GOUT

BIBAL, MA. PAZ

PALACIOS, GEONALYN MAE
 DEFINITION
 Gout is form of arthritis caused by excess uric acid in the
bloodstream.
Gout most classically affects the joints in the base of the big
toe.
Gout are due to the formation of uric acid crystals in the joints
and the body’s response to them.
Gout attacks often occur without warning in the middle of the
night.
 CLINICAL MANIFESTATION
Sudden and severe pain in a joint, usually in the
middle of the night or early morning.
Tenderness in the joint. It can also be warm to
touch and look red or purple.
Stiffness in the joint.
Mild fever.
 RISK FACTORS
Age & Gender
Genetics
Lifestyle choices
Obesity
Family history of gout
P
A high
A dietary
T intake of Increase
H purine, purine
O alcohol synthesis,
intake. decreased
P
renal
H excretion.
Y Increase
S uric acid in
the blood
I
(hyperurice
O mia)
Deposition
L of uric acid
O GOUT
into the
G joints.
Y
 NURSING DIAGNOSIS

• IMPAIRED PHYSICAL MOBILITY RELATED TO

PAIN as evidenced by Limited range of motion,
decreased muscle strength.
• ACUTE PAIN RELATED TO GOUT as
evidenced by swelling, inflammed, tenderness
and with fever of 37.7C, with a painscale of
8/10.
 NURSING MANAGEMENT
 Assess for the pain using painscale of 1-10 to describe the severity.
Evaluate or continue monitor degree of joint inflammation or pain.
Apply cold packs to inflamed joints to ease discomfort and reduce
swelling.
Encourage the patient to perform relaxation technique to promote
rest.
Use cognitive therapy such as creative visualization to distract the
patient from the pain.
Encouraged adequate fluid intake.
 CON’T
Assist with active or passive range of motion.
Encouraged patient to maintain upright and erect posture
when sitting, standing, or walking.
 HEALTH TEACHING
 Educate patient to eat health diet.
 Avoid foods that may trigger a gout flare, including foods high
purine and limit alcohol intake.
 Encourage learn self management skills. Join a self
management education class to help the client manage the
pain.
 Loosing weight is very important for overweight or obese,
losing weight reduces pressure on joints particularly weight
bearing joints like the hips and knees.
 CON’T
Avoid or limit alcohol consumption.
Do the moderately daily exercise
Limit meat and seafood intake.
Drink atleast 6-8 glasses of water everyday.
Eat enough green leafy vegetables, citrus fruits and dairy
products.
 END

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