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Understanding Gout: Symptoms and Management

Gout is a form of arthritis caused by excess uric acid in the bloodstream, which usually affects the big toe joint. It is characterized by sudden and severe pain in the joint, typically occurring in the middle of the night, along with tenderness, warmth, and redness. Risk factors include age, genetics, diet high in purine, obesity, alcohol intake, and family history. Nursing care focuses on pain management, range of motion exercises, adequate fluid intake, and health teaching about diet modification and lifestyle changes to prevent gout flares.

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Karyn Joy Lamis
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108 views12 pages

Understanding Gout: Symptoms and Management

Gout is a form of arthritis caused by excess uric acid in the bloodstream, which usually affects the big toe joint. It is characterized by sudden and severe pain in the joint, typically occurring in the middle of the night, along with tenderness, warmth, and redness. Risk factors include age, genetics, diet high in purine, obesity, alcohol intake, and family history. Nursing care focuses on pain management, range of motion exercises, adequate fluid intake, and health teaching about diet modification and lifestyle changes to prevent gout flares.

Uploaded by

Karyn Joy Lamis
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd

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

THANK YOU 

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