Case Report of Mr.

E with Uncontrolled Hypertension with Approach of Family

Medicine at Puskesmas Gembong,Balaraja District,Tangerang City,
Banten Province
The Period of December 28th,2017-January 22nd,2018

Anggita Tri Lestari1, Christine Evelyn1, Ludolfus Bertolomeus1, Andri Wanananda2,

Idawati Karjadidjaja3

ABSTRACT

Background: In 2012 the prevalence of hypertension worldwide reaches 26.4% and in

Indonesia reaches 25.8% at the age of ≥18 years. In 2017 there are 759 cases in
Puskesmas Gembong and the second most of ten diseases. One of the patients at
Puskesmas Gembong suffers from hypertension for 3 years ago and rare controlled.
This is very worrying so family visits need to be done to see the factors that cause
uncontrolled hypertension so as to prevent complications.
Case: Man is 53 years old came to Puskesmas Gembong with headaches for 1 year and
disappeared. Patients taking Panadol and the last six months of complaints are
increasing. Patients have hypertension since 3 years ago and rare controlled and don’t
know that should take life-long medication.
Discussion: Using the Mandala of Health and family medical approach, it was found
that uncontrolled hypertension due to unhealthy lifestyle and lack of knowledge of
patients and families about his disease. Then a series of interventions and consultations
were made to the nutrition section, so within 3 weeks of monitoring, the patient's blood
pressure fell to 140/90 mmHg.

Keywords:Hypertension, Family Medicine, Mandala of Health

1
The college student of Public Health Sciences Faculty of Medicine Tarumanagara
University
2
Department of Public Health Sciences Faculty of Medicine Tarumanagara University
3
Lecturer of Clinical Program Department of Nutrition, Faculty of Medicine
Tarumanagara University