Gout Nursing Care Plan

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Gout is inflammation caused by the deposition of uric acid crystals in the joints and fingers.

Pathophysiology

The presence of purine metabolism disorders in the body, the intake of materials containing high uric acid, and uric acid excretion systems are inadequate, would result in an excessive accumulation of uric acid in the blood plasma (Hiperurecemia), thus resulting in uric acid crystals accumulate in the body. This hoarding cause local irritation and cause inflammatory responses.

Hiperurecemia is the result:
  • Increased production of uric acid due to abnormal purine metabolism.
  • Decreased excretion of uric acid.
  • Combination of both.
Gout commonly affects post-menopausal women aged 50-60 years. Also can affect males and puberty or age over 30 years. The disease most commonly affects the joints metatrsofalangeal, toe, knee and ankle joints.

Nursing Assessment
  • health history
  • age
  • male / female
  • pain (in the big toe or other joints)
  • stiffness in the joints
  • activity (easy to accomplish)
  • diet
  • family
  • treatment
  • dizziness, fever, malaise, and anorexia
  • tachycardia
  • patterns of health care
  • kidney stone disease
Physical Examination
  • identification of signs and symptoms of existing bicycle nursing history
  • tenderness in the joints affected
  • pain when moved
  • swollen joint area (warm skin, tense, purplish color)
  • pounding heartbeat
  • identification of weight loss
Psychosocial History
  • anxious and afraid to do kativitas
  • helpless
  • disruption of activity in the workplace
Diagnostic Tests
  • uric acid
  • white blood cells, red blood cells
  • joint aspiration contained uric acid
  • urine
  • roentgen

Nursing Care Plan for Gout : Nursing Diagnosis 
  1. Acute pain r / t presence of inflammation in the joints.
  2. Impaired physical mobility r / t presence of joint pain.
  3. Knowledge Deficit: about treatment and care at home.
  4. Impaired skin integrity r / t tophi.

Source : http://nandacareplan.blogspot.com/2013/12/gout-care-plan-and-nursing-diagnosis.html

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