Transcript Preventive Care in Family Practice

FAMILY WELLNESS
(The Periodic Health Examination)
Sharon Gondodiputro dr., MARS.,MH
Dept. Of Public Health Faculty of Medicine
Unpad
20 %
20 %
10 %
50 %
Murray and
Lopez, 1996
Primary prevention
increase a person’s ability to remain
free of disease
Secondary prevention
is the early detection of
disease/ precursors of
disease , treatment can
be started before
irreversible damage
Tertiary prevention
is the management of
established disease
minimize disability
1. Annual complete health examination for
asymptomatic patient/client became
popular in these days.
2. It is an importance component of health
maintenance
3. Components of physical health
examination includes screening,
counseling, immunization and
chemoprophylaxis
4. Factors to be considered: age, occupation,
geography etc
Components of
physical health
examination
Definition
Screening
The widespread use of a simple test for disease in an
apparently healthy (asymptomatic) population. It will
not diagnose the presence of disease directly but will
separate people who are more likely to have the disease
from those who are less likely to have it.
Counseling
the act of providing guidance to a patient or the patient's
family.
Immunization
a technique used to induce an immune response to a
specific disease in humans by exposing the individual to
an antigen in order to raise antibodies to that antigen.
Chemoprophylaxis administration of a medicine or chemical agent with the
purpose of disease prevention
N
o
Age
1
0-1 month
2
1-11 months
3
1-10 years
4
11-24 years
5
25-44 years
5
45-59 years
6
60-70 years
7
>70 years
Distribution of Age For Health Examination
Screening
Bayi baru
lahir
Kelainan
kongenital
1-14 hr
Pemeriksaan tali
pusat,
Pendengaran dan
Penglihatan
14- 28 hr
1 bln
Pendengaran dan
penglihatan
Counseling
Immunization and
Chemoprophylaxis
Inisiasi menyusui
dini
Perawatan tali
pusat
1. HB 0
2. Vit K
(Pythomenadion)
1 mg dosis tunggal
ASI Eksklusif
ASI eksklusif
0 – 1 month
Polio dan BCG
No
Screening
Counseling
Immunization and
Chemoprophylaxis
1
Tumbuh kembang
ASI eksklusif till 6
months
Hepatitis B
2
Penglihatan dan
pendengaran
Makanan
pendamping ASI
Polio
3
Injury prevention
DPT
4
Smoke exposure
Campak
1 – 11 months
No
Screening
Counseling
1
Tumbuh kembang
Nutrisi
2
Penglihatan dan
pendengaran
Smoke exposure
3
Injury prevention
4
Dental Health
1 – 10 years
Immunization and
Chemoprophylaxis
Booster
TT
No
Screening
Counseling
1
Obesitas (BMI)
Nutrisi
2
Hipertensi
Smoke exposure
3
Gynecologic Problems Kesehatan reproduksi
4
Penglihatan
Immunization and
Chemoprophylaxis
HPV vaccin
Drug abuse
5
Physical activity
6
Injury prevention
11 – 24 years
No
Screening
Counseling
1
Hipertensi
Nutrisi
2
BMI
Smoke exposure
3
Profil lipid
Kesehatan reproduksi
4
Gula darah
Drug abuse
5
SADARI
Physical activity
6
Pap’s smear
Injury prevention
7
Pra nikah
KB
8
Penglihatan
Dental Health
Immunization and
Chemoprophylaxis
TT
24-44 years
No
Screening
Counseling
1
Hipertensi
Nutrisi
2
BMI
Smoke exposure
3
Lingkar perut
Kesehatan reproduksi
4
Profil lipid
Drug abuse
5
Gula darah
Physical activity
6
SADARI
Injury prevention
7
Pap’s smear
Dental health
8
Penglihatan
9
Fecal occult blood,
Sigmoidoscopy
Immunization and
Chemoprophylaxis
Calsium ????
45-59 years
No
Screening
Counseling
1
Hipertensi
Nutrisi
2
BMI
Smoke exposure
3
Lingkar perut
Polpharmacy
3
Profil lipid
Physical activity
4
Gula darah
Injury prevention
5
Mammogram sd 70 thn
Dental health
6
Pap’s smear sd 65 thn
7
Pendengaran
8
Penglihatan
9
Mental status screening
10
Environmental hazard screening
11
Physical, social assessment
12
Fecal occult blood,
Sigmoidoscopy
Immunization and
Chemoprophylaxis
60-70 thn
No
Screening
Counseling
1
Hipertensi
Nutrisi
2
BMI
Smoke exposure
3
Lingkar perut
Polypharmacy
4
Profil lipid
Physical activity
5
Gula darah
Injury prevention
6
Pendengaran
Dental health
7
Penglihatan
Care giver ?
8
Mental status screening
9
Environmental hazard
screening
10
Physical, social assessment
11
Fecal occult blood,
Sigmoidoscopy
Immunization and
Chemoprophylaxis
> 70 thn