NursingCrib.com Nursing Care Plan Gouty Arthritis

NURSING CARE PLAN ASSESSMENT

Subjective: “Masakit ang paa ko, hindi ako makalakad” (My  feet hurts, I can’t  walk) as

verbalized by the patient. Objective: •

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Reluctance to attempt movement. Limited range of motion. Decreased muscle strength. V/S taken as follows: T: 37.5 P: 76 R: 20 BP: 120/80

DIAGNOSIS

Impaired physical mobility related to pain.

INFERENCE

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Gout is a disorder of purine metabolism characterized by elevated uric acid levels with deposition of urate crystals in  joints and other tissues. High uric acid levels result from decreased excretion of uric acid ( 90% of cases) due to a wide variety of causes. The disorder may progress from an asymptomatic stage through acute gouty arthritis, to chronic tophaceous gout. Complications include erosive deforming

PLANNING

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After 3 days of nursing intervention s, the patient will maintain or increase strength and function of affected or compensato ry body part.

INTERVENTION

Independent:  Evaluate or continuously monitor degree of   joint inflammation or pain. •

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Maintain bed rest or chair rest when indicated. Schedule activities providing frequent rest periods and uninterrupted night time sleep. Encourage adequate fluid intake.

Assist with active or passive range of motion.

Encourage patient to maintain upright and erect posture when sitting, standing, or walking.

RATIONALE

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Level of activity or exercise depends on progression and resolution of inflammatory process. Systemic rest during acute attacks and important throughout all phases of disease to reduce fatigue and improve strength. To assist with excretion of uric acid and decrease likelihood of stone formation. Maintains or improves joint function, muscle strength, and general stamina. Maximizes joint function, maintains mobility.

EVALUATION

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After 3 days of nursing interventions, the patient was able to maintain or increase strength and function of affected or compensatory body part.

arthritis, uric acid kidney stones, and urate nephropathy caused by hyperuricemia.

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Encourage the patient to avoid alcohol. Review foods that are rich in purines like sardines, sardines, anchovies, shell fish and organ meats. Provide safety needs.

Collaborative: Administer antiinflammatory drugs and also colchicines as prescribed. •

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That can precipitate acute attack. To avoid foods that precipitate acute attacks.

Help prevent accidental injuries or falls. To relieve pain and swelling during acute attacks.