primary Care, 23(1). https://doi.org/10.1186/s12875-021-01604-8
Norrlid, H., Hjalte, F., Lundqvist, A., Svensson, Ã…., & Ragnarson Tennvall, G. (2016). Cost-effectiveness of maintenance treatment with a barrier-strengthening moisturizing cream in patients with atopic dermatitis in Finland, Norway and Sweden. Acta Dermato-Venereologica, 96(2). https://doi.org/10.2340/00015555-2221
Ohta, R., Maejma, S., & Sano, C. (2022). Nurses’ Contributions in Rural Family Medicine Education: A Mixed-Method Approach. International Journal of Environmental Research and Public Health, 19(5). https://doi.org/10.3390/ijerph19053090
Politiek, K., Loman, L., Pas, H. H., Diercks, G. F. H., Lemmink, H. H., Jan, S. Z., van den Akker, P. C., Bolling, M. C., & Schuttelaar, M. L. A. (2020). Hyperkeratotic hand eczema: Eczema or not? Contact Dermatitis, 83(3). https://doi.org/10.1111/cod.13572
Ratanzi, R., & Gaede, B. M. (2020). Family medicine in Tanzania: Seize the moment. African Journal of Primary Health Care and Family Medicine, 12(1). https://doi.org/10.4102/phcfm.v12i1.2129
Riskesdas Indonesia. (2018). Laporan Nasional Riskesdas 2018. Badan Penelitian Dan Pengembangan Kesehatan.
Scheinfeld, N., & Rudikoff, D. (2014). Nummular dermatitis. Atopic Dermatitis and Eczematous Disorders, 255–265. https://doi.org/10.5005/jp/books/11874_146
Schonmann, Y., Mansfield, K. E., Hayes, J. F., Abuabara, K., Roberts, A., Smeeth, L., & Langan, S. M. (2020). Atopic Eczema in Adulthood and Risk of Depression and Anxiety: A Population-Based Cohort Study. Journal of Allergy and Clinical Immunology: In Practice, 8(1). https://doi.org/10.1016/j.jaip.2019.08.030
Silvia, N., Didik Nur Imanah, N., Sya, Y., Sukmawati, E., DIII Kebidanan, P., & Serulingmas, S. (2022). CASE STUDY: MIDWIFE CARE ON MY WHILE TRIMESTER III PREGNANCY, LABOR, NIFAS, NEONATES, AND FAMILY PLANNING. 2. http://ejurnal.stie-trianandra.ac.id/index.php/klinikHalamanUTAMAJurnal:http://ejurnal.stie-trianandra.ac.id/index.php
Simonsen, A. B., Ruge, I. F., Quaade, A. S., Johansen, J. D., Thyssen, J. P., & Zachariae, C. (2021). Increased occurrence of hand eczema in young children following the Danish hand hygiene recommendations during the COVID-19 pandemic. Contact Dermatitis, 84(3). https://doi.org/10.1111/cod.13727
Sivyer, K., Teasdale, E., Greenwell, K., Steele, M., Ghio, D., Ridd, M. J., Roberts, A., Chalmers, J. R., Lawton, S., Langan, S. M., Cowdell, F., Roux, E. Le, Wilczynska, S., Williams, H. C., Thomas, K. S., Yardley, L., Santer, M., & Muller, I. (2022). Supporting families managing childhood eczema: developing and optimising eczema care online using qualitative research. British Journal of General Practice, 72(719). https://doi.org/10.3399/BJGP.2021.0503
Study, G. B. of D. (2015). Global Burden of Disease Study 2013 (GBD 2013) Incidence, Prevalence, and Years Lived with Disability 1990-2013.
Y. B. Lee, E. J. Byun, and H. S. K. (2019). Potential role of the microbiome in acne: A comprehensive review vol. 8, no. 7. https://doi.org/10.3390/jcm8070987
Zania, E., Junaid, & Ainurafiq. (2018). Faktor-Faktor yang Berhubungan dengan Kejadian Dermatitis Kontak pada Nelayan di Kelurahan Induha Kecamatan Latambaga Kabupaten Kolaka Tahun 2017. Jurnal Ilmiah Mahasiswa Kesehatan Masyarakat, 3(3), 1–8.
