A HOLISTIC APPROXIMATION TO MANAGEMENT OF TUBERCULOSIS CASES RELAPSE IN THE SECOND MONTH OF TREATMENT AN INTENSIVE PHASE FROM PATIENT WIDOWER GERIATRIC WITHOUT A JOB

Widhi Astuti

Abstract


Background: Tuberculosis (TB) is a disease that has long been known and to date is still the leading cause of death in the world. The prevalence of TB in Indonesia and other developing countries is quite high. In 2006, new cases in Indonesia totaled & gt; 600,000 and mostly suffered by people who are in the productive age (15–55 years old). Case: Mr. TGN, males 69 years, came with his son to seek medical from Puskesmas Karang Anyar with complaints the second month treatment controls, because experiencing cough berdahak since 3 months ago and it is sometimes accompanied by shortness of breath. The patient also complains of frequent sweating especially at night. In addition, patients also complain of weight due to the appetite. Another complaint that the patient felt dizzy at the moment is spinning accompanied by nausea and itching after taking medication that package.

Conclusion: treatment of patients has been conducted with the principles of family physician services and holistic plenary, based from evidence based medicine. Clinical improvement is yet to be seen at the end of their intervention, because it takes a long time according to the pathophysiology of diseases and cooperation between patients, families and healthcare providers.

Key Word: Evidance Based Medicine, family medicin, Tuberculosis

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