Holistic Management for Elderly with Hypertension Grade 1, Type 2 Diabetes Mellitus, Obese Grade I, and Hypercholesterolemia Through Family Medicine Approach at Puskesmas Rawat Inap Kedaton


  • Dinda Afifa Universitas Lampung
  • Tutik Ernawati
  • Adela Putri Agata




Hypertension, Type 2 Diabetes Mellitus, Elderly


Hypertension is one of the degenerative disease. Degenerative disease is a chronic non-communicable disease due to deterioration in organ function due to the aging process. The prevalence of hypertension in lampung reached 7,95%. Through identifying the risk factors, clinical problems, conduct patient management holistically by applying family doctors according to evidence based medicine through a patient center, family approach, and community oriented. This study is a case report. The primary data obtained through anamnesis, physical examination, and home visits to complete the family data, psychosocial and environmental data. Assessment based upon a holistic diagnosis of early, process, and the final quantitative and qualitative studies. Based on a holistic diagnosis, the patient had a history of hypertension and type 2 diabetes mellitus for more than 10 years, as well as hypercholesterolemia and obesity. Patients routinely seek treatment at the clinic and routinely take medication every day. The patient's diet is still irregular and the patient rarely does physical activity. The diagnosis and managemet of the patient has been done holistically, patient centered, family approach and in accordance with national guidelines and based on evidence based medicine. Changes in patient and family knowledge and behaviour occur after patient center and family approach interventions.


Rahmadhanie AK. Program Pengelolaan Penyakit Kronis (Prolanis) oleh Dokter Keluarga sebagai Penanganan Hipertensi dan Diabetes Mellitus Tipe 2. Published online 2019.

RISKESDAS. Laporan Nasional RISKESDAS 2018. Badan Penelit dan Pengemb Kesehat. Published online 2018:198.

Alloubani A, Saleh A, Abdelhafiz I. Hypertension and diabetes mellitus as a predictive risk factors for stroke. Diabetes Metab Syndr Clin Res Rev. 2018;12(4):577-584.

Hypertension IS of. Konsensus Penatalaksanaan Hipertensi.; 2019.

Soelistijo S, Novida H, Rudijanto A, et al. Konsesus Pengelolaan Dan Pencegahan Diabetes Melitus Tipe2 Di Indonesia 2015.; 2015.

Bernabé-Ortiz A, Carrillo-Larco RM, Gilman RH, et al. Contribution of modifiable risk factors for hypertension and type-2 diabetes in Peruvian resource-limited settings. J Epidemiol Community Health. 2015;70(1):49-55.

Stapleton PA, Goodwill AG, James ME, Brock RW, Frisbee JC. Hypercholesterolemia and microvascular dysfunction: Interventional strategies. J Inflamm. 2010;7(1):54.

Handelsman Y, Jellinger PS, Guerin CK, et al. Consensus statement by the American association of clinical endocrinologists and American college of endocrinology on the management of dyslipidemia and prevention of cardiovascular disease algorithm-2020 executive summary. Endocr Pract. 2020;26(10):1196-1224.

WHO. The Asia Pacific perspective: Redefining obesity and its treatment. Published online 2000:8-45.

Weir CB, Jan A. BMI Classification Percentile And Cut Off Points. StatPearls. Published 2021.

Kinlen D, Cody D, O’Shea D. Complications of obesity. Qjm. 2018;111(7):437-443.

Bulsara KG, Cassagnol M. Amlodipine. Published 2021.

McKee A, Morley JE. Obesity in the Elderly. Endocrinology Book. Published 2018.

Kementerian Kesehatan RI. Panduan Pelaksanaan Gerakan Nusantara Tekan Angka Obesitas (GENTAS).



How to Cite

Afifa, D., Tutik Ernawati, & Adela Putri Agata. (2022). Holistic Management for Elderly with Hypertension Grade 1, Type 2 Diabetes Mellitus, Obese Grade I, and Hypercholesterolemia Through Family Medicine Approach at Puskesmas Rawat Inap Kedaton. Medical Profession Journal of Lampung, 12(2), 358-368. https://doi.org/10.53089/medula.v12i2.411